Licensed Vocational Nurse (SNF) Day Shift

Coalinga Regional Medical Center•Coalinga, CA

55d•Onsite

About The Position

This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation. POPULATION SERVED The position involves direct patient care. POSITION SUMMARY Using independent and interdependent judgment, the Licensed Vocational/Practical Nurse (LVN/LPN) maintains the delivery of quality care by assuring the nursing care plan is followed. In collaboration with the physician, the LVN/LPN assures implementation of the assessment plan, evaluation, and follows up of the plan of care for the patient population.

Requirements

This position requires a valid temporary or permanent CA State Practical/ Vocational Nurse License.
The individual must have strong interpersonal skills, the ability to manage multiple priorities, be dedicated to the provision of quality patient care, and use sound judgement in decision-making.
BLS certification required at time of hire.
Ability to maintain assigned work hours: Requires endurance to perform tasks over long periods of work hours.

Responsibilities

Participates in an on-going systematic assessment of the physical, emotional, social, educational, and functional needs of the patient/family through interview, observation, and physical examination.
Provides plans, coordinates or manages nursing care, nursing services, and health education to patients/ residents.
Interprets assessment data and information to develop a nursing care plan which contains problem identification, nursing diagnosis, nursing orders, approaches, interventions, short/long term goals, and discharge planning.
Develops nursing care plan utilizing nursing diagnosis
Assesses safety and fall risk levels for patients
Assures that medical orders are transcribed and processed accurately, and integrates the medical care plan into the provision of nursing care.
Assures that medication/I.V. administration is correct and according to the established nursing policies and procedures.
Looks up unfamiliar medications
Processes medication orders
Administers medications as ordered
Evaluates effectiveness of PRN medications
Verbalizes process for self-administered medications
Verbalizes patient education on identified medications
Verbalizes standing orders
Administers I.V. hydration, if I.V. certified
Provides for personal and environmental safety in accordance with hospital and nursing policies and procedures
Demonstrates skills in handling emergency and life-threatening situations
Locates and uses crash cart items
Calls Code Blue and Medical Emergency
Initiates CPR
Follows P&P and POLST
Assures that documents in the medical record are complete, factual, accurate and timely.
Documents materials and equipment used.
Verbalizes method to noting orders.
Documents discharge in chart.
Initiates and updates care plan as appropriate.
Provides discharge instructions.
Completes interagency transfer form.
Provides nursing care to meet patient needs:
Performs a complete head-to-toe assessment of each assigned patient per shift using proper documentation tools.
Acts promptly on changes in patient condition, utilizing SBAR method
Reviews lab and test results, notifying physician of abnormal and critical results
Performs wound care in accordance with policy, utilizing proper documentation tools.
Performs basic ventilator management and trouble-shooting.
Provides direction and leadership in patient care to assigned personnel.
Acts as a team leader and provides guidance to unlicensed personnel.
Makes assignments for team.
Prioritizes activities and plans for effective use of time for patient needs.
Communicates the plan of nursing care for each patient through reports, conferences, rounds, and patient care records.
Shift to shift report and shift huddle with aides
Delegates tasks to aides; monitors to make sure delegated tasks are completed appropriately.
Demonstrates responsibility for the teaching of nursing assistants in areas of new techniques, policies and procedures.
Preceptor
Participates in the quality improvement activities of nursing.
Attends appropriate meetings.
Communicates identified learning needs of self and others to the DON.
Assists the DON in the orientation of new staff.
Adheres to established policies and procedures of the hospital and Nursing Department.
Actively participates on nursing committees.
Performs other duties as assigned or requested.
Evaluates own performance and seeks opportunities for growth and expansion of skills
Takes initiative in upgrading and maintaining skills necessary to provide quality care to provide quality care to patients and leadership to assigned staff.
Acquires continuing education sufficient to maintain licensure and certification
Maintains current nursing licensure
Provides Human Resources and DON with a copy of current nursing license.
Maintains required competencies
Completes assigned program tracks assigned by DON/DSD.
Completes appropriate level of Clinical Advancement within established timeframes
Membership in appropriate professional organizations.
Assumes responsibility for maintaining/enhancing physical health and alleviating stress
Attendance
Demonstrates competency in a variety of nursing skills as demonstrated and evaluated on at lease an annual basis.
Attends annual skills fair
Displays a “customer service” attitude toward patients, visitors, and other staff members at all times.
Demonstrates basic telephone skills (how to answer, place on hold, and transfer a call.)
Utilizes intercom
Demonstrates how to page physicians or others on call.
Abides by all safety, infection control, and other guidelines as required.
Follows guidelines for caring for patients in isolation
Utilizes hand-washing techniques
Cleans equipment between patient usage.
Reports personal symptoms of suspected illness or contagious disease to the Employee Health Nurse.
Demonstrated knowledge of universal blood and body fluid precautions
Promotes an ethic of continuous quality improvement in all matters associated with the position, and documents specific quality improvement implementation.
Performs all other tasks and duties as may be assigned.
Provides a level of competency to treat patients 18 and older.
Involves them with care planning by meeting any needs they identify during assessment
Identifies their normal patterns of living and strives to attain them
Strives to obtain understanding by speaking distinctly and moving slowly.
Involves family as much as possible
Follow environment of care plan
Follow established clinical practices
Routine assessment of the environment for high risks with immediate correction (look for dangerous things and fix them; identify high risk issues and fix them)
Pay attention to detail
Listen carefully
Ensure understanding of treatment and services
Timely follow-up on commitments
Constantly learn about the customers and identify their needs
We acknowledge our customers with a smile and treat them as welcomed guests
Listen to our customers
Look at each interaction as an opportunity to promote courtesy with our customers
We treat each other as we treat our guests
We strive to exceed our customers expectations
Maintain a clean and organized environment, including workspaces
Control hospital odors
All employees are compliant with the dress code
All employees communicate in a professional and courteous manner, including body language
Protect the privacy of patients
Maintain a quiet atmosphere
Availability, assessment and application of resources
Do it right the first time
Pay attention to details
Save steps through planning
Timely responses