Licensed Vocational Nurse II

Texas Health & Human Services Commission•Brenham, TX

4d•$4,548 - $5,921•Onsite

About The Position

The Licensed Vocational Nurse II performs highly complex vocational nursing work at the Brenham State Supported Living Center, providing care, treatment, and general welfare support to residents with complex medical, mental health, and/or behavioral health needs. The role performs routine and non-routine nursing tasks, collects laboratory specimens, conducts screenings, and carries out technical nursing procedures in accordance with facility and state regulations. The nurse instructs direct support professionals and other staff in providing care, assists with training newly hired LVNs, and supports Registered Nurses in implementing programs and procedures to improve health and safety. Work is performed under an RN’s general supervision, with moderate latitude for initiative and independent judgment. The position is available across morning, evening, and night shifts and may involve rotating or extended shifts, overtime, on-call duty, weekends, holidays, and work in other locations at the facility. It may also require alternate shift or location assignments during disaster response or continuity-of-operations activation. The role is not eligible for telework. Travel may be up to 5%.

Requirements

Graduation from an LVN program.
Current license to practice as a vocational nurse in Texas or in a state recognizing reciprocity through the Nurse Licensure Compact, or a temporary permit to perform supervised nursing duties while awaiting licensure.
Maintain current CPR certification.
Knowledge of nursing care standards, procedures, techniques, and principles of appropriate patient care.
Knowledge of emergency procedures and equipment, including CPR, and ability to assess and care for residents or staff during emergencies.
Reasoning skills to identify problems and consider appropriate resolutions.
Computer and applicable software skills, including ability to use an electronic health record after training.
Skill in patient care and treatment.
Ability to provide care to individuals with complex medical, mental health, and/or behavioral health needs.
Ability to prepare and maintain records.
Ability to communicate effectively and instruct others.
Ability to interact appropriately with individuals with intellectual or developmental disabilities, their families, and staff.
Strength and flexibility to safely perform CPR.
Must pass fingerprint criminal background, pre-employment drug, and specified registry checks.
Must be at least 18 years old for employment at a state-operated facility.
Must be willing to work weekends and holidays; flexibility in work hours, overtime, and extended hours may be required.

Nice To Haves

Prior employment experience as an LVN is preferred.
Experience working or volunteering directly with people with intellectual or developmental disabilities is preferred.
Experience using an electronic health record system is preferred.

Responsibilities

Attend work regularly and perform assigned duties; work scheduled, rotating, extended, or overtime shifts and serve in a rotating on-call status when required.
Administer medications and treatments orally, rectally, internally, or by injection, and assist RNs, physicians, advanced practice registered nurses, and physician assistants with examinations and patient care.
Make rounds or home visits as needed and work in other facility locations as needed.
Perform complex nursing procedures such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments in accordance with applicable regulations.
Collect laboratory specimens and conduct requested screening tests.
Monitor residents’ weight, diet, feedings, vital signs, and health status following treatments and procedures; instruct direct support professionals on post-treatment monitoring.
Document and report treatments and observations accurately and promptly in electronic or paper medical records; recognize symptoms of illness and report them to the RN and/or Primary Care Provider.
Communicate pertinent information to interdisciplinary team members to support treatment decisions.
Train and mentor newly hired LVNs and instruct direct care staff in nursing functions and residents’ needs and preferences.
Assist RNs with protocols, procedures, and programs supporting the health and safety of residents and staff; assist with infection control, quality assurance, therapeutic nursing programs, and data collection.
Provide individuals with information and education about procedures and treatments in accordance with their care plans.
Ensure individuals are correctly positioned for treatments and assist or instruct staff with turning or repositioning when needed.
Maintain inventory of supplies, ensure the home or unit is stocked, and order supplies through appropriate channels.
Respond to emergencies and follow facility safety and infection-control procedures.
Perform other duties as assigned, including clinic or laboratory work, patient scheduling, and nursing attendance for off-site activities or appointments.
Provide treatment to HHS employees injured in the course and scope of employment.
Participate in disaster response, recovery, or Continuity of Operations activities when assigned.