RN-Medically Fragile One-On-One Nurse

Horry County Schools; South Carolina; On-site; USD 40,000 - 60,000; Full time

Job summary

Horry County Schools is seeking a Medically Fragile One-on-One Nurse to provide dedicated 1:1 health services for chronically ill students in the school setting. The role operates under the supervision of the district RN and follows health care procedures and district protocols.

The nurse will administer treatments, document care, and collaborate with families and school staff. Requires SC RN license, CPR certification, and a current driver's license; position is 190 days per year.

Qualifications

• Licensed as a Nurse by the South Carolina Board of Nursing.
• Graduate of an accredited school of nursing.
• A minimum three years of experience in nursing settings preferred.

Responsibilities

• Reinforces health promoting behaviors using approved protocols.
• Performs procedures under RN supervision (e.g., catheterization, suctioning, tracheotomy care, tube feedings).
• Administers medications and treatments as authorized by a physician.
• Maintains documentation and confidentiality per district standards.
• Reports information and concerns to the registered school nurse.

Skills

RN license (SC)

CPR certification

Driver's license

School healthcare coordination

Education

Nursing degree/diploma

Job description

• Position Type:
  Health Services/ RN - Medically Fragile One-On-One Nurse
• Date Posted:
  10/19/2026
• Closing Date:
  10/26/2026

Job Title

Medically Fragile One-on-One Nurse

Supervisor

Director/Coordinator of Health & Safety Services

Terms of Employment

190days

Job Summary

The 1:1 works under the supervision of the Registered Nurse (RN) in the school and functions as a member of the team and provides specialized 1:1 health-related services for chronically ill, medically fragile, and injured students as assigned or delegated. The 1:1 nurse may require specialized training by the school nurse in accordance with written specialized health care procedures and health services protocols. The 1:1 will practice in accordance with the laws governing nursing in South Carolina and the health services policies of the school district.

Essential Duties

• Reinforces the health promoting behaviors of individual students and staff using health program protocols and approved educational materials.
• Performs specific procedures and treatments with physician orders under the supervision of the registered school nurse to include, but not limited to, catheterization, suctioning, tracheotomy care, and tube feedings.
• Provides nursing care procedures as defined in the Individual Health Care Plan (IHP) or as assigned or delegated by RN.
• Assists the school nurse, school, and parents in maintaining the medically fragile student while in school.
• Administers first aid, medications, treatments and diet as authorized and prescribed by a licensed physician or other health care provider, in accordance with the nurse Practice Act and as stipulated by the supervising registered school nurse.
• Maintains accurate documentation, records, and confidentiality of information in accordance with school district standards.
• Reports information and concerns to registered school nurse.

Job Specifications

Performance of this job will be evaluated annually in accordance with provisions of the Board's policy on Evaluation of Classified Personnel.

Minimum Qualifications (Knowledge, Skills and Abilities Required)

• Licensed as a Nurse by the South Carolina Board of Nursing.
• Graduate of an accredited school of nursing.
• A minimun threeyears of experience (school nursing, public health nursing, emergency room, or pediatrics experience PREFFERED).
• Current driver's license.
• Current CPR certification.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to stand and reach with hands and arms; walk; sit; stoop or kneel; crouch or crawl.

Additional physical requirements include the following:

• Physically capable of frequently lifting or moving up to 40 pounds;
• Specific vision requirements include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus;
• Ability to sit and stand for extended periods of time;
• Manual dexterity for the purpose of using a telephone and data entry;
• Read a computer screen and printed material with or without vision aids;
• Hear and understand speech at normal levels and on the telephone; and
• Speak in audible tones so that others may understand clearly in person and on the telephone.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Pay Grade

113

This job description in no way states or implies that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other related duties as assigned by the appropriate administrator or supervisor. Horry County Schools reserves the right to update, revise or change this job description and related duties at any time without prior notice.

Postings current as of 10/22/2026 4:12:35 AM CST.

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