Licensed Vocational Nurse LVN

apartment Highland Care Center of Redlands location_onRedlands, CA

POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors. The Licensed Vocational Nurse will make sound independent decisions when circumstances warrant such action. They will work cooperatively with all departments and multidisciplinary teams. They will demonstrate patience, initiative and willingness to assist residents that may be difficult. They will relate all pertinent information concerning a resident’s condition to a charge nurse when required. They will be committed to always doing the right thing. ESSENTIAL DUTIES AND RESPONSIBILITIES Ensuring that all nursing care is provided in privacy Checking vital signs Dressing wounds Inserting catheters Listening to residents and their families Addressing questions/concerns of residents Performing accurate and detailed charting of resident progress notes Timely reporting of change in resident’s condition to the nurse supervisor Assisting and supervising CNAs Ensuring equipment is in good operating order Monitoring residents that are at risk for falls Collecting lab samples Abiding with all facility policies and procedures including not disclosing user ID codes and passwords Following Infection and Control policies Reporting any occupational exposures to blood, body fluids, or other hazardous materials to a supervisor immediately Attending annual facility in-service training programs Completing other assignments when requested by management Every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. REQUIREMENTS Education / Licensure Valid LVN license in good standing Valid CPR and BLS card IV Certification is a plus Qualifications / Experience Minimum of 1 year of skilled nursing experience preferred Must be able to speak, read, write and comprehend the English language Ability to use computer or tablet to enter resident data Working Conditions May encounter frequent interruptions May be involved with residents, family and government agencies May be requested to work beyond scheduled working hours at times Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.) May be subjected to odors, dust, disinfectants, tobacco smoking or air contaminants May be exposed to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses May be exposed to or handle hazardous chemicals Physical Requirements Must be able to move intermittently throughout the day Working throughout the nursing areas Must be able to lift up to 25 pounds. Lifting more weight up to 100 pounds requires assistance Ability to read fine print on tablet, progress notes and/or medical labels

LVN

Full-time

LVN Staff Nurse

apartment California Nursing & Rehabilitation Center location_onPalm Springs, CA

A licensed professional nurse under the supervision of a Registered Nurse who provides nursing care and services to residents in a long-term care setting. Qualifications: • Graduate of an accredited school of nursing or an approved LVN program • Current nursing licensure in good standing with the State licensing board • Strong communication and organizational skills • Ability to provide quality patient care in accordance with applicable standards, policies, and procedures • Ability to identify and report problems, use initiative and good judgment to reach quality decisions • Comprehensive knowledge of applicable nursing principles and practices to ensure the quality of care standards for residents are • Possess the willingness to work with professional and non-professional personnel. Proficiency of the English language including the ability to speak, read, write, and comprehend the language with minimal to no difficulty • Valid CPR certification General Duties and Responsibilities: GENERAL • Provides nursing care as prescribed by physician/health care professional in accordance with the legal scope of practice, any Board of Licensing restrictions, and within established standards of care, policies, and procedures • Administers professional services and provides care consistent with allowing residents to attain or maintain his or her highest practicable physical, mental, and emotional well-being. Provides clinical data and observations to contribute to the nursing plan of care CLINICAL • Admits, transfers, and discharges residents in accordance with policy and procedure • Orients new residents/families as necessary • Gives/receives nursing reports upon beginning and ending of assigned shift. Reviews daily patient report and assignments with Nursing Assistants upon the beginning of assigned shift • Assures that the unit area is maintained in a clean and safe manner for resident comfort and convenience. • Conducts daily resident rounds to observe the resident’s physical and emotional status • Collects clinical data and reports significant clinical findings according to policy • Performs manual and technical skills according to the scope of practice under the direction of a Registered Nurse • Records care information accurately, timely and concisely. Completes all required documentation including resident observations, interventions, and patient response(s) in the medical record in accordance with policy • Assists in developing, reviewing, revising, and updating resident Plans of Care as indicated. Contributes to the evaluation of the patient’s progress towards specific goals and the adjustment of the nursing plan of care as necessary • Receives and transcribes orders accurately from attending/alternate physician. • Assists in making rounds with the attending physician, as necessary. • Prepares/administers medications as ordered by the physician and within the legal scope of practice. • Completes medical treatments as indicated and ordered by the physician. • Evaluates response and report adverse reactions to medication or treatments in accordance with the policy. • Assures that narcotic and controlled drugs are secure, inventory counts are accurate and narcotic register documentation is timely and accurate • Orders prescribed medications, supplies and equipment as established by the facility’s policies and procedures. • Requisitions and arranges for diagnostic and therapeutic services as ordered by the physician. • Notifies the attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within established policies. • Notifies the attending/alternate physician of resident incidents/unusual occurrences. Completes Accident/Incident Report forms as indicated and documents relevant information in the resident’s medical record as outlined in established policies and procedures. Initiate investigation of accidents and unusual occurrences • Informs RN Supervisor or RN in charge of the facility of significant changes in resident condition, unusual occurrences, incidents, or accidents as indicated and per facility policy and procedure • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required. • Reports allegations of abuse or unusual occurrence per State and Federal Regulations and facility policy. Assists with a gathering of information relative to the event. • Initiates emergency procedures (including basic CPR) and provide emergency patient treatments • Participates in the facility’s infection control program for monitoring communicable and/or infectious disease among residents and staff. • Participates in procedures for reporting hazardous conditions or equipment. • Assists in orientation of newly assigned personnel as requested. • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assigned. • Supervise CNAs SUPERVISION • Make resident rounds to ensure appropriate care is being rendered, identifying, and making corrections as necessary • Meet with nursing personnel to assist in identifying and correcting problem areas and/or the improvement of resident care • Assist the Charge Nurse in revision and distribution of nursing assignments as needed • Assist in the supervision and direction of nursing personnel • Participate in disciplinary action and evaluation of nursing personnel CONSUMER SERVICE • Presents a professional image to consumers through dress, behavior, and speech. • Treats residents/family members with dignity and respect • Responds to Resident and family concern(s) and assists in resolving grievances. Records grievances per facility policy ADDITIONAL DUTIES • Participate in the facility's Quality Assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing. Actively participates in Quality Assurance Performance Improvement teams and activities • Ensures the protection of health information as required by the Health Insurance Portability and Accountability Act (HIPAA) • Participates in the facility’s Infection Control Program for monitoring communicable and/or infectious disease among residents and staff • Participate in procedures for reporting hazardous conditions or equipment. • Orient new staff members upon request • Participate in the facility's quality assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required • Attends in-services and educational classes to maintain nursing skills competency, and current knowledge for the standard of care and effective practices • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assign

LVN

Outpatient

Full-time

LVN -Outpatient- Level II - Temecula Medical Office - Family Medicine-Regular Clinic - On Call

apartment Kaiser Permanente location_onTemecula, CA

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines. May volunteer to start perform venipuncture/blood withdrawal with Certifications. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.

LVN - Outpatient- Level II - Moreno Valley - Heacock MOB - Pediatrics-Regular Clinic - Full Time (Bilingual Spanish)

apartment Kaiser Permanente location_onMoreno Valley, CA

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines. May volunteer to start perform venipuncture/blood withdrawal with Certifications. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.

LVN -Outpatient- Level II - Moreno Valley - Heacock MOB - Pediatrics-Regular Clinic - Full Time (Bilingual Spanish)

apartment Kaiser Permanente location_onMoreno Valley, CA

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines. May volunteer to start perform venipuncture/blood withdrawal with Certifications. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.

(25-26) Health Care Specialist / Licensed Vocational Nurse (LVN) @ District Wide

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