California Healthcare Rehabilitation Center is looking for exceptional Licensed Vocational Nurses to join the team! This position is responsible for assuring physicians’ orders are followed and quality care is provided on each shift in a skilled care facility. The Licensed Vocational Nurse assists in providing a clean, safe, dignified, happy and healthy environment for residents by performing the duties as described below.
SHIFTS OPEN: 2- SHIFTS FOR 11-7AM / AND 1-SHIFT FOR 7-3 PM ( 3 SHIFTS OPEN TOTAL)
· Complies with the facility’s attendance policy requiring regular, reliable, and punctual attendance
· Prepares and passes medications as indicated. Administer medications according to policy and procedure. Observe and document patient's response to pertinent medications; RN may be assigned to administer medications if necessary.
· Ensures medications are documented and ordered in a timely fashion and in accordance with the Company’s policies and procedures.
· Prepares and administers treatments as indicated. Performs resident treatments in accordance with physician orders and evaluates and documents the resident’s response to the treatment; RN may be assigned to administer treatments if necessary.
· Contacts the attending physicians for required orders, as needed.
· Administers medication and treatment following regulatory guidelines.
· Adheres to “pour, pass and chart” method of medication administration.
· Monitors side effects of medications as indicated.
· Provides pain medication interventions as ordered, including evaluation of interventions.
· Provides resident teaching regarding medication as required.
· Monitors condition changes and properly documents and follows-up as necessary.
· Reports labs and x-rays results, condition changes, and incidents, etc., in a timely manner to physicians and family members/responsible parties as needed.
· Prepares equipment and aids Physician during treatment and examination of patient.
· Maintains awareness of comfort and safety needs of patient.
· Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of patient.
· Assures residents are provided with good nutrition and with necessary fluids for hydration.
· Assures that documentation is accurate: Completed timely, weekly summaries are completed per schedule
· Assures each resident is given care to prevent formation and progression of decubiti, contractures, and deformities. Care includes:
o Encouraging, assisting, and training in self-care and activities of daily living
o Maintaining proper body alignment and joint movement to prevent contractures, and deformities
o Using pressure-reducing devises when indicated
o Carrying out physician’s orders for treatment of decubitus ulcers.
· Daily Medicare charting completed per facility policy.
· Implements measures to prevent and reduce incontinence for residents, including:
o Initiates within two weeks of admission of an incontinent resident, a written assessment by a licensed nurse to determine the patient’s ability to participate in a bowel and/or bladder management program.
o Creates an individualized plan, in addition to the patient care plan, for each resident in a bowel and/or bladder management program.
o Provides a weekly written evaluation in the progress notes by a licensed nurse of the resident’s
performance in the bowel and/or bladder management program.
· Records fluid intake and output:
o If ordered by physician
o For each patient with an indwelling catheter, evaluate records weekly and include evaluation in progress notes.
· Makes actual patient rounds, assessing and observing the following at least three times per day:
o Monitoring vital signs as necessary with appropriate interventions as indicated
o Restraint application
o Hydration/nutritional status/feeding program
o Actual patient interviews
o Observation of new admissions, including skin, vital signs, special care needs
o Pre/post-dialysis assessment
o Monitoring lab and x-ray values related to patient’s condition
o Incontinence and related interventions
o Skin care and/or changes of skin condition
o Use of proper assistive devices
o Ensures timely response to call lights
o Ensures that diets are served to residents as ordered
· Makes ongoing assessments and interventions related to changes of patient condition:
o Acute changes in condition: nausea, diarrhea, infections, LOC changes, confusion
o Pain management/intervention
o Monitor behavior and provide interventions as indicated
o Wound treatments
o Therapy treatments o Incidents; falls, etc. o Patient complaints
o Abnormal laboratory values
o Identifies/assesses emergency medical situations and provides appropriate interventions as indicated
· Assists physician with resident assessment (patient bedside care rounds).
· Evaluates residents for bowel and bladder program.
· Performs peripheral intravenous insertion, peripheral site changes, peripheral dressing changes, and assessing intravenous insertion site for s/s of infection and/or need for changes.
· Assists with all admission and discharges.
· Responds to life saving situations based upon nursing standards, policies, procedures, and protocol.
· During treatments and personal care, assures residents are provided with visual privacy.
· Answers signal lights, bells, or intercom system promptly to determine patients’ needs.
· Maintains oxygen equipment, changing humidifier bottles as scheduled.
· Provides proper infection control to ensure resident care and safety.
· Establishes and implements patient plans of care and documents care provided appropriately.
· Performs other duties or functions as assigned by the DON, Administrator, or RN.
Provides direction to CNAs. Responsibilities include advising management regarding performance; rewarding and disciplining employees; addressing complaints and resolving problems.
EDUCATION AND/OR EXPERIENCE
LVN license from the State of California.
Current First Aid and CPR Card.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Ability to calculate figures and amounts such as fractions, percentages, ratios proportions, and volume in practical situations.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Basic computer skills, including being able to access data and print documents.
Current, verifiable license as a Licensed Vocational Nurse in the State of California and must remain in good standing with the licensing board. The nursing license must be maintained in a current status and provide evidence of renewal as required by the facility’s policies and procedures.
California Healthcare Rehabilitation Center