19 Dec MHCC – LVN (Licensed Vocational Nurse)

Assists the professional nursing staff in providing maximum patient care, assessment, planning implementation and evaluation of each assigned patient. Under supervision gives direct and indirect patient care as assigned.

Department: Nursing
Location(s): Memorial Health Care Center
Supervises: Certified Nurse Aides
Chain of Command: RN, ADON, DON, Administrator
Payscale: Discuss with HR about Hourly, Non-Exempt, Call Pay, Shift Differentials, Specialty Pay

Physical and Mental Requirements

• Extended periods of standing or walking
• Manual dexterity
• Pushing and pulling
• Repetitive motion
• Lifting/carrying >+50lbs.
• Kneeling
• Bending
• Stooping
• Visual and hearing Acuity
• Reaching

Work Conditions

Inside and occasionally highly stressful

Hazards

OHSA Blood Bourne Pathogens Class I

Types of Clients Served

• Adult 18-55yrs
• Geriatric > 55yrs

Job Qualifications

Education

• Graduate of an accredited School of Professional Nursing

Licensure, Registry and Certifications

• License in Vocational Nursing
• BCLS

Personal Job Related Skills

• Effective oral and written communication skills.

Experience

Prior Work Experience

• Two (2) years experience as a professional Licensed Vocational Nurse preferred

Technical Training

• Current CPR certification.

Essential Duties and Responsibilities

Primary Responsibilities for all halls assigned

Utilizes the nursing process, completes a comprehensive physical and psychological assessment of patients.

• Takes nursing histories to provide a basis for developing patient care plans
• Provides a basic assessment needs of residents needs/desires
• Identifies teaching and learning needs with each resident to promote independence
• Provides an ongoing assessment that accurately reflects needs and desires of residents
• Consistently uses input form resident, family, significant other, physician, and healthcare team members

Implements and monitors appropriate nursing care to meet patient’s needs

• Identifies expected outcomes for planned nursing intervention and insures vital information is passed between shifts
• Administers medications according to policy
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs prior to administering to patient
• Verifies medication administration accuracy and performs the required checks on the medication administration record
• Assesses residents at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains and enemas
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation
• Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physicians and notifies physicians in a time frames appropriate to the variance
• Functions proficiently in all daily nursing tasks
• Act as liaison between patient, physician, family or RP and other health disciplines

Maintains accurate and timely records according to facility policy and procedures

• Progress notes completed on all appropriate residents at minimum of once, but not limited to, every shift
• Accurately documents on MAR and TAR in the electronic chart
• Completes all quarterly, monthly and weekly observations
• Completes all incident reports as needed and reports them to GNP, Administrator, DON and RP
• Documents on 24 hour report sheet to ensure continuity of care between shifts
• Transcribes and or cosigns physicians orders completely and accurately while reporting changes to RP
• Complete daily assignment forms for all CNAs
• Completes nursing staff sheet every shift

Maintains the required inventory of supplies and equipment

• Assesses the supplies needed and establishes a system for acquisition, storage, control, and issue
• Determines equipment needs and assures equipment is maintained and in good working condition
• Assures medication cart is stocked with appropriate supplies and medications. Reorders medications as needed
• Assures crash cart and AED is  checked daily

Facilitates favorable relationships within the ER , clinics , med surg, therapy and dietary 

• Maintains positive and effective relationships with other departments and the Medical Staff
• Consults with MD/FNP to resolve problems and to obtain and provide patient care input
• Maintains open communication and a problem solving atmosphere with other departments to achieve quality patient care

JOB RELATED FACTORS

• Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
• Performs required tasks without prompting and adjusts appropriately to situations
• Adheres to the attendance policy
• Follows District and Department Policies
• Attends required meetings and in-services
• Participates in Hospital District Safety Program and QA Programs
• Uses time and resources wisely
• Maintains HIPAA, keeping patient and hospital confidentiality
• Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor
• Practices proper phone etiquette, identifying self and department
• Reports adverse events regarding patients, guests, or self to supervisor  immediately

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