Elizabethton City Schools
Job Description: School Nurse - LPN
Reports to: District Nurse
Last Revised: 2026
Job Summary
The School Nurse provides direct nursing care and health services to students and staff under the supervision of the District Nurse and in accordance with the Tennessee Nurse Practice Act. The LPN supports student health, safety, and wellness by administering medications and treatments, responding to illnesses and emergencies, assisting with the implementation of individualized healthcare plans, maintaining accurate health records, and promoting a safe and healthy school environment. Working collaboratively with school personnel, families, healthcare providers, and community agencies, the School Nurse helps ensure students' health needs are met so they can fully access and participate in the education program.
Main Duties and Responsibilities
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.
- Provide nursing care to students and staff within the scope of LPN practice and under the supervision of the District Nurse.
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Assess and respond to student illnesses, injuries, and health concerns, providing first aid and emergency care as appropriate.
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Administer medications and treatments in accordance with physician orders, district policy, and state regulations.
- Assist in the implementation and monitoring of Individual Healthcare Plans (IHPs) and health-related accommodations for students.
- Support students with chronic health conditions, including diabetes, asthma, seizure disorders, allergies, and other medically complex needs.
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Maintain accurate, complete, and confidential student health records and documentation.
- Monitor immunization compliance and assist with required state health reporting.
- Maintain the school health clinic, ensuring adequate medical supplies, equipment, and infection control practices.
- Follow Universal Precautions, OSHA Bloodborne Pathogen Standards, and district safety procedures.
- Respond appropriately to medical emergencies and activate emergency medical services when necessary.
- Assist with required health screenings, including vision, hearing, and other state-mandated screenings.
- Provide health education and serve as a resource for students, staff, and families regarding health-related concerns.
- Collaborate with administrators, teachers, families, healthcare providers, and community agencies to promote student health and wellness.
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Assist with training school staff in medication administration, emergency procedures, and other health-related topics as assigned.
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Participate in required professional development and maintain competencies required for school nursing practice.
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Perform other duties as assigned by the District Nurse.
Minimum Education and Experience
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Hold a current Tennessee Licensed Practical Nurse (LPN) license in good standing.
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Meets all Tennessee Department of Education and Tennessee Department of Health requirements for school health personnel.
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Key Competencies
Specific capacities and abilities may be required of an individual in order to learn or perform adequately a task or job duty.
- Clinical Expertise – Strong knowledge of nursing practice, pediatric care, chronic condition management, and emergency response.
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Communication Skills – Ability to clearly communicate with students, parents, staff, and healthcare providers in both routine and urgent situations.
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Collaboration – Skilled at working with multidisciplinary teams to support student health and learning outcomes.
- Decision-MakingCritical Thinking – Ability to assess health situations quickly, prioritize care, and make sound judgments under pressure.
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ConfidentialityEthics – Maintains strict confidentiality of student health records and demonstrates professionalism in all interactions.
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Cultural Competence – Sensitivity to diverse student populations and the ability to provide inclusive care and health education.
- Organization Skills – Effectively manages records, schedules, and multiple priorities across school sites.
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Crisis Management – Preparedness to respond swiftly and effectively in emergency or public health situations.
Physical Demands and Working Conditions
The physical demands and working conditions described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the listed functions.
- Based in school district facilities with travel between schools as needed.
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On-site presence is essential for providing direct health services and responding to emergencies.
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This job may require lifting objects that exceed 25 lbs. Other physical demands that may be required are as follows:
- Pushing and/or pulling
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Climbing
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Stooping and/or kneeling
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Reaching
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Talking
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Hearing
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Seeing
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Adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure; accepting responsibility for the direction, control, or planning of an activity; generalizing, evaluations, or decisions based on sensory or judgmental criteria.
- Ability to understand instructions and underlying principles; reason and make judgements; understand meaning of words and the ideas associated with them; perform arithmetic operations quickly and accurately; move the hands easily and manipulate small objects with the fingers; make visual comparisons and discriminations and see slight differences in shapes and shadings of figures; perceive or recognize similarities or differences in colors or shades or other values of the same color.
- Low to medium degree of discomfort due to exposure to temperature, fumes, dirt, dust, noise, and cleaning chemicals.
- Normal working environment.
Terms of Employment
Salary and work year to be established by the Board.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be a complete list of responsibilities, duties, and skills required of personnel so assigned.
