Clinic/Specialty Clinic LVN III

Texas Health & Human Services Commission•Denton, TX
•$4,867 - $6,336•Onsite

About The Position

The Clinic/Specialty Clinic LVN III performs advanced vocational nursing work to meet the healthcare needs of individuals living at the Denton State Supported Living Center, which serves people with intellectual and developmental disabilities who may be medically fragile or have behavioral needs. The LVN leads the organization and daily functioning of an assigned clinic, coordinates appointments, oversees clinic records and supplies, and works with primary care providers and interdisciplinary nursing and care teams. The position performs focused assessments, screenings, specimen collection, treatments, medication administration, and routine or advanced nursing procedures. It also serves as a direct-care or floor nurse as needed. The LVN reports under limited supervision of a Registered Nurse or other appropriate supervisor, depending on the assigned clinic, and exercises considerable initiative and independent judgment. The position may supervise or assign work to clinic staff and LVNs, train new LVNs and direct-care staff, and assist RNs with protocols and quality, infection-control, and therapeutic nursing programs. The role requires accurate reporting and documentation, responsiveness to emergencies, and compliance with HHSC, facility, and state policies and regulations. Work is onsite at the Denton State Supported Living Center; telework is not eligible. The position is full-time, on a day shift, and may require flexible hours, overtime, extended hours, weekends, holidays, rotating schedules, or on-call coverage.

Requirements

  • Graduation from a Licensed Vocational Nurse (LVN) program.
  • At least 6 months of prior employment experience as an LVN.
  • Current license to practice as an LVN in Texas or in a state that recognizes reciprocity through the Nurse Licensure Compact.
  • Maintain current CPR certification and have the strength and flexibility to safely perform CPR.
  • Knowledge of anatomy, physiology, pathophysiology, nursing techniques and procedures, medications, medication side effects, adverse reactions, and signs of toxicity.
  • Knowledge of nursing care standards and emergency procedures and equipment, and ability to assess and care for individuals or staff in emergencies.
  • Ability to perform focused assessments, evaluate healthcare needs, apply critical thinking, prioritize work, and manage time to meet deadlines.
  • Ability to provide care to individuals with complex medical, mental health, or behavioral health needs and appropriately interact with people with intellectual or developmental disabilities, their families, and staff.
  • Ability to prepare and maintain records and to use an electronic health record system after training.
  • Ability to communicate effectively and instruct others.
  • Skill in patient care, reasoning and problem-solving, and operating computers and applicable software.
  • Ability to learn techniques for administering medications to individuals with developmental disabilities.
  • Pass required fingerprint criminal background, pre-employment drug, and registry checks; facility employees are also subject to random drug testing.
  • Applicants must be at least 18 years old; males aged 18–25 must be registered with Selective Service.
  • Willingness to work weekends and holidays; flexibility in work hours and willingness to work overtime and/or extended hours may be required.

Nice To Haves

  • At least 12 months of prior employment as an LVN is preferred.
  • Experience working or volunteering directly with people with intellectual or other developmental disabilities is preferred.
  • Experience organizing or leading others in a clinic setting is preferred.
  • Experience using an electronic health record system is preferred.
  • Experience training, teaching, or leading others is preferred.

Responsibilities

  • Lead the work and daily organization of the assigned clinic, including appointment scheduling, preparation, cleanliness, and availability of supplies.
  • Supervise assigned clinic staff, oversee or assign work to LVNs as needed, and provide direction and on-the-job training to new LVNs and direct-care staff.
  • Prepare and process clinic paperwork, oversee patient records and reports, and review documentation prepared by other clinic staff for completeness within the scope of expertise.
  • Work with primary care providers and other clinic and nursing staff; assist with examinations and treatments and monitor individuals’ vital signs, weight, diet, feedings, and health status.
  • Perform focused assessments and screenings; recognize and monitor signs and symptoms of illness; draw blood and collect specimens for laboratory examination as needed.
  • Report assessment findings, treatments, symptoms, and concerns accurately and promptly, and document nursing actions and communications in the medical record or electronic health record.
  • Communicate pertinent information and provide care-related education to individuals and interdisciplinary team members in accordance with the individual’s care plan.
  • Administer medications and treatments by prescribed routes and perform advanced nursing procedures, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, and focused assessments.
  • Serve as a direct-care or floor nurse as needed, performing routine and non-routine nursing tasks in assigned areas and shifts.
  • Assist RNs with implementing protocols, procedures, quality assurance, infection-control measures, and therapeutic nursing programs; collect data and report trends or concerns.
  • Respond to emergencies, including performing CPR, suctioning, and other procedures as directed, administering prescribed emergency medications, and following facility safety and infection-control procedures.
  • Participate in disaster response, recovery, or Continuity of Operations activities as assigned, which may involve a different shift pattern or location.
  • Attend work regularly, follow agency and facility policies, and perform other duties as assigned.

Benefits

  • 100% paid employee health insurance for full-time eligible employees.
  • Defined benefit pension plan.
  • Generous time-off benefits.
  • Opportunities for career advancement.
  • Free continuing education units (CEUs) and updated resources through Lippincott access for nurses.
  • May be eligible for additional pay for work performed on evenings, nights, and/or weekends.
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