Licensed Vocational Nurse (LVN) – Pediatric & Adult Home Health | Private Duty Nursing

Team Select Home Care•San Antonio, TX

2d•Onsite

About The Position

Team Select Home Care is hiring a Licensed Vocational Nurse (LVN) to provide skilled, one-on-one home health and private duty nursing to medically complex pediatric and adult patients. Care is delivered in patients’ homes in accordance with physician orders and the plan of care, under the direction and supervision of a Registered Nurse (RN). The role supports patients’ safety, comfort, continuity of care, and ability to live at home, while educating and supporting families and coordinating with other members of the health team. The LVN furnishes assigned nursing services, treatments, and diagnostic and preventive procedures; administers medications and treatments; prepares clinical and progress notes; and observes and reports changes in patients’ conditions. The nurse follows agency policies and the RN-approved care plan, maintains accurate records, safeguards patient health information, and participates in care conferences, audits, peer review, utilization review, and quality activities as assigned. The position reports to the Director of Nursing (DON) or Director of Patient Care Services (DPCS). The posting offers PRN, part-time, and full-time flexible-hour opportunities. Scheduling may include days or nights, weekdays or weekends, and assigned on-call duty on nights, weekends, and holidays. Pay is listed as $23.00–$25.00 per hour, with weekly pay options.

Requirements

Graduate of an approved school of vocational nursing.
Active, valid LVN license in the state or states where practicing.
Active and valid CPR certification with practicum.
IV certification if required by the state.
Average computer skills and competency in media communications.
Excellent verbal and written communication skills.
Ability to exercise initiative and independent judgment.
Sound judgment, critical thinking, and decision-making skills.
Physical ability to perform the described duties.
Acceptance of the company’s vision, philosophy, and goals.

Nice To Haves

One year of nursing experience; preferred.
Experience or interest in caring for pediatric and/or adult patients in a home setting.

Responsibilities

Provide skilled nursing care in patients’ homes under the direction and supervision of an RN and in accordance with physician orders, the plan of care, and agency policies.
Furnish assigned services, treatments, and diagnostic and preventive procedures.
Administer ordered medications and treatments and document them appropriately.
Prepare clinical and progress notes and maintain accurate, complete records of observations, treatments, and patient care.
Assist physicians, intermediate care providers, and RNs with specialized procedures.
Prepare equipment and materials for treatments and observe aseptic technique and standard precautions.
Assist patients in learning appropriate self-care techniques and teach and counsel patients and families about home nursing care needs and related issues.
Observe signs and symptoms and report treatment reactions and changes in patients’ physical or emotional conditions to the physician and RN.
Follow and implement each patient’s nursing care plan and assist with reviewing, evaluating, and updating it as appropriate.
Evaluate the effectiveness of nursing services with the RN under the RN’s guidance.
Ensure patients and families are involved in implementing the plan of care.
Provide appropriate patient information to other agencies and individuals involved in care, as directed by the RN.
Participate in patient care conferences and discuss the possible involvement of other health team members, such as physical therapists or speech-language pathologists.
Participate in medical record audits, peer review, utilization review, and QAPI activities as assigned.
Attend scheduled staff meetings, patient care conferences, and in-services.
Take assigned on-call duty on nights, weekends, and holidays.
Submit schedule changes to the appropriate office scheduling position as required by agency or EMR workflow.
Protect confidential patient information in accordance with HIPAA requirements.
Complete documentation and paperwork on time and immediately report and document patient incidents, variances, or complaints to the Nursing Supervisor or RN.
Demonstrate technical competency before performing new skills and communicate effectively with patients, families, team members, and other health care professionals.
Follow applicable agency, company, state, federal, and accreditation policies and procedures.
Maintain acceptable attendance, agency appearance standards, a clean and neat work environment, sound judgment, and effective time management.
Report incomplete work assignments to the Nursing Supervisor or RN and perform other duties as assigned.