Licensed Vocational Nurse III

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

About The Position

The Licensed Vocational Nurse III provides advanced vocational nursing care to residents of the Lufkin State Supported Living Center, who may have complex medical, mental health, or behavioral health needs. The position performs routine and non-routine nursing tasks, administers medications and treatments, collects laboratory specimens, conducts screenings, monitors residents’ health, and documents care. The nurse instructs direct support professionals and other staff on residents’ care needs and performs technical nursing procedures in accordance with facility and state requirements. The role also provides direction, oversight, and on-the-job training to LVNs and direct care staff, evaluates nursing intervention outcomes, and assists RNs with protocols and programs intended to improve health and safety. The position works under the limited supervision of a Registered Nurse, with considerable latitude to use initiative and independent judgment. Work may involve morning, evening, or night shifts and multiple homes. The role may include on-call duties, overtime, extended hours, weekends, holidays, and reassignment to another shift or location for operational or emergency response needs.

Requirements

  • Graduation from a licensed vocational nurse (LVN) program.
  • At least 6 months of prior employment experience as an LVN.
  • Current licensure to practice as an LVN in Texas, or in a state with reciprocity through the Nurse Licensure Compact.
  • Maintain current CPR certification.
  • Knowledge of nursing care standards, procedures, and techniques.
  • Knowledge of emergency procedures and equipment, including CPR, and ability to assess and care for residents or staff in emergencies.
  • Knowledge of applicable state and federal laws, ICF-IID rules, and policies and procedures, or ability to quickly gain that knowledge.
  • Skill in using reasoning to identify problems and consider appropriate resolutions.
  • Skill in operating computers and applicable software, and in the care and treatment of patients.
  • Ability to organize, coordinate, and evaluate nursing activities and health-service delivery; interpret policies and regulations; recognize patterns of medical necessity; and plan, assign, or oversee others’ work.
  • Ability to interpret regulations and communicate effectively orally and in writing.
  • Ability to provide care to individuals with complex medical, mental health, or behavioral health needs.
  • Ability to prepare and maintain records and use an electronic health record system.
  • Ability to communicate effectively and instruct others.
  • Must have the strength and flexibility to safely perform CPR.
  • Must pass required fingerprint criminal background, pre-employment drug, and registry checks.
  • Must be willing to work weekends and holidays; flexibility in work hours, overtime, and extended hours may be required.
  • Applicants must be at least 18 years old. Males ages 18–25 must be registered with Selective Service.

Nice To Haves

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

Responsibilities

  • Administer medications and treatments orally, rectally, internally, or by injection.
  • Perform complex nursing procedures, including tracheostomy care, gastrostomy or jejunostomy care, wound care, and breathing treatments.
  • Collect laboratory specimens and conduct screening tests when requested.
  • Monitor residents’ weight, diet, feedings, vital signs, health status, and signs or symptoms of illness before and after treatments and procedures.
  • Document and report treatments, observations, and symptoms accurately and promptly in electronic or paper medical records.
  • Communicate pertinent information and collected data to RNs, primary care providers, case managers, and other members of the healthcare team.
  • Instruct direct support professionals and other staff in monitoring and supporting residents’ medical needs.
  • Lead, monitor, and oversee others who monitor residents before, during, and after treatments and procedures.
  • Train and orient new LVNs, observe their work, provide feedback, and support completion of on-the-job training.
  • Monitor and assign work to LVNs as needed and provide feedback to supervisors.
  • Assist RNs with implementing protocols, procedures, and programs to improve staff and resident health and safety.
  • Assist with infection control, quality assurance, therapeutic nursing programs, and facility quality assurance and improvement initiatives.
  • Participate in facility committees as requested.
  • Respond to emergencies and follow facility safety and infection-control procedures.
  • Provide educational and safety training to staff upon request.
  • Attend work regularly, follow assigned or rotating schedules, and perform other assigned duties, including disaster response or continuity-of-operations support.

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.
  • The position may be eligible for additional pay for work performed on evenings, nights, weekends, or maximum-security locations.
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