LPN Jobs in Fairfax, VT

LPN Full-time
Plattsburgh Rehabilitation and Nursing Center

Licensed Practical Nurse (LPN)

Plattsburgh Rehabilitation and Nursing Center Plattsburgh, NY
LPN & RN Night Full-Time Positions Available 10pm-6am New Rate Starting at $30.50/hr Up To $32.50/hr "salary adjustment based on years of experience" w/Diff Eve & Nights $32.85/hr New Grads are Welcome to Apply!!! " salary adjustment based on years of experience" Come be Apart of Our Team !!! We offer the Following: Premium Compensation Great Benefits Package Professional Growth & Stability Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Education & Experience Experience: 1 year License, Registration and/or Certification Requirement: Yes Functions · Provides safe resident care, demonstrating knowledge and competency in completing assigned treatments and procedures according to established standards and policies. Maintains awareness of new updates standards and incorporates them into his/her nursing practice through out the continuum of care. · Participates in the improvement process of quality resident care. · Incorporates age-specific needs, provision of care, procedures, and treatments. · Communicates pertinent resident information and plan of care before breaks, during transfer, and at shift report. · Accurately administers medications according to the five rights of medication administration and documentation of same. · Accurately performs treatments utilizing sterile or clean technique. · Accurately administers external feedings. · Completes resident care-related activities within scheduled shift time periods. · Cooperates with reassignments made in the interest of resident care. · Reports resident care problems and possible solutions to the appropriate nursing management personnel. · Delegates resident care problems and possible solutions to the appropriate nursing management personnel. New Rate Starting at $30.50/hr Up To $32.50/hr "salary adjustment based on years of experience" w/Diff Eve & Nights $32.85/hr Working Environment Safety Equipment: Job may require the use of safety equipment, such as HEPA mask, for infection prevention. Bloodborne Pathogens Exposure: OSHA Category I- Routine/anticipated exposure. Work involved exposure to blood, body fluids, or tissue. Work Location: One location ACKNOWLEDGEMENT Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position. IND123
LPN Full-time
Birchwood Terrace Rehabilitation and Healthcare

Licensed Practical Nurse (LPN)- Up to $8,000 SIGN-ON BONUS ! *Night Shift*

Birchwood Terrace Rehabilitation and Healthcare Burlington, VT
NEW- WE ARE NOW OFFERING A $10,000 ANNUAL RETENTION BONUS ON TOP OF A $8,000 S IGN ON-BONUS and $20,000 in TUITION REIMBURSEMENT!!! Summary: The LPN Nurse works the night shift on a designated nursing unit and assures smooth operations of the unit under the direction of supervision of a Registered Nurse. Scope of work may be modified by State specific rules under the Nurse Practice Act. Education: Graduate of accredited LPN School Nursing. Licenses/Certification: Current valid LPN license in the state employed. Valid CPR certification Experience: At least one (1) year nursing experience preferred. Evidence of continuing education or special preparation or experience in gerontological nursing and/or long-term care nursing desirable. Essential Functions: Participates with members of the interdisciplinary team to assess, plan, coordinate and evaluate resident’s care. Documents the resident’s condition and nursing needs accurately and in a timely manner. Reports pertinent observations and reactions regarding residents promptly to RN. Provides oncoming shift and supervisors with accurate and complete resident status report. Maintains the 24-hour report book. Receives and record physicians’ orders. Communicates staffing problems and needs to the Nursing Manager. Provides input on staffing ratios and deployment. Develops work assignments for LPN/LVNs and Nurse Aides as directed. Coordinates, directs and evaluates staff (i.e., Medication Aides/Medication Techs, Nurse Aides, etc.) as directed. Participates in counseling, disciplinary action and termination of staff to the extent permitted by the State Nurse Practice Act. Assures compliance with policies and procedures. Reports problems and complaints timely to the Nurse Manager. Provides feedback to Nurse Managers regarding performance of Nurse Aides. Participates in hiring and selection of LPN/LVNs and Nurse Aides. Gives feedback and participates in performance appraisals as assigned. Coordinates nursing assignment, which includes directing assigned nursing staff to the extent permitted by state practice act. Receives and provides accurate and complete resident status report at shift change. Maintains 24-hour report book. Assists in data collection for admission, transfer and discharge or residents and provides the information to the Nurse Manager. Assures that inventory and supplies are maintained in a clean and safe manner on the unit, are utilized economically and communicates need for housekeeping, maintenance or nutritional services assistance.
LPN Full-time
Burlington Health & Rehabilitation Center

LPN

Burlington Health & Rehabilitation Center Burlington, VT
Position(s) available: FULL TIME PART TIME PERDIEM Qualifications for LPN: Current unencumbered State of Vermont LPN license Strong communication skills to communicate with Residents, Families and Staff Critical thinking skills The ability to handle different situations with tact Responsibilities for LPN: Supervision of CNA staff on assigned unit The delivery of care in accordance with Facility protocol and safe nursing practices Benefit Package for LPN: Competitive wages Generous Shift Differentials 6 Paid Holidays Medical Insurance Dental Insurance Vision Insurance Long & Short-term Disability Insurance Accrued paid time off – Full Time Employees 401K Stellar Health Group is and Equal Oppurtunity Employer.
LPN Part-time
The University of Vermont Health Network

Licensed Practical Nurse -Pelvic Medicine

The University of Vermont Health Network Burlington, VT
$26.99 - $44.25 / two weeks
Building Name: UVMMC - Fanny Allen Campus Location Address: 790 College Parkway, Colchester Vermont Regular Department: Pelvic Medicine and Reconstructive Surgery Per Diem (position has no committed hours and is not benefit eligible) Standard Hours: 0 Biweekly Scheduled Hours: 0 Shift: Day Primary Shift: 8:00 AM - 5:00 PM Weekend Needs: None Salary Range: Min $26.99 Mid $35.62 Max $44.25 Recruiter: Naomi Kpesse Per diem differential included in pay! JOB SUMMARY: The LPN I is an integral part of the care team and a key contributor to delivering high quality care that is compassionate, consistent and reliable for our patients, families, units and the practices within the UVM Medical Center. The incumbent is involved in direct patient care under the direction of a provider or RN, provides technical nursing care to patients in varying states of health and illness and performs clinical and administrative health care support services to patients and families according to knowledge, ability, and duties assigned. EDUCATION: Current LPN licensure or compact licensure recognized by the State of Vermont is required. EXPERIENCE: An LPN with less than two years of LPN experience, and less than 1 year of UVMMC employment, or an LPN with two or more years of LPN experience, and less than 6 months of UVMMC employment, and does not meet criteria to become and LPN II (see Career Ladder for criteria required to be an LPN II). This is a bargaining union position.
LPN Other
Post Acute Partners

Licensed Practical Nurse (LPN) - Float Pool - BUR

Post Acute Partners Burlington, VT
Salary $32.60 / Hour Overview If you're good at what you do, you can work anywhere. If you're the BEST at what you do, come work at Elderwood! Elderwood Staffing Solutions (ESS) is looking to hire experienced and flexible Licensed Practical Nurses (LPNs) to join our elite clinical network in our per diem pool! What ESS Can Offer You: Flexible scheduling through Per Diem employment opportunities. Premium pay with shift differentials, up to $3.00/hr (depending on shift time & day of week). Opportunity to showcase your skill set to at Multiple Locations. On-site Training and Orientation. Opportunities for Career Growth. Preferred Status’ for Promotions to Reach Your Career Goals. ESS Requirements: Current Vermont License/Certificate Clinical Staff must have a minimum of 2 years’ experience to be eligible for employment. Scheduling Requirements: 4 shifts monthly, out of 4 shifts at least 2 worked on weekend shifts (Saturday or Sunday), & 2 major holidays per year. Locations YOU could work at: Western New York: Amherst, Cheektowaga, Grand Island, Hamburg, Lancaster, Lockport, Tonawanda, West Seneca, Wheatfield, & Williamsville. Central New York: Brockport, Fairport, Greece, & Liverpool. Southern Tier New York: Hornell, Waverly, & Vestal. North Country New York: Colonie, Lake Placid, North Creek, & Ticonderoga. Other States: Burlington, VT & Wakefield, RI. Why Elderwood? At Elderwood, our Mission is People Caring for People. Our values of Integrity, Collaboration, Accountability, Respect & Excellence are at the core of everything we do. We strive to not only be the partner of choice for our residents, their families and community players – but also for our valued employees. Established in 1978, Elderwood has grown to become the largest network of rehabilitation, skilled nursing, assisted living and independent living communities in Western New York. With over 40 facilities and 5,000 employees, Elderwood is well known and highly regarded by the communities that each location serves. As an Elderwood employee, you’ll have all the tools, training and resources you need to succeed. Flexibility for your life, when you need it most. Responsibilities Licensed Practical Nurse (LPN) Duties: Pass medications and give skilled treatments to assigned residents. Direct and monitor the personal care duties and nursing care procedures carried out by Nursing Assistants of the assigned team. Assist Nursing Assistants with direct care of residents, as necessary. Report to Unit Manager/Assistant Unit Manager or Charge Nurse unusual symptoms, changes of condition, daily needs, and progress of residents. Follow the Plan of Care for each resident, and monitor the performance of Nursing Assistants in carrying out the appropriate aspects of the care plan. Receive controlled substances from the shift Supervisory Nurse and is responsible for all aspects of the storage and distribution of these medications; ensure proper and safe placement and use of medications stored in medication cart, stock medication cupboards, medication room refrigerator and narcotic cabinets. Maintain documentation regarding the care plans of residents in the Nursing Notes, Medical Administration Records, Treatment Records and other required records. Ensure that resident care standards are maintained in performance of duties, and that the rights of residents and preferences in care and treatment are respected. Participate in Change-of-Shift Report and is responsible for bringing nursing personnel of next shift up-to-date about the care and needs of residents. Provide assessment of needs and resident care planning information as necessary and requested by nurses and other health care disciplines. Participate in quality assurance programs upon request. Telephone physicians for orders or updates; conduct skin care assessments and diabetic nail care; update family members as needed; start pressure sore, treatment and routing sheets. Perform all job duties according to safety rules and practices required for this job position, and as required to ensure the general safety of staff, residents and visitors of this facility. Exhibit the highest level of customer service towards residents, staff and visitors. Perform other work tasks as assigned by the Unit Manager/Assistant Unit Manager or Charge Nurse. Required to float to at-least 2 of our facilities of your choice From Up to Qualifications Licensed Practical Nurse (LPN) Qualifications: Credentials as a Licensed Practical Nurse (LPN) with a current state license required. Two (2) years of working experience in current LPN license required. Training and LPN work experience in a geriatric setting preferred. Ability to supervise and work well with other personnel required. Qualities of maturity, diplomacy, and ability to work well with others required. Caring, respectful attitude towards residents required. This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
LPN Full-time
Benchmark Senior Living

LPN /RN Full Time 2p-10p

Benchmark Senior Living Shelburne, VT
Join, stay, and grow with Benchmark. Connect with your calling. The Arbors of Shelburne are looking for a compassionate Licensed Practical Nurse (LPN)/Registered Nurse (RN) to join our team! Full Time Evenings 2p-10p Up to $42/HR + Additional Shift Differentials As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status
LPN Per Diem
Benchmark Senior Living

LPN/RN Per Diem Up to $42+/HR

Benchmark Senior Living Shelburne, VT
Join, stay, and grow with Benchmark. Connect with your calling. The Arbors of Shelburne are looking for a compassionate Licensed Practical Nurse (LPN)/Registered Nurse (RN) to join our team! Per Diem Opportunities on All Shifts Up to $42/HR + Additional Shift Differentials As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status
LPN Full-time
The University of Vermont Health Network

LPN - Otolaryngology

The University of Vermont Health Network Burlington, VT
Building Name: UVMMC - Medical Center - Main Campus Location Address: 111 Colchester Avenue, Burlington Vermont Regular Department: Otolaryngology Full Time Standard Hours: 40 Biweekly Scheduled Hours: Shift: Day Primary Shift: 8:30 AM - 5:00 PM Weekend Needs: None Salary Range: Min $26.99 Mid $35.62 Max $44.25 Recruiter: Naomi Kpesse JOB SUMMARY: The LPN I is an integral part of the care team and a key contributor to delivering high quality care that is compassionate, consistent and reliable for our patients, families, units and the practices within the UVM Medical Center. The incumbent is involved in direct patient care under the direction of a provider or RN, provides technical nursing care to patients in varying states of health and illness and performs clinical and administrative health care support services to patients and families according to knowledge, ability, and duties assigned. EDUCATION: Current LPN licensure or compact licensure recognized by the State of Vermont is required. EXPERIENCE: An LPN with less than two years of LPN experience, and less than 1 year of UVMMC employment, or an LPN with two or more years of LPN experience, and less than 6 months of UVMMC employment, and does not meet criteria to become and LPN II (see Career Ladder for criteria required to be an LPN II). This is a bargaining union position.
LPN Outpatient Pediatric Part-time
The University of Vermont Health Network

Ambulatory LPN - Per Diem Pediatric Primary Care Burlington

The University of Vermont Health Network Burlington, VT
Building Name: UVMMC - 1 South Prospect Street Location Address: 1 South Prospect, Burlington Vermont Regular Department: Pediatrics - Primary Care Per Diem (position has no committed hours and is not benefit eligible) Standard Hours: 0 Biweekly Scheduled Hours: 0 Shift: Variable-8Hr Primary Shift: 8:00 AM - 4:30 AM Weekend Needs: Other Salary Range: Min $26.99 Mid $35.62 Max $44.25 Recruiter: Melissa Cummings We are the heart and science of medicine. We are UVM Health. JOB SUMMARY: The LPN I is an integral part of the care team and a key contributor to delivering high quality care that is compassionate, consistent and reliable for our patients, families, units and the practices within the UVM Medical Center. The incumbent is involved in direct patient care under the direction of a provider or RN, provides technical nursing care to patients in varying states of health and illness and performs clinical and administrative health care support services to patients and families according to knowledge, ability, and duties assigned. EDUCATION: Current LPN licensure or compact licensure recognized by the State of Vermont is required. EXPERIENCE : One year of experience preferred. WHY UVM HEALTH? UVM Health is dedicated to our patients, providing the highest quality care for patients and their families. It is a mission that defines our culture, one of teamwork and collaboration. Every employee, whether they work directly in patient care or in a supporting role, has a hand in contributing to the wellness of the patient and the community. This is a bargaining union position.
LPN Outpatient Part-time
The University of Vermont Health Network

Ambulatory LPN - Primary Care

The University of Vermont Health Network Burlington, VT
Building Name: UVMMC - 353 Blair Park Location Address: 353 Blair Park, Williston Vermont Regular Department: GIM & Geriatrics Williston Part Time Standard Hours: 24 Biweekly Scheduled Hours: Shift: Day-8Hr Primary Shift: 8:00 AM - 5:00 AM Weekend Needs: None Salary Range: Min $26.99 Mid $35.62 Max $44.25 Recruiter: Melissa Cummings We are the heart and science of medicine. We are UVM Medical Center. External candidates with one year of LPN experience are eligible for a one-time signing bonus of up to $7,500(pro-rated for part-time). Candidates are also eligible for a relocation package as applicable. JOB SUMMARY : The LPN I is an integral part of the care team and a key contributor to delivering high quality care that is compassionate, consistent and reliable for our patients, families, units and the practices within the UVM Medical Center. The incumbent is involved in direct patient care under the direction of a provider or RN, provides technical nursing care to patients in varying states of health and illness and performs clinical and administrative health care support services to patients and families according to knowledge, ability, and duties assigned. EDUCATION : Current LPN licensure or compact licensure recognized by the State of Vermont is required. EXPERIENCE : One year of experience preferred. WHY UVM MEDICAL CENTER (UVMMC)? UVMMC is dedicated to our patients, providing the highest quality care for patients and their families. It is a mission that defines our culture, one of teamwork and collaboration. Every employee, whether they work directly in patient care or in a supporting role, has a hand in contributing to the wellness of the patient and the community. BENEFITS: At UVMMC, we support our employees as passionately as we care for our patients. We offer a comprehensive, total compensation package that includes salary, health and wellness benefits, paid time off, and more. · https:// www.uvmhealth.org/medcenter/health-careers/benefits LEARN MORE: · What is it like working here? · https://www.uvmhealth.org/medcenter/health-careers/culture-and-work-environment · Why Burlington, VT? · https://www.uvmhealth.org/medcenter/for-employees/health-careers/life-in-vermont/about-burlington This is a bargaining union position.
LPN Full-time
Plattsburgh Rehabilitation and Nursing Center

Licensed Practical Nurse (LPN)

Plattsburgh Rehabilitation and Nursing Center Plattsburgh, NY
Full-Time Positions Available Shift: All Shifts Avaialable Come be Apart of Our Team !!! We offer the Following: Premium Compensation Great Benefits Package Professional Growth & Stability Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Paid time off Education & Experience Experience: 1 year License, Registration and/or Certification Requirement: Yes Functions · Provides safe resident care, demonstrating knowledge and competency in completing assigned treatments and procedures according to established standards and policies. Maintains awareness of new updates standards and incorporates them into his/her nursing practice through out the continuum of care. · Participates in the improvement process of quality resident care. · Incorporates age-specific needs, provision of care, procedures, and treatments. · Communicates pertinent resident information and plan of care before breaks, during transfer, and at shift report. · Accurately administers medications according to the five rights of medication administration and documentation of same. · Accurately performs treatments utilizing sterile or clean technique. · Accurately administers external feedings. · Completes resident care-related activities within scheduled shift time periods. · Cooperates with reassignments made in the interest of resident care. · Reports resident care problems and possible solutions to the appropriate nursing management personnel. · Delegates resident care problems and possible solutions to the appropriate nursing management personnel. New Starting Rate: ($30/hr Up to $32/hr) Working Environment Safety Equipment: Job may require the use of safety equipment, such as HEPA mask, for infection prevention. Bloodborne Pathogens Exposure: OSHA Category I- Routine/anticipated exposure. Work involved exposure to blood, body fluids, or tissue. Work Location: One location ACKNOWLEDGEMENT Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.
LPN Other
Post Acute Partners

Licensed Practical Nurse (LPN) - Float Pool - BUR

Post Acute Partners Burlington, VT
Salary $32.60 / Hour Overview If you're good at what you do, you can work anywhere. If you're the BEST at what you do, come work at Elderwood! Elderwood Staffing Solutions (ESS) is looking to hire experienced and flexible Licensed Practical Nurses (LPNs) to join our elite clinical network in our per diem pool! What ESS Can Offer You: Flexible scheduling through Per Diem employment opportunities. Premium pay with shift differentials, up to $3.00/hr (depending on shift time & day of week). Opportunity to showcase your skill set to at Multiple Locations. On-site Training and Orientation. Opportunities for Career Growth. Preferred Status’ for Promotions to Reach Your Career Goals. ESS Requirements: Current Vermont License/Certificate Clinical Staff must have a minimum of 2 years’ experience to be eligible for employment. Scheduling Requirements: 4 shifts monthly, out of 4 shifts at least 2 worked on weekend shifts (Saturday or Sunday), & 2 major holidays per year. Locations YOU could work at: Western New York: Amherst, Cheektowaga, Grand Island, Hamburg, Lancaster, Lockport, Tonawanda, West Seneca, Wheatfield, & Williamsville. Central New York: Brockport, Fairport, Greece, & Liverpool. Southern Tier New York: Hornell, Waverly, & Vestal. North Country New York: Colonie, Lake Placid, North Creek, & Ticonderoga. Other States: Burlington, VT & Wakefield, RI. Why Elderwood? At Elderwood, our Mission is People Caring for People. Our values of Integrity, Collaboration, Accountability, Respect & Excellence are at the core of everything we do. We strive to not only be the partner of choice for our residents, their families and community players – but also for our valued employees. Established in 1978, Elderwood has grown to become the largest network of rehabilitation, skilled nursing, assisted living and independent living communities in Western New York. With over 40 facilities and 5,000 employees, Elderwood is well known and highly regarded by the communities that each location serves. As an Elderwood employee, you’ll have all the tools, training and resources you need to succeed. Flexibility for your life, when you need it most. Responsibilities Licensed Practical Nurse (LPN) Duties: Pass medications and give skilled treatments to assigned residents. Direct and monitor the personal care duties and nursing care procedures carried out by Nursing Assistants of the assigned team. Assist Nursing Assistants with direct care of residents, as necessary. Report to Unit Manager/Assistant Unit Manager or Charge Nurse unusual symptoms, changes of condition, daily needs, and progress of residents. Follow the Plan of Care for each resident, and monitor the performance of Nursing Assistants in carrying out the appropriate aspects of the care plan. Receive controlled substances from the shift Supervisory Nurse and is responsible for all aspects of the storage and distribution of these medications; ensure proper and safe placement and use of medications stored in medication cart, stock medication cupboards, medication room refrigerator and narcotic cabinets. Maintain documentation regarding the care plans of residents in the Nursing Notes, Medical Administration Records, Treatment Records and other required records. Ensure that resident care standards are maintained in performance of duties, and that the rights of residents and preferences in care and treatment are respected. Participate in Change-of-Shift Report and is responsible for bringing nursing personnel of next shift up-to-date about the care and needs of residents. Provide assessment of needs and resident care planning information as necessary and requested by nurses and other health care disciplines. Participate in quality assurance programs upon request. Telephone physicians for orders or updates; conduct skin care assessments and diabetic nail care; update family members as needed; start pressure sore, treatment and routing sheets. Perform all job duties according to safety rules and practices required for this job position, and as required to ensure the general safety of staff, residents and visitors of this facility. Exhibit the highest level of customer service towards residents, staff and visitors. Perform other work tasks as assigned by the Unit Manager/Assistant Unit Manager or Charge Nurse. Required to float to at-least 2 of our facilities of your choice From Up to Qualifications Licensed Practical Nurse (LPN) Qualifications: Credentials as a Licensed Practical Nurse (LPN) with a current state license required. Two (2) years of working experience in current LPN license required. Training and LPN work experience in a geriatric setting preferred. Ability to supervise and work well with other personnel required. Qualities of maturity, diplomacy, and ability to work well with others required. Caring, respectful attitude towards residents required. This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
LPN Outpatient Pediatric Per Diem
The University of Vermont Health Network

Ambulatory LPN - Per Diem Pediatric Primary Care Burlington

The University of Vermont Health Network Burlington, VT
Building Name: UVMMC - 1 South Prospect StreetLocation Address: 1 South Prospect, Burlington VermontRegularDepartment: Pediatrics - Primary CarePer Diem (position has no committed hours and is not benefit eligible)Standard Hours: 0Biweekly Scheduled Hours: 0Shift: Variable-8HrPrimary Shift: 8:00 AM - 4:30 AMWeekend Needs: OtherSalary Range: Min $26.21 Mid $34.18 Max $42.14Recruiter: Melissa Cummings We are the heart and science of medicine. We are UVM Health. JOB SUMMARY: The LPN I is an integral part of the care team and a key contributor to delivering high quality care that is compassionate, consistent and reliable for our patients, families, units and the practices within the UVM Medical Center. The incumbent is involved in direct patient care under the direction of a provider or RN, provides technical nursing care to patients in varying states of health and illness and performs clinical and administrative health care support services to patients and families according to knowledge, ability, and dutiesassigned. EDUCATION: Current LPN licensure or compact licensure recognized by the State of Vermont is required. EXPERIENCE : One year of experience preferred. WHY UVM HEALTH? UVM Health is dedicated to our patients, providing the highest quality care for patients and their families. It is a mission that defines our culture, one of teamwork and collaboration. Every employee, whether they work directly in patient care or in a supporting role, has a hand in contributing to the wellness of the patient and the community. This is a bargaining union position.
LPN Outpatient Part-time
Copley Hospital

Licensed Practical Nurse (LPN) - Multi-Specialty Clinic

Copley Hospital Morristown, VT
Overview Copley Hospital, located in Morrisville/Stowe VT, is looking for a Licensed Practical Nurse to join our team in the Multi-Specialty Clinic! As a licensed member of the care team in the Multi-Specialty Clinic at Copley, the LPN will work in the General Surgery clinics to support the patients' plan of care. The Clinic LPN will provide general nursing oversight to patients during clinic visits, participate in in-clinic procedures, nurse triage, and referral and care coordination. Requires LPN licensure in good standing. This is a Part-Time position (FT available) for one shift on Monday, Tuesday, or Wednesday from 7:30am-4:00pm. Copley Hospital has a variety of shifts available across F ull-Time, Part-Time, and Per Diem needs with day and evening shift availability. Please consider applying to discuss how your availability may align. Compensation: Negotiable. An offer of employment may vary based on factors such as experience, education, skill, internal equity, and market data. Responsibilities Incorporates teaching in delivery of care and demonstrates competence in health promotion & disease prevention. Provides information to patient family appropriately, assesses for barriers to learning, uses colleagues as a learning resource Coordinates care within the multi-disciplinary team, interacts in a professional manner, communicates directly, verbalizes scope of practice for self and others Develops and maintains human care relationships & integrates the influence of the human experience of health, illness &/or healing. Adapts care for diverse populations, assists colleagues with care delivery, refers all concerns/issues to appropriate resource Arranges physician referrals when appropriate, coordinating care with appropriate support agencies Develops professional relationships with staff in order to enhance patient care and efficient clinical operations, acting as a role model for nursing support staff. Abides by the policies and procedures of the practice, the Copley Health Systems Physician Practices and the Copley Health Systems Hospital Is actively involved in creating educational materials and promoting educational programs appropriate for the patient population seen in the practice Counsels and teaches patients on a variety of health care matters such as self-care appropriate to patient’s medical problem, preventive interventions, wellness programs, etc Develops and maintains relationships with patients and adapts care for diverse populations Supports and demonstrates organizational values, including compassion and respect for human dignity, commitment to professional Competence, commitment to a spirit of service, honesty, confidentiality, and good stewardship/careful administration Complies with Copley and practice policies and procedures, and governmental regulations. Qualifications Education: Required - LPN License Experience: Desired - one year's practice as Licensed Practical Nurse. Licensure and certification: LPN licensed in the State of Vermont. BLS.
LPN Part-time
The University of Vermont Health Network

Licensed Practical Nurse -Pelvic Medicine

The University of Vermont Health Network Burlington, VT
Building Name: UVMMC - Fanny Allen CampusLocation Address: 790 College Parkway, Colchester VermontRegularDepartment: Pelvic Medicine and Reconstructive SurgeryPer Diem (position has no committed hours and is not benefit eligible)Standard Hours: 0Biweekly Scheduled Hours: 0Shift: DayPrimary Shift: 8:00 AM - 5:00 PMWeekend Needs: NoneSalary Range: Min $26.21 Mid $34.18 Max $42.14Recruiter: Naomi Kpesse Per diem differential included in pay! JOB SUMMARY: The LPN I is an integral part of the care team and a key contributor to delivering high quality care that is compassionate, consistent and reliable for our patients, families, units and the practices within the UVM Medical Center. The incumbent is involved in direct patient care under the direction of a provider or RN, provides technical nursing care to patients in varying states of health and illness and performs clinical and administrative health care support services to patients and families according to knowledge, ability, and dutiesassigned. EDUCATION: Current LPN licensure or compact licensure recognized by the State of Vermont is required. EXPERIENCE: An LPN with less than two years of LPN experience, and less than 1 year of UVMMC employment, or an LPN with two or more years of LPN experience, and less than 6 months of UVMMC employment, and does not meet criteria to become and LPN II (see Career Ladder for criteria required to be an LPN II). This is a bargaining union position.
LPN Part-time
Copley Hospital

RN or LPN Lead Cardiopulmonary Rehab Clinician

Copley Hospital Morristown, VT
Overview Copley Hospital, located in Morrisville/Stowe VT, is looking for an RN or LPN Lead Cardiopulmonary Rehab Clinician to join our team! Please join us and make a real impact in your patients’ lives as you coordinate and grow our Cardiac and Pulmonary Rehab program! Work alongside a dedicated Medical Director and Clinical Rehab Director to deliver compassionate, evidence-based care. In this role, you will:• Coordinate all aspects of the Cardiac and Pulmonary Rehab program• Provide direct patient care, including exercise prescription and education• Collaborate closely with physicians and interdisciplinary teams to develop individualized treatment plans• Monitor patient progress and ensure quality, safety, and compliance standards are met• Lead program development, documentation, regulatory compliance and outcome tracking initiatives This is a unique opportunity to take ownership of a growing service, build lasting patient relationships, and be part of a supportive and collaborative team. This is a Part-Time position (FT available). Copley Hospital has a variety of shifts available across Full-Time, Part-Time, and Per Diem needs with day and evening shift availability. Please consider applying to discuss how your availability may align. Compensation: Negotiable. An offer of employment may vary based on factors such as experience, education, skill, internal equity, and market data. Responsibilities Provide group and individual patient and family education for any established CR and or PR education topics: -Exercise -Nutrition -Weight Management -BP Management -Lipid Management -Stress Management -Heart Function -Cardiac Symptoms -Risk Factors -Medications -Energy Conservation -Lung Function -Pulmonary Symptom Management -Supplemental Oxygen needs -Breathing Techniques -Infection prevention and Management -Other topics as required by specific patient assessment and needs. Assess patient compliance with all medications based on patient reports, symptoms and clinical evidence: BP, HR, telemetry, lipids, BG, pain, Oxygen Saturation, weight, medications for co morbidities. Assess need for and provide Tobacco cessation behavior interventions to promote tobacco cessation and long-term tobacco-free adherence Determine appropriateness of using Heart watch with and teach patient the use of for the following purposes: safe progression from telemetry to self monitoring heart rate, teaching self monitoring, assessing patient’s accuracy in self monitoring pulse. Participates in department and program staff meetings and quality improvement activities. Contributes to continually assessing and improving the quality of the programs. Promptly and appropriately responds to changes in procedures and policies. Proactively discusses procedural issues and opportunities for improvement with supervisor and other assigned individuals, in a professional and constructive manner. Utilize the department computer system for telemetry monitoring and all documentation requirements, incorporating system upgrades. Participate in system troubleshooting and communications with technical support staff. Follow department procedures and policies for patient registration and billing. Complete a comprehensive patient Initial Assessment, and document in accordance with department policy. Perform and document these within the approved and allotted time frames. Manage the exercise sessions safely while capturing all required documentation elements of the program. Monitor, direct, assess and progress the programs of 4-5 telemetry or non-telemetry patients in accordance with each individual Assessment and Plan, and based on patients' signs, symptoms and reports. Develop patient individualized treatment Plan of Care in accordance with department policy in the time allotted. Assess signs and symptoms of hyperglycemia and hypoglycemia and take appropriate actions. Compile & submit Evaluation and Plan of Care to referring providers and Medical Director in accordance with CPR standards for assigned patients, in the allotted time frames. Complete and submit monthly Progress Reports for assigned patients to referring providers and Medical Director, within appropriate time frames. Compile and report patient blood lipid data in accordance with CPR standards. Complete and submit Discharge Reports for assigned patients to referring providers and Medical Director, within appropriate time frames. Communicate and interact with patients, families, colleagues, management & providers including Medical Director in a safe, professional, accurate, considerate, timely manner. Employ Critical Thinking skills to achieve outcomes and solve problems. Take personal responsibility for providing professional, organized & compliant care that meets patient needs. Incorporate relevant safety and intervention skills in delivery of care. Qualifications Education Requirements Physical Therapist: Bachelor's, Master's or Doctoral Degree in Physical Therapy from an accredited school. Exercise Physiologist: Bachelors' Degree in Exercise Science or Exercise Physiology with a focus on Cardiopulmonary Rehabilitation. Registered Nurse or Respiratory Therapist: Associates Degree in Nursing or Respiratory Care from accredited schools. Education Desired Exercise Physiologist: Master's degree in Exercise Science. All clinicians: Advanced training in Cardiopulmonary Rehabilitation preferred. Experience Requirements Three years experience providing patient care services in a healthcare environment in the fields of cardiac and or pulmonary rehabilitation, Acute care Physical Therapy, Respiratory Therapy or Cardiopulmonary Nursing. Experience Desired Experience performing patient assessments, interventions, education, documentation, reporting and communications specific to Cardiac Rehabilitation and or Pulmonary Rehabilitation. Use of EHR. Prior or current telemetry experience. License and Certification Requirements Physical Therapist, Registered Nurse and Respiratory Therapist must have current Vermont licensure without stipulations. All clinicians: Current BLS & ACLS Certifications, or certifications acquired within 6 months of hire. License and Certification Desired Certification as a Clinical Exercise Specialist (ACSM). Certification in Cardiopulmonary Rehabilitation from AACVPR. Skill Requirements In accordance with CMS regulations: Must be able to independently perform a comprehensive assessment of the cardiac and pulmonary rehabilitation patient. Must be able to supervise the telemetry monitored exercise of 4-5 individuals, while progressing the individual exercise programs, providing patient training in the use of all exercise equipment, assessing patient response to exercise, taking and interpreting all appropriate vital signs including but not limited to HR, BP, RPE, cardiac telemetry and pulse oximetry and documenting the exercise session. Interpreting 3 lead telemetry strips while patients are exercising in the program. Use of the computerized patient monitoring and documentation system. Cardiac and Pulmonary Rehabilitation education and communication skills with individuals and groups. Work and communicate collaboratively with all members of the multidisciplinary team, including the medical directors and referring providers, in accordance with AACVPR guidelines. Skill Desired Ability to establish and modify the exercise prescription based on stress test results, other diagnostic test results, medications, patient co morbidities and patient responses to exercise.
LPN Full-time
Wellpath

Licensed Practical Nurse (LPN) - Nightshift with Sign-on Bonus

Wellpath Swanton, VT
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
LPN Full-time
Wellpath

Licensed Practical Nurse (LPN)

Wellpath South Burlington, VT
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
LPN Full-time
Wellpath

Licensed Practical Nurse (LPN) - Nightshift

Wellpath Swanton, VT
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.