Licensed Vocational Nurse - MedSurge 9a-9p

Description

ORGANIZATIONAL DESCRIPTION

The LVN contributes to the assessment of the health status of individuals and groups, participates in the development and modification of the plans of care, implements care strategies within the LVN scope of practice, renders safe care, participates in evaluation of responses to care interventions, and performs additional functions for which the LVN has been trained within the professional scope of practice.

INTERACTION

Primarily Interacts with: administration, physicians, employees, clinical and non-clinical departments, patients, visitors and volunteers.

PRIMARY FUNCTIONS

• Administer medications to patients as prescribed by the physician and assess the effects of the medication. Follow plan of care.
• Demonstrate knowledge of dosage, route, action, side effects and contraindications of medications. Utilize resources as necessary. 
• Administer medications and narcotics following hospital policies and procedures.
• Identify drug interactions.
• Knowledge of antidotes/treatment for medication overdose
• Knowledge of antidotes/treatment for medication infiltrations.
• Calculate all dosages accurately.
• Document appropriately. Contribute to plan of care using ANPIE to chart interventions and evaluations.
• Able to set up and operate equipment on unit. Report all damaged equipment to department/person.
• Keep work area clean and neat. Replace, remove, and return equipment and supplies as appropriate.
• Follow procedures for body substance isolation system. Seek assistance as needed.
• Knowledgeable of Inpatient Core Measures.
• Set priorities and assures the completion of care for all assigned patients.
• Give pertinent, accurate, concise organized reports and document on record accordingly; input or retrieve information from EMR systems.
• Recognize and report significant changes in patient’s condition to appropriate person. (i.e. charge nurse, physician)
• Communicate condition changes promptly to charge nurse.
• Include patient, family and other members of health care team, as appropriate in planning care.
• Appropriately implements medical plan of care.
• Serve as Unit Secretary.
• Assist RN in ER/ICU.
• Serve on a hospital or nursing committee.
• Manage self, patient and other employees in any emergency situation.
• Assist with orientation of new employees.
• Provide exemplary customer service.
• Maintain confidentiality and compliance with HIPAA.
• Cooperate with other personnel to achieve departmental objectives and maintain good employee relations, inter-departmental objectives and infection control policies.
• Cordially demonstrate timeliness and professionalism in appearance, communications, and actions during all interactions and with all individuals and entities.
• Solve practical problems, dealing with a variety of issues, and interpret a variety of instructions furnished in written and oral form.
• Attend meetings as required.
• Perform other duties as requested or assigned.

Requirements

ABILITY TO USE EQUIPMENT, TOOLS, MATERIALS, MACHINES: Computer, telephone, facsimile machine, copier, scanner, printer, calculator and other standard office equipment. Blood Pressure Cuffs, stethoscope, syringes, IV pumps, feeding pumps, beds, scales, lifts, hyper/hypothermia units, glucose monitors, PCA pumps, suction equipment, ventilators, crash cart, miscellaneous medical equipment and DME.

EDUCATION/EXPERIENCE/SKILLS/ABILITIES

Education:

• High school diploma or equivalent required.
• Valid nursing license in Texas
• BLS/ACLS/PALS or ENPC

Experience:

• One year nursing experience preferred.
• Medical office or healthcare experience preferred.

Personal Job-Related Skills / Abilities:

• Must be committed to quality and patient safety at all times.
• Excellent command / highly proficient in spoken and written English; bilingual in Spanish preferred.
• Basic computer skills, including but not limited to: Microsoft Office, electronic medical documentation, and email.
• Must be effective at adjusting to change, prioritizing duties, handling stress and effectively communicating face-to-face and/or over the telephone.
• Must be able to work independently, and flexibly, and as a part of a multidisciplinary team.
• Must be able to manage several interruptions throughout the shift.
• Must have strong interpersonal and communication skills, verbal and written.
• Must have strong time management skills.
• Must be able to work under pressure while interacting in a helpful, courteous manner with a high degree of patient contact.
• Sufficient hearing, vision and dexterity to perform duties safely.

Physical and Mental Requirements:

Physical:     

Activity Up to %

• Walking: 80  
• Squatting: 50
• Standing: 80  
• Pulling: 25
• Kneeling: 50  
• Reaching: 50
• Sitting: 10  
• Lifting up to 50lbs: 30
• Pushing: 25  
• Wrist/Finger Movements: 90
• Bending: 50   
• Climbing: 5   

Mental:     

• Stress Level Moderate to High 

Individual position core competencies:

• Quality
• Service Excellence
• Compassion
• Professionalism
• Fiscal Responsibility

Required education within first 60 days (if employee is from outside organization).

• GrahamRMC Orientation
• Department Orientation

Continuing/Annual Education and Training:

• As needed to maintain certification/ licensure of position
• BLS/ACLS/PALS or ENCP
• Falling Star Program
• Safety Storm Program

Supervision

Employees Supervised: __No__ 

ADA REQUIREMENTS

Each category is grouped under a percentage rating based on the frequency the condition is expected to occur.

Frequency of Condition 1-33% 34-66% 67%

1-33%

• Extreme Heat
• Extreme Cold
• Extreme Swings in Temperature
• Extreme Noise
• Working Outdoors
• Mechanical Hazards 
• Electrical Hazards
• Explosive Hazards
• Fume/Odor Hazards
• Dust/Mite Hazards
• Chemical Hazards
• Toxic Waste Hazards
• Radiation Hazards  
• Wet Hazards
• Heights
• Other Conditions 

67%

Working Indoors

OSHA Classification:

Identify with a check the OSHA Job Category that describes this job. The intent is to enhance worker protection by identifying any risk in the performance of routine and reasonably anticipated job-related functions.

__X___ Category I: Tasks that involve exposure to blood, body fluids or tissues.

All procedures or other job-related tasks involve an inherent potential for mucous membrane or skin contact with blood, body fluids or tissues or a potential for spills or splashes of them are Category I tasks. Use of appropriate protective measures, such as gloves, masks, goggles, and gown are required for every employee engaged in Category I tasks.

_____ Category II: Tasks that involve no exposure to blood, body fluids or tissues but employment may require performing unplanned Category I tasks.

The normal work routine involves no exposure to blood, body fluids or tissues, but exposure may be required as a condition of employment. Appropriate protective measure, such as gloves, masks, goggles, and gown are readily available to every employee engaged in Category II tasks.

_____ Category III: Tasks that involve no exposure to blood, body fluids or tissues and Category I tasks are not a condition of employment.

The normal work routine involves no exposure to blood, body fluids or tissues (although situations can be imagined or hypothesized under which anyone, anywhere might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first-aid or to be potentially exposed in some other way. Tasks that involve handling implements or utensils, use of public or shared bathroom facilities or telephone and personal contacts such as handshaking are Category III tasks.

ADDITIONAL INFORMATION

The employee will demonstrate continuous commitment to the maintenance of a clean and safe work environment that is compliant with applicable regulatory agency requirements. The employee will follow established infection control procedures.

The employee will ensure the effective and safe use of all equipment used in his/her activities, if applicable.

The competence of the employee in performing his/her job duties is evaluated during orientation to his/her position and will be demonstrated, maintained, and improved on an ongoing basis. The employee will adhere to the assigned schedule and report to work on-time.

The employee shall abide by the requirements set forth in the Code of Conduct and report suspected violations of the Code of Conduct.

The employee will recognize, appreciate and incorporate an employee’s, patient's and patient’s family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care or plan of action.

The statements contained in this position description reflect the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered a detailed description of all the work requirements that may be inherent in the position. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

The job description does not constitute a contract of employment and the company or employee may exercise its employment-at-will rights at any time.