Licensed Vocational Nurse

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Tasks assigned to this position involve exposure to blood and body fluids.
POSITION SUMMARY:  Acts as a charge nurse in the assigned Health Care Center (HCC), under the supervision of the Director of Nursing. As directed, assists supervisor in planning, organizing, developing, and directing day-to-day HCC operations. Participates in resident needs assessments and in the development and coordination of resident care plans. Performs required nursing procedures associated with designation as a Licensed Vocational Nurse (LVN). 
GENERAL REQUIREMENTS: Performs procedures in accordance with Village policies and generally accepted nursing practices, to include: medication administration and recording, administering oxygen, inserting and irrigating Foley catheters, providing tracheostomy care, performing Heimlich maneuver, providing decubitus assessment and care, performing gastrostomy tube procedures and Cardiopulmonary Resuscitation (CPR), and utilizing Automated External Defibrillator (AED). Must be able to speak, read, write, and follow verbal and written instructions in English. Incumbent is expected to perform duties with only general supervision and exercise independent action to meet the requirements of the position. Must be able to supervise and work harmoniously with professional staff.  Provides quality customer service and effectively interacts with residents, family members, staff, and physicians and other professionals. 
EDUCATION AND EXPERIENCE: Required: High school diploma or equivalent. Preferred: Some education beyond the minimum nursing licensure level is desirable, to include related training in supervision and infection control. At least one year of previous experience in a long term care setting is highly desirable. 
EQUIPMENT AND COMPUTER OPERATIONS: General knowledge of computer basics is required, as well as the ability to operate various items of office equipment such as a telephone, fax, and copy machine. Must be able to satisfactorily demonstrate use of, and train others in the use of, professional nursing equipment and supplies, to include simple and complex medical equipment as well as patient lifts, hospital beds, nurse call systems, and whirlpool baths. Training will be provided to familiarize incumbent with work-related equipment to ensure safety and proper operation during use.   
CERTIFICATES, LICENSES AND REGISTRATIONS: Required: Must be an LVN in the State of Texas and in good standing with the Board of Nurse Examiners. Possess current CPR, First Aid, and AED certifications, as well as be current in attaining the Continuing Education Units (CEUs) necessary to meet requirements for licensure. 
1. Supervises and provides nursing care in accordance with physician orders and in conformance with recognized nursing techniques and procedures, established standards, and administrative policies.
2. Records all pertinent information to include observations, treatments, and medications on resident Emergency Medical Record (EMR) and keeps Supervisor informed of any adverse changes in resident condition.
3. Makes periodic rounds of each assigned resident, notes needs and conditions, and reports adverse situations to Supervisor and attending physician.
4. Receives and follows Physician’s Orders and enters them into resident EMRs as needed; notifies other physicians as needed.
5. Maintains required medical records and administers medications and treatments according to State laws and   regulations and standard nursing practices.
6. Performs resident nutritional assessments and assists with feeding residents.
7. Maintains accurate inventory control for medications and ensures medications are properly dispensed.
8. Provides the oncoming charge nurse a resident report, as required.
9. Performs routine nursing  duties to include baths, oral  hygiene, Total Physical Response, blood pressure  checks, diet management, exercise, dressing  changes,  specimen  collection, and postmortem  care, as  well as other general  tasks as required in order to provide for the safety, physical, emotional, and spiritual comfort of residents.
10. Follows emergency procedures to include notification, evacuation, treatment, medical emergency, death, fire, and resident transfer.
11. Attends continuing education courses, in-services and training sessions as required.
12. Performs other duties as assigned by Supervisor.
INTERNAL CONTROL:  Within the scope of position duties, responsible for seeing that operations are effective and efficient, assets are safeguarded, and applicable laws, regulations, policies and procedures are complied with. This position will handle confidential information and must treat such with appropriate sensitivity.
PHYSICAL AND ENVIRONMENTAL DEMANDS: Work is normally performed indoors in a climate-controlled facility. The physical demands of the job are generally light to medium and normally involve lifting no more than 20 pounds. Employee must be able to occasionally do heavy lifting of 150 pounds or more with the assistance of another employee in order to respond to emergency medical situations. Eyesight must be correctable to 20/20 and hearing within the normal range in order to quickly and accurately assess condition of residents.  Must be able to push an occupied bed and wheelchair a few hundred yards unassisted and be able to bend, squat, reach, climb, and make walking rounds of the HCC. Few environmental hazards are present, although the threat of communicable disease exists. Mild cleaning products, waxes, and soaps are used in or near the immediate area. Mild pesticides are periodically used to control bug infestation.
WORK SCHEDULE:  Work is normally scheduled to coincide with one of three standard nursing shifts to allow coverage for a 24-hour, 7 day-a-week operation.  Exact duty hours are established by the Director of Nursing and the Administrator, and the employee is advised of the assigned schedule in advance. 
WORK LOCATION:  Assigned Health Care Center.
ATTIRE AND DRESS CODE:  Prescribed nursing uniforms or scrubs are appropriate for wear. Slip-resistant, closed-toed shoes required. Village employee ID badge or name tag must be worn at all times while on duty. See employee handbook for specific guidelines. Gowns, gloves, safety belts and other items of personal protective clothing are worn, as needed. It is the intention of Air Force Village to ensure that employees maintain a neat and professional image at all times while on duty.   
RANGE OF PAY:  Dependent upon qualifications and experience, with the intent to be competitive within the market.
The above statements are intended to describe the general nature and level of work being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and skills required. Management reserves the right to modify, add, or remove duties and to assign other duties as necessary.
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