License Vocational Nurse- Treatment Nurse

SOLHEIM LUTHERAN HOME•Los Angeles, CA

3d•$35 - $38•Onsite

About The Position

Assists Solheim Senior Community (“Solheim”) to the success of Solheim by effectively providing nursing care and services for each resident, according to the comprehensive plan of care and under the direction of the primary care physician. The LVN will work in cooperation with the team and all departments to ensure the provision of quality care and to ensure the highest degree of resident and family satisfaction in support of the Mission and Vision of Solheim.

Requirements

High school graduate or equivalent.
Graduate of an accredited nursing school and currently licensed as an LVN in California
Minimum of 1 to 2 years’ experience preferred
Desire and ability to work with ill, aged and disabled persons.
Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to residents and staff.
Willingness and ability to follow written and verbal direction in English.
Willingness and ability to maintain appropriate level of confidentiality and privacy.
Willingness and ability to interact professionally with all customers, including the ill, aged, disabled persons and co-workers, individually and as part of a team.
Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities.
Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand.
Ability to effectively prioritize items/tasks as required.
Willingness and ability to effectively respond to emergency and/or crisis situations.
Willingness and ability to take initiative and be a self-starter.
Willingness and ability to understand and comply with Federal, State, and local regulations.
Active LVN License in California
BLS / CPR Card
Fire Card
Annual PPD
Annual physical

Responsibilities

Administer Medications and Treatments: Complies with all essential job functions described in the Licensed Vocational Nurse (LVN) job description as related to specific duty assignment or resident need. Receives and transcribes physician’s treatment orders on the physician order sheet and the treatment record. Ensures each treatment order includes a diagnosis or clinical condition related to the treatment and it is written and/or re-capped as per policy and procedure, including any vital sign or “fyi” monitoring notes. Follows telephone order procedures. Documents physician contact as per protocol. Communicates new treatment orders to the team and ensures physician’s orders are carried out. Orders new and refill medications. Verifies correct process for insurance carriers and identifies the correct pharmacy for each resident. Work with resident, family/responsible party to obtain over the counter medication. Communicate “pick-up” requests to the Van Drivers. Follows handwashing and infection prevention procedures. Maintains organization and cleanliness of the treatment cart. Responsible for the correct identification of each resident and the safe, timely and accurate execution of clinical care procedures, as instructed in the physician’s orders. Follows policy and procedure related to correct protocols for administering treatments. Maintains compliance with “sharps safety” procedures. Ensures treatment medications are appropriately labeled and dated with open/expiration dates per policy and procedure. Is required to complete charting immediately after the execution of clinical care procedures. Responsible for assessment, monitoring and effective pain management for each resident. Will document pain rating as identified during interactions with the resident. Report concerns to the physician. Responsible for maintaining medication surveillance, safety and security at all times. Keys are to be kept “on the body” at all times and personally passed to the next shift during report. Follows policy and procedures for the handling of narcotics and other specifically FDA identified controlled drugs. On-coming and off-going licensed nurses are required to perform a narcotic count. The off-going shift may not leave until the count is deemed correct and signed off by two licensed nurses. Maintain an orderly and sanitary treatment cart and storage room environment. Store treatment supplies and medications per manufacture instructions and according to policy and procedure. Ensure that expired medications, solutions, ointments and creams are removed and discarded timely. Responsible for the discard of discontinued and expired medications, solutions, ointments and creams. Performs physician ordered clinical treatments/procedures/tasks as assigned and according to community standard of practice, licensure, and SLH policy and procedure. Tasks may include, but are not limited to NG/GT feedings and care, wound care, ordered treatments, clinical measurements, Foley catheters, HHN treatments/oxygen administration, suctioning, ostomy care, etc. Documents according to policy and procedure. Works cooperatively with the nursing aide team to ensure residents receive appropriate skin care, are properly positioned, have appropriate cushioning, protective and positioning aides, and are turned according to the individualized plan of care. Responds to all skin change reports identified by the nursing aide team. Provides first aid care, obtains any needed physician orders and notifies the family or responsible party. Interviews resident, staff or other observer to help identify probable causal factors and the potential need for a change in care and monitoring of the resident. Documents in the resident care plan and licensed nurse notes according to policy and procedure. Ensures that all treatment orders are carried out daily and reports concerns to the physician and the RN Supervisor. Participates in admission procedures; ensures that an initial skin assessment is done, immediate care is rendered and needed orders are obtained. Initiates a skin care plan. Communicates resident condition to the team. Ensures complete, timely and accurate documentation of care in daily logs, progress notes and weekly summaries. Provides a weekly report to the Director of Nursing Services. Performs weekly skin assessments of residents with wounds.
Delivery of Care: Delivers and supervises resident care, based on physician orders and the comprehensive care plan assuring that appropriate, individualized and customized quality of care is provided to all Residents. Receives and transcribes physician orders as per policy and procedure. Communicates with all disciplines to ensure care is carried out as ordered/planned. Assist and report resident status to visiting primary physicians, consulting physicians and other healthcare providers. Assist in providing telehealth services. Gives and receives report during change of shift. Participates in the coordination of shift staffing as needed. Communicate concerns to the appropriate supervisor. Monitors ADL care given by the nursing aide staff; provides support and instructions or changes in the plan of care and documentation needs. Assist with ADL care and resident dining. Monitors residents for any change in condition; provides urgent/first aid care and reports to MD for action. Notifies resident/family/responsible party for any and all changes. Completes License Nurse Observation and Skin Report forms; provides for 72-hour monitoring and completes documentation according to policy. Implements resulting changes to care and documents in the resident care plan. Is aware of Advance Directive and End of Life resident instructions and related physician orders. Verifies instructions when in contact with resident/family/responsible party/physician. Responsible for accessing the EMS system as needed. Monitors and provides for resident safety needs, concerns and issues. Supports a restraint free environment. Adheres to abuse prevention policy and procedures. Follows State Mandated Reporting requirements. Reports concerns to proper department and/or Administration. Complies with infection control and prevention policy and procedures. Participate in admissions, transfers and discharge procedures as assigned. Reports all issues, concerns and resident needs to the physician according to policy. Responsible for complete, accurate and timely documentation and other clinical communications as required and assigned. This includes, but is not limited to, clinical forms, progress notes, clinical summaries, care planning, medication administration records, treatment records, and clinical communication with other departments, pharmacy, lab, x-ray, physician and other ancillary health providers. Also responsible for computerized documentation. Demonstrate appropriate telephone, email, computer and fax etiquette regarding proper use and maintenance of confidentiality. Maintain expected levels of quality performance. Utilize resources. Responsible for timely follow up on consultant recommendations.