NURSING - LVN - LICENSED VOCATIONAL NURSE

Job Type


Temporary

Description

JOB TITLE: LICENSED VOCATIONAL NURSE

DEPARTMENT: NURSING

JOB SUMMARY: Assists the professional nursing staff in providing maximum Patient care, assessment, planning, implementation, and Evaluation of each assigned patient. Under supervision gives And indirect patient care as assigned. OSHA Blood Borne Pathogens Class I.

NOTE: The current opening is for a PRN employee (not part-time or full-time).

ESSENTIAL DUTIES AND RESPONSIBILITIES RATING

A. Utilizing the nursing process, completes a basic physical and psychosocial assessment of patients and takes nursing histories to provide a basis for development of patient care plans under the direct supervision of the licensed professional.

1. Identifies teaching/learning/and discharge needs of the patient upon admission and throughout their hospitalization.
2. Provides a basic assessment which accurately reflects overt physiological and psychosocial needs of patients and reports these findings to the appropriate personnel, (RN).
3. Uses input from patient, family, significant others, physician, and other health care team members.
4. Provides care appropriate for the pediatric, adolescent, and geriatric patients served based on demonstrated knowledge of the principles of growth and development over the life span.
5. Assesses and interprets data on pediatric, adolescent, and geriatric patients' status to identify patients' requirements relative to their age-specific needs and provides care as needed and as stipulated by departmental policy.

B. Using the nursing process, plans and provides patient and family care and evaluates patients' response to the care provided and redirects care as necessary under the supervision of a Registered Nurse.

1. Assists with formulating appropriate nursing diagnosis and identifies patient problems from admission data base and ongoing assessment.
2. Establishes patient outcome goals that are realistic, specific, measurable and progressive.
3. Initiates interdisciplinary communications and incorporates recommendations.
4. Consults with a Registered Nurse to formulate care plans that reflect concerns for holistic patient needs for the patient, family, and significant others.
5. Assess and evaluates patients' response and outcome and makes appropriate modifications on the care plan.
6. Reviews and updates the care plan as needed with the assistance of the Registered Nurse to reflect the patients' status throughout hospitalization.

C. Implements and monitors appropriate nursing care to meet patients' needs, and identifies expected outcomes for planned nursing interventions, and insures vital information is passed between shifts.

1. Administers medications according to policy including IV's and IVPB's as prescribed by the primary care provider.
2. Knows actions, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient, and verifies against the medication administration record, (MAR), for accuracy on each shift and on an ongoing basis.
3. Assists the RN in monitoring all blood transfusions, after the transfusions has been initiated by the RN.
4. Notifies the RN of all IV push medication to be administered.
5. Gives report to other health care personnel providing accurate and complete information on each patient at the change of shift, when transferring patients to another unit, and at intervals throughout the shift.
6. Assesses patients at the beginning of the shift for acuity of patient needs/problems and based on that assessment, establishes priority in which work activities are consistently completed by the end of the shift.
7. Performs basic nursing skills competently to include but not not limited to: intake and output, vital signs, collection of specimens/cultures, dressing changes, personal hygiene for patient, skin care, glucose monitoring, airway/suctioning, oxygen administration, tube feedings, urinary catheterization, drains, enemas, and IV catheterization.
8. Notifies supervisor and physicians of emergency situations promptly.
9. Recognizes variances in vital signs and assessments that need to be reported to the RN, supervisor, and the physician in time appropriate to the variance.
10. Functions proficiently in unit nursing modalities.
11. Consistently checks for new Dr.'s orders throughout the shift and implements them in an appropriate time frame.

D. Participates in the health care educational needs for the client, family and others with regard to patient care needs, disease prevention, and health maintenance measures.

1. Assists the RN in developing and implementing an individualized teaching and discharge plan at time of admission and throughout the patients hospitalization.
2. Initiates and documents progressive patient, family, or significant others' teaching on admission and throughout hospitalization.
3. Act as a liaison between patient, physician, family, significant other, and other members of the health care team.

E. Maintains accurate and timely records according to hospital policy and procedures.

1. Accurately documents on each shift the nursing patient care activities and the patient response to nursing interventions and delegated medical management.
2. Assists with maintaining a patient care plan that is current and reflects individual needs and preferences of patients and others.
3. Documents teaching completed and patient/family response in the patient record.
4. Transcribes and/or co-signs physician orders completely and accurately according to hospital policy and procedures.

OTHER SIGNIFICANT REQUIREMENTS: Rating

A. Maintains confidentiality while working with confidential matters on a daily basis.


B. Provides service direct to patients while maintaining a positive patient relations atmosphere.


C. Follows aseptic procedures and precautions when involved in direct patient contact or handling potentially infectious materials.


D. Follows the safety and infection control guidelines and policies of the hospital.


E. Provides service direct to patients while providing for the care, Comfort and/or convenience of the patient.


F. Maintains a friendly, collegial and positive attitude and demeanor in all dealings with patients, families, visitors and/or organization staff.


G. Projects, at all times, a "customer first" attitude and philosophy in executing assigned responsibilities.


H. Interacts with patients, family members, and other members of the Health care team on a continuous basis.


Requirements

JOB QUALIFICATIONS:

A. Education: Graduate of an accredited School of Vocational Nursing.

B. Personal Job-Related Skills: Effective oral and written communication skills.

C. Licensure, Registry or Certification: Licensed Vocational Nurse currently

Licensed by the State of Texas. Have a current CPR card and ACLS preferred.


D. Experience:

1. Prior Work Experience: Prefer at least one-year of LVN experience.
2. Technical Training: Current CPR card. IV therapy course preferred.

E. Physical and Mental Requirements: Duties of the position require extended periods of standing and walking, bending, stooping, twisting, reaching, and lifting up to 50 pounds. Occasional heavy lifting when moving or supporting patients who may suddenly become weak, helpless, or combative.