PACE Day Health Services, LVN

San Ysidro HealthChula Vista, CA
Onsite

About The Position

Under the supervision of the Registered Nurse Supervisor, the LVN will deliver direct patient care services within the LVN scope of practice required of the nursing component of the LifePlan as well as provide all day center nursing functions and procedures for the assigned shift, to include the provision of nursing and personal care services (including and not limited to toileting, transfers, showers, dressing, grooming, and ADL’s). The LVN will use effective communication, coordination of services, resource management, education, patient advocacy, and related interventions to promote improved quality of care and/or life, promote cost-effective medical outcomes, prevent hospitalizations when possible and appropriate, and assure patients receive appropriate treatments and medications in compliance with Life Plan. The LVN will be the liaison to the patient’s personal physician for any medical concerns. The LVN monitors and assesses patients in the PACE Day center and reports any variances to normal to the RN and RN Supervisor for further assessment. Assists in meal program count, ensuring that appropriate diets are served to participants. Provides education and counseling to the patient regarding treatment, side effects of medications and compliance with medications within the scope of practice. Establishes and maintains a system for medication distribution, patient treatment, medication inventory, biohazard receipt records, and entering information in a database. Generates medication/treatment reports as requested by manager or administrative staff. Responsible for coordination, administration, and monitoring of patient treatments. Provides training in self-administration of medication to patients. Counts, packages, pre-packages, and labels medication for inspection by pharmacist and fills routine orders for non-prescription pharmaceuticals. Inputs patient and prescription data into the pharmacy computer system to process prescriptions and maintain patient profiles. Administers medication according to nationally recognized patient care standards and scope of practice, to include giving medication only on a prescriber’s orders; identifying the patient prior to administration of a drug; administering medication within one hour of the prescribed time; and recording in the patient health record the time and dose of each drug administered. Assists in the ordering, stocking, and maintenance of drug inventory. Sets up weekly medications in med-set. Assists in the preparation of reports and written documentation, as required by the department, company, state, and federal agencies. Provides one-on-one and/or telephone communication to address any issues and provide support to patient and their caregivers in regard to patient treatment and adherence. Maintains accurate records of all communications and interventions. Provides assistance in obtaining outside medical services. Maintains open communication with medical providers, pharmacist, and caregivers. Maintains compliance to and recommends updates to established policies and procedures as needed. Reminds all staff of and ensures compliance to all objectives of the Quality Assurance Program as well as safety, environmental, and infection control standards. Maintains working knowledge of all regulations and standards to ensure compliance with orders or directives issued by duly constituted government or regulatory agencies. Supports company and departmental QA/QI initiatives.

Requirements

  • 6 months of experience in direct nursing care of seniors and frail elderly or disabled patients.
  • Graduate of an accredited program of vocational nursing or equivalent.
  • Valid, unrestricted CA Licensed Vocational Nurse.
  • BLS certification.
  • Good oral, written, and interpersonal communication skills.
  • Ability to read, write and comprehend medical information and terminology.
  • Ability to effectively present information, both verbal and written.
  • Demonstrated knowledge of the RN scope of practice.
  • Good interpersonal skills.
  • Skills to provide high-quality care for geriatric patients.
  • Ability to thrive in a team environment.
  • Good organizational and supervisory skills.
  • Ability to effectively handle difficult and unusual interpersonal situations.
  • Meet a standardized set of competencies for the specific position description established by San Diego PACE and approved by CMS.
  • Demonstrated ability to be culturally sensitive and respect diversity.
  • Work effectively with individuals of different cultures and socio-economic status.
  • Passion for service.
  • Self-starter and highly organized.
  • Ability to prioritize and complete a large volume of work within strict deadlines.
  • Provide prompt, efficient, and responsive customer service.
  • Knowledge of video conferencing software and Microsoft Office, including Word, Excel, and Power Point.
  • Knowledge of Electronic Health Records (e.g., EPIC, True Chart, Nextgen).
  • Physical clearance for reaching, bending, stooping, crouching, kneeling, and grasping.
  • Full range of motion.
  • Ability to lift 50 lbs.
  • Need to lift and assist participants.
  • TB clearance.
  • Must maintain current BLS Certification.
  • Frequent standing and walking.
  • Will be required to occasionally travel to other sites or other locations in San Diego County.
  • Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs.
  • Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Nice To Haves

  • Skilled nursing and/or Adult Day Center experience.
  • Vaccine administration and documentation experience.
  • Wound care experience.
  • Associates degree in Nursing or related field.

Responsibilities

  • Deliver direct patient care services within the LVN scope of practice.
  • Provide day center nursing functions and procedures for the assigned shift.
  • Provide nursing and personal care services including toileting, transfers, showers, dressing, grooming, and ADL’s.
  • Monitor and assess patients in the PACE Day center and report variances to the RN and RN Supervisor.
  • Assist in meal program count, ensuring appropriate diets are served.
  • Provide education and counseling to patients regarding treatment and medication compliance.
  • Establish and maintain systems for medication distribution, patient treatment, medication inventory, and biohazard records.
  • Generate medication/treatment reports.
  • Coordinate, administer, and monitor patient treatments.
  • Provide training in self-administration of medication.
  • Count, package, pre-package, and label medication.
  • Input patient and prescription data into the pharmacy computer system.
  • Administer medication according to standards and prescriber's orders.
  • Assist in ordering, stocking, and maintaining drug inventory.
  • Set up weekly medications in med-set.
  • Assist in the preparation of reports and written documentation.
  • Provide one-on-one and/or telephone communication to support patients and caregivers.
  • Maintain accurate records of all communications and interventions.
  • Provide assistance in obtaining outside medical services.
  • Maintain open communication with medical providers, pharmacist, and caregivers.
  • Maintain compliance with and recommend updates to established policies and procedures.
  • Ensure compliance with Quality Assurance Program, safety, environmental, and infection control standards.
  • Maintain working knowledge of all regulations and standards.
  • Support company and departmental QA/QI initiatives.
  • Maintain and submit orders to maintain an adequate inventory of forms, clerical and pharmaceutical supplies, paper, and equipment.
  • Follow established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards.
  • Enhance professional growth and development through educational programs, literature, in-service meetings, and workshops.
  • Attend meetings, including PACE morning meetings and IDTs, as needed or required.
  • Participate on committees as directed.
  • Perform other related duties as assigned or requested.
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