Enteral Feeding Nurse LPN

WESTERN PENNSYLVANIA SCHOOL FOR BLIND CHILDRENPittsburgh, PA
Onsite

About The Position

The Licensed Practical Nurse (LPN) – Enteral Feeding Nurse provides safe, efficient, and compassionate nursing care to students requiring enteral nutrition through gastrostomy (G), gastrojejunostomy (GJ), or jejunostomy (J) tubes during the school day. The Enteral Feeding Nurse supports student health and educational participation by ensuring prescribed feedings, and hydration are administered accurately while collaborating with team nurses, educators, therapists, families, and healthcare providers. This position is primarily responsible for enteral feeding services and does not function as the classroom nurse for assigned students.

Requirements

  • Graduate of an approved Practical Nursing Program.
  • Current Pennsylvania Licensed Practical Nurse license.
  • Current CPR/BLS certification.

Nice To Haves

  • Experience with enteral feeding preferred.
  • Pediatric experience preferred.
  • Experience working with children with complex medical needs preferred.
  • Pediatric enteral feeding administration
  • Knowledge of feeding pumps and enteral equipment
  • Knowledge of Infection Prevention principles
  • Documentation standards
  • Experience with students who have complex medical conditions
  • Strong organizational and time-management skills, ability to prioritize multiple scheduled feedings
  • Ability to maintain accuracy under time contraints
  • Excellent interpersonal communication
  • Ability to adapt to changing student needs
  • Commitment to family-centered, student-focused care
  • Communicate effectively with interdisciplinary teams
  • Maintain confidentiality
  • Work independently while recognizing when team nurse consultation is required
  • Build positive relationships with students and staff

Responsibilities

  • Administer prescribed enteral feedings via G-tube, GJ-tube, or J-tube according to physician orders and individualized health care plans.
  • Perform pre- and post-feeding assessments as appropriate.
  • Monitor students during feedings for signs of intolerance or complications, including: Aspiration, Vomiting, Abdominal distention, Tube obstruction, Feeding pump malfunction, Respiratory distress.
  • Flush feeding tubes according to physician orders and nursing protocols.
  • Troubleshoot minor feeding pump alarms and equipment issues.
  • Notify team nurse of changes in student condition or concerns requiring nursing assessment.
  • Serve as the primary nursing contact for routine enteral feeding-related communication with families/guardians.
  • Coordinate with families regarding enteral feeding supplies, formula availability, equipment needs, and physician order updates.
  • Provide education and reinforcement of school enteral feeding procedures and expectations with classroom staff and families.
  • Document all significant communications with families/guardians in the student's health record according to department procedures.
  • Collaborate with the team nurses to communicate changes in care plans, feeding regimens, or clinical concerns requiring nursing assessment or provider follow-up.
  • Observe and report changes in: Respiratory status, Gastrointestinal status, Hydration, Skin integrity around tube sites, Student tolerance of feedings.
  • Recognize signs requiring immediate intervention and activate emergency response procedures when appropriate.
  • Immediately report concerns to team nurses and Health Services Supervisor or Director.
  • Accurately document: Feedings administered, Water flushes, Student tolerance, Equipment concerns, Missed or delayed feedings.
  • Maintain accurate documentation within the school's electronic health record (SNAP) and other required systems.
  • Communicate effectively with team nurses, teachers, instructional aides, therapists, dietary staff, families/guardians, and healthcare providers to support student health and participation in the educational program.
  • Communicate with families/guardians regarding routine enteral feeding needs, including supply concerns, feeding schedule coordination, missed or delayed feedings, equipment issues, and related matters.
  • Notify families/guardians of concerns related to enteral feeding tolerance, tube integrity, or feeding equipment in collaboration with the team nurse, as appropriate.
  • Escalate significant clinical concerns, changes in student condition, or issues requiring nursing assessment to the team nurse.
  • Participate in interdisciplinary meetings and assist with implementation of Individualized Healthcare Plans (IHPs) and physician orders.
  • Follow universal precautions and infection prevention practices.
  • Maintain cleanliness of feeding equipment and supplies.
  • Ensure safe storage of enteral feeding products.
  • Verify physician orders prior to administration.
  • Maintain student confidentiality in accordance with FERPA and HIPAA as applicable.
  • Performs other job-related duties as assigned consistent with the scope of the position.
  • Assists with student personal care and hygiene routines, including toileting, hand hygiene, dressing, and grooming, as time permits and in accordance with student care plans.

Benefits

  • Appropriate personal protective equipment (PPE) is provided.
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