Licensed Vocational Nurse

NORTH EAST MEDICAL SERVICES•San Francisco, CA
•$43 - $49

About The Position

The Licensed Vocational Nurse ensures compliance with applicable state and federal laws, regulations, facility policies, procedures, and professional standards in the delivery of resident care. The role oversees the medication management program and supervises Medication Aides, monitors residents for changes in condition, and works with the Administrator to ensure care is provided according to physician orders. The LVN completes and coordinates resident assessments, care plans, care conferences, treatments, medication-order processing, and required documentation. The role also supports infection control, quality improvement, resident safety, emergency response, and communication with residents, families, physicians, staff, and the Administrator. This is a non-exempt position. The schedule must be flexible and may include nights, weekends, and holidays.

Requirements

  • High school diploma or equivalent.
  • Current, active California LVN license.
  • Pass a medication dosage and calculation test with a score of at least 80%.
  • Maintain current First Aid certification.
  • Maintain current CPR or BLS certification.
  • Ability to receive and maintain a California Background Clearance through the Department of Social Services.
  • Good physical and mental health.
  • Fluent ability to speak, read, and write English.
  • Effective interpersonal and communication skills.
  • Strong organizational and leadership skills.
  • Good judgment and problem-solving ability.
  • Ability to understand and follow written and verbal directions.
  • Ability to establish and carry out priorities within established time frames.
  • Ability to work independently.
  • Strong attention to detail.
  • Excellent customer service.
  • Ability to work a flexible schedule, including nights, weekends, and holidays.

Nice To Haves

  • One year of experience in long-term care.
  • Experience providing direct care to elderly people.
  • Proficiency in Microsoft Office.
  • Fluency in Cantonese and/or Mandarin.
  • Fluency in other languages.

Responsibilities

  • Oversee the medication management program and ensure compliance with state regulations.
  • Ensure accurate processing and transcription of physician orders; monitor medication receiving, ordering, storage, security, and disposal.
  • Supervise Medication Aides and complete medication training, including training aides.
  • Review the 24-hour report daily, attend daily change-of-shift reports, and ensure required documentation is complete.
  • Conduct weekly skin rounds, evaluate treatment progress and effectiveness, make recommendations, and report to the Administrator weekly.
  • Complete treatments that require a licensed nurse and assess residents for blood glucose monitoring and intake and output needs.
  • Assess new residents within seven days of admission by reviewing accompanying records, speaking with care staff, and interviewing the resident.
  • Complete fall, smoking, and wandering assessments as indicated; identify care needs and initiate or update assessments and care and service plans.
  • Provide care plans to the Administrator for review and signature, and complete needed negotiated risk agreements.
  • Conduct pre-admission appraisals as requested and assess residents every six months or as needed following changes in condition or special needs.
  • Coordinate and conduct care conference meetings and provide the receptionist with a list of conferences to schedule after annual assessments.
  • Review, log, and report monthly weights and vital signs.
  • Make rounds of the entire building at least once daily to identify resident needs and care deficits.
  • Monitor compliance with applicable laws, regulations, licensing requirements, facility policies, and procedures.
  • Conduct Department of Social Services self-assessment audits and recommend continuous quality improvements.
  • Monitor completion of required care documentation, including assessments, physician orders, observations, interventions, and responses.
  • Complete accident and incident forms and other required reports.
  • Work with the Administrator to ensure care follows physician orders and report relevant compliance, quality, resident-risk, change-of-condition, medication-error, incident, complaint, treatment-refusal, property-loss, injury, and staff-conduct information.
  • Direct and implement the infection control program, including hand-washing, standard precautions, personal protective equipment, environmental health, and sharps disposal.
  • Assist staff with resident-care issues and problem-solving.
  • Inform residents, physicians, the Administrator, and family or responsible parties about incidents, significant changes, care or treatment changes, room or roommate changes, and other pertinent information.
  • Respect resident rights, dignity, individuality, and confidentiality; promote quality of life and independence; advocate for residents and report suspected abuse as a mandated reporter.
  • Maintain good public relations and serve as a role model for residents and facility staff.
  • Follow the emergency and disaster plan, remain calm and direct others during emergencies, and provide first aid as needed.
  • Perform other duties as required by the manager or supervisor.
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