Comprehensive Care Licensed Vocational Nurse (CHS)

Comprehensive Care Licensed Vocational Nurse Correctional Health Services

Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization.

Premium Pay In addition to the hourly salary, eligible applicants may receive premium pay for the items listed below.

• Bilingual pay: Qualified employees who meet the criteria shall receive an additional seventy $0.70 cents per hour for all hours paid.
• Night Shift Differential pay: Employees assigned to a night shift shall be paid a night shift differential for each hour actually worked on the assigned night shift. Pay rate is determined by assigned shift hours.
• Nurse Hiring Incentive: Upon completion of new employee probation, eligible employees shall receive a one-time lump sum incentive of $1,000, within 2 pay periods.
• Nurse Retention: Upon completion of 10,400 service hours (approximately 5 years of service) in a Nurse classification, you will receive 3% of your annual base salary as a one-time lump sum payment.
• Jail Supplement pay: An employee in this classification who is assigned to work in an adult or juvenile correctional or institutional facility shall receive an additional $1.50 per hour for all paid hours.
• Call-Back pay: An employee in this classification who returns to work because of an agency/department request shall be eligible for Call-Back pay as detailed here.
• Other Additional Premium Pays

This recruitment is open to the public and will remain open for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Applicants are encouraged to apply immediately. This list will be used to fill current and future Comprehensive Care Licensed Vocational Nurse positions within the Health Care Agency, Correctional Health Services. This eligible list may also be used to fill positions in similar and/or lower classifications throughout the County of Orange.

The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas is committed to meeting the health needs of the diverse Orange County community.

Correctional Health Services (CHS) program is comprised of two separate entities. One is for the adult inmates and the other is for the juveniles. The CHS program provides medical, dental, nursing, infection control, health education, and pharmaceutical services at a community standard of care and provides mental health services including 24-hour emergency triage and crisis intervention, suicide prevention, treatment beds, individual and group therapy, substance use counseling, medication assessment and discharge planning to all adult inmates in the County's five (5) correctional facilities. The Juvenile Health Services program has two clinics — Juvenile Hall Health Clinic and Orangewood Family Health Clinic.

This Comprehensive Care Licensed Vocational Nurse (CCLVN) position is in the Adult Correctional Health Services division, which is responsible for basic and emergency medical services for approximately 6,000 inmates per day, and over 60,000 inmates per year. The CCLVN responsibilities include but are not limited to:

• Administration of regular and PRN (Pro Re Nata) medication
• Use of electronic health records (EHR) to accurately enter and document patient data, administer medications including insulin
• Prepare and collect lab specimens, including blood, urine, saliva, stool and nasal/pharyngeal samples
• Perform EKG (electrocardiogram), visual acuity, vital signs, PPD (tuberculosis test) placement, blood glucose testing, basic wound care, ambulatory clinic procedures and screening exams
• Perform skills of an emergency first responder
• Recognize normal vs. abnormal findings and report such findings to on duty registered nurses
• Conduct and maintain inventory, adequate stock of medication, and supplies for assigned work area
• Maintain assigned work area daily and ensure that work areas are inspection ready at all times
• Assist onsite and telemedicine/telepsychiatry providers
• Participate in conferences, committee meetings, staff development and education programs to increase or maintain professional competency
• May perform other job-related duties as needed

*The initial vacancies will be for the night shift

CHS is a 24 hour, 7 days a week operation. Incumbents must be able to work days, weekends, evenings or night shifts, and holidays. Nursing staff work six (6), twelve (12) hour shifts, and one eight (8) hour shift per two (2) week pay period. Days off are every other weekend and rotating week days.

Desirable Qualifications The ideal candidate will have experience in an acute care, correctional setting, and/or other similar institutional type of setting and will demonstrate the following competencies:

• Clinical Experience: Caring for clients with medical and mental health diagnose
• Working in an acute urgent care or ambulatory clinic type of setting
• Gathering clinical nursing data accurately (e.g. vital signs, health history)
• Knowledge of HIPAA (Health Insurance Portability and Accountability Act) guidelines
• Proper dosage and common side effects of a large number of medications given for medical and mental health diagnosis
• Performing or assisting in wound care
• Following sterile instrument processing protocols
• Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and other healthcare related systems (Electronic Health Records)

Communication and Collaboration: Effectively explaining the treatments or procedures to inmates

• Evaluating the effectiveness of client's prescribed medication(s) in collaboration with the interdisciplinary team
• Collaborating with coworkers in a team dynamic setting to complete tasks
• Effectively assess and escalate inmate medical information to Registered Nurses

Adaptability and Compassion: Working effectively and maintaining a positive attitude in a changing and stressful environment, and ability to make adjustments as necessary

• Developing resiliency by maintaining energy, tenacity and compassionate care to fulfill correctional nursing responsibilities

Critical Thinking and Safety: Reducing liability risks by complying with Federal and State laws and mandated standards in accordance with Title 15, Title 22, and National Commission on Correctional Health Care (NCCHC) Standards.

• Being aware of any environmental hazards while working inside secured facilities
• Being alert and aware of personal safety and security while providing care and/or treatment to unstable or unpredictable clients
• Analyzing and evaluating emergent health needs and referring to registered nurse or clinician

Special Qualifications/Requirements

• Incumbents must NOT have felony convictions or be on any form of probation
• Must be able to pass and maintain background investigation to the satisfaction of the Orange County Sheriff-Coroner. Background screening includes; completing of a Personal History Form, interview with a background investigator, fingerprinting and may include a polygraph test. Some of the areas considered in the background screening include prior convictions, traffic violations, drug use and credit problems, employment history, professional references and education verification (i.e. degree, license, or official transcripts. Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Evaluation Services (N.A.C.E.S.)
• Correctional Health Services are a 24 hour, 7 days a week facilities; incumbents must be able to work on weekends, evenings or night shift, and holidays

Minimum Qualifications Click here to learn more about the minimum qualifications for the CCLVN classification, including physical, mental and environmental conditions.

Recruitment Process Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step in the recruitment process. All applicants will be notified via e-mail of their status in the process.

Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step.