Lead LVN (Outpatient) - Full Time, AHMO Dinuba West

apartment Adventist Health location_onDinuba, CA, US

Job Description

Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services. Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities.

Job Summary

Performs procedures which require specialized training for general nursing care and related services for assigned patients, under the direction of a Registered Nurse (RN) or Medical Doctor (MD), in accordance with established policy. Participates in the planning for and provision of patient care. Uses knowledge of asepsis in performance of treatments, such as sterile dressings, irritations and cauterizations. Provides functional direction to ancillary personnel. Demonstrates a high level of knowledge/expertise, and is a leader/resource to the healthcare team.

Job Requirements

Education and Work Experience:

High School Education/GED or equivalent: Preferred
Bachelor’s Degree or equivalent combination of education/related experience: Preferred

Licenses/Certifications

Licensed Vocational Nurse (LVN) licensure in the state of practice: Required
Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required
Arrhythmia certification: Preferred
Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) or Registered Nurse (RN) or Nurse Practitioner (NP): Required

Essential Functions

Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to established standard and nursing process. Works on problems of diverse scope and substantial complexity. Mentors and trains staff on technical skills.
Performs admission assessments, and ongoing re-assessments based on departmental specific policy and procedures. Assists in the development of a prioritized interdisciplinary plan of care on each patient.
Implements and coordinates plan of care utilizing appropriate organizational skills and reporting mechanisms. Implements individual teaching plans, including Patient Teaching Protocols and discharge Plans, based on mutual goal setting and with emphasis on patient decision making.
Performs assigned clinical procedures (i.e. phlebotomy, injections, drug screens, etc.) Administers medications.
Orders/restocks supplies as assigned, according to established par levels. Maintains neatness/cleanliness in assigned areas.
Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Share this job

Related Jobs

LVN

Outpatient

Full-time

LVN (Outpatient) - Per Diem, AHPN Rapid Care, Hanford

apartment Adventist Health location_onHanford, CA

Job Description Located in a tight-knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 1965. We are comprised of a 173-bed hospital and many outpatient clinics with primary and specialty care services. Hanford residents are proud of their city's historic charm and family-friendly atmosphere. Within an hour's travel time, Yosemite, Sequoia and Kings Canyon National Parks can be enjoyed. Job Summary Performs procedures which require specialized training for general nursing care and related services for assigned patients, under the direction of a Registered Nurse (RN) or Medical Doctor (MD), in accordance with established policy. Participates in the planning for and provision of patient care. Uses knowledge of asepsis in performance of treatments, such as sterile dressings, irritations and cauterizations. Provides functional direction to ancillary personnel. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Bachelor’s Degree or equivalent combination of education/related experience: Preferred Licenses/Certifications Licensed Vocational Nurse (LVN) licensure in the state of practice: Required Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Arrhythmia certification: Preferred Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) or Registered Nurse (RN) or Nurse Practitioner (NP): Required Essential Functions Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to established standard and nursing process. Performs admission assessments, and ongoing re-assessments based on departmental specific policy and procedures. Assists in the development of a prioritized interdisciplinary plan of care on each patient. Implements and coordinates plan of care utilizing appropriate organizational skills and reporting mechanisms. Implements individual teaching plans, including patient teaching protocols and discharge plans, based on mutual goal setting and with emphasis on patient decision making. Performs assigned clinical procedures (i.e. phlebotomy, injections, drug screens, etc.) Administers medications. Orders/restocks supplies as assigned, according to established par levels. Maintains neatness/cleanliness in assigned areas. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

LVN

Full-time

LVN / License Vocational Nurse

apartment Evergreen Care Center location_onFresno, CA

Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred.

LVN

Manager/Supervisor

Full-time

Charge Nurse LVN / 6a-2p

apartment Evergreen Care Center location_onFresno, CA

**NEW WAGE SCALE** Dental, Vision, Health Paid Time Off POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.

LVN

Manager/Supervisor

Full-time

LVN Charge Nurse 2:45 pm -11:15 pm

apartment Evergreen Care Center location_onFresno, CA

New wage scale $32-$36 based on experience PTO Dental, Health and Vision POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.

LVN

Per Diem

LVN (all shifts)

apartment Evergreen Care Center location_onFresno, CA

Job description About us *Under new management* Evergreen Care Center is family owned 49 bed skilled nursing facility in Fresno, CA. Staff is tight knit and welcomes new employees with open arms! Start working right away! No experience needed, training offered for new LVNs! Position Description Responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations and licensing requirements. Operates within the scope of practice defined by the state Nurse Practice Act. Responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, working with physicians and other medical professionals. Principal Responsibilities Conduct the daily nursing functions in accordance with Company, State, Federal and local rules, regulations, and guidelines. Admit, transfer and discharge residents with documentation regarding care and service provided. Participate in the orientation of new residents/family members to the facility. Participate in facility surveys (inspections) as scheduled. Ensures delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during shift. Serves as a resource to all staff within the facility regarding the quality of services provided. Ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act. Effectively manages nursing personnel on shift to limit use of overtime and agency personnel. Assesses the work performance of nursing staff as it relates to unit standards of care and goals. Conducts unit huddles to promote communication programs and provides updates to DON. Participates in shift-to-shift communication between incoming and outgoing nursing staff. Coordinates shift assignments, resident assignments, rest and meal break for Certified Nurse’s Aides. Collaborates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences. Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested. Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents. Ensures timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care. Ensures Point Click Care (PCC) is utilized according the company process. Ensures that physician orders are followed as prescribed. Effectively carries out medication management to ensure adequate supplies and that all medications are handled in accordance with company policy. Ensures that resident's attending physician and family or responsible party are promptly notified of any significant change in the resident's health condition. Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. Ensures that resident's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with company policies and procedures and the Federal/State rules and regulations. Investigates resident/family complaints and takes appropriate actions to bring to resolution. Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Evaluates the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions. Other duties, responsibilities and activities may change or assigned at any time with or without notice. Direct Care Responsibilities Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response to care. Follows established procedure for charting and reporting all reports of incident/accidents (residents & employees). Identifies and reports changes in condition to supervisor, physician and family. Accurately identifies skin changes and follows the Company skin management protocols. Orders and reports diagnostic tests timely. Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift. Follows Pharmacy policy and procedures for ordering and delivering medications. Follows established procedures for restraint reduction. Assists with meal service; Identifies residents at risk for nutritional problems and implements preventative measures; Checks items and food that is brought in by family members to assure it complies with resident’s orders, dietary needs, and safety; Monitors residents with significant weight loss and gain and reports this to the physician and dietary. Documents in progress notes any exceptions to resident’s condition, including daily charting on ill residents, 24, 48, or 72-hour follow up charting on residents with infections, incidents or new admits. Completes documentation to reflect progress or lack of progress of residents participating in Quality of Life programs. Accurately completes and is familiar with the forms used throughout the resident’s chart. Participates and conducts (as appropriate) investigations related to any alleged abuse. Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed. Special Nursing Care Responsibilities * Demonstrates knowledge and ability to work with: NG/tube: insertion, placement, irrigation; Colostomy care: irrigation; Foley catheter care: insertion, Irrigation; Catheter application; Straight catheterization; Demonstrates knowledge and ability to work with: Tube feeding: hanging and labeling, operation of pump, calculating intake and output, assuring dietary, recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention, feeding tube placement, residual. Demonstrates knowledge and ability to implement: Positioning techniques; Transfer techniques; ROM exercises. Demonstrates knowledge and ability to implement: Emergency procedures: properly administer s O2, suctions, performs CPR, and uses the ambu bag; glucometer checks. Demonstrates knowledge and ability to work with: IVs: conducts IV site care, applies and monitors a Heparin Lock, mixes, hangs and administers IV solutions to residents, can compute rate of IV fluid administration, operates the infusion pump. Demonstrates knowledge and ability to work with: Suctioning: tracheotomy, nasotracheal; Tracheotomy care; Gastrostomy care: irrigation, placement check; Sterile technique. Demonstrates knowledge and ability to implement: Collection of lab specimens; Isolation techniques. Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy. Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor. Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy. Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Adheres to established employee policies. Adheres to established dress code.