The LVN performs assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veteran. The LVN also performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the veteran. The Licensed Vocational Nurse (LVN) is expected to be able to function as a member of the nursing care team providing safe, competent, compassionate care in a timely manner under close supervision of the RN. Duties include but are not limited: Provides care with minimal RN supervision to a select group of patients. Performs and documents focused assessments (i.e. pain assessment, fall risk assessment) and reports abnormal findings to the RN team leader, or charge nurse. Performs Accu-Check glucose screen, takes and records vital signs and reports all significant deviations to the RN and/or health care provider immediately. Takes appropriate action as directed. Evaluates the nutritional needs for patients, including feeding assistance, and performs as necessary. Provides fluid needs and administers feeding by nasogastric, gastrostomy, jejunostomy, and enteral tubes. Actively participates in interdisciplinary team planning and patient care meetings. Utilizes problem-solving process when patient problems arise. Informs RN about data obtained pertaining to the problem. Offers solutions to problems and offers feedback to ancillary members emphasizing ways to improve performance. Accepts and mentor's non-RN staff and student nurses. Independently establishes priorities and varies the sequence of nursing care based on the patient's condition and/or response to treatment in order to accomplish assigned tasks by the end of the tour with limited supervision. Medical Administration Demonstrates proficiency in utilizing the Bar Code Medication Administration (BCMA) scanner to administer medications to a group of patients safely and efficiently. Is able to serve as a preceptor for other LVNs, and can instruct others in the appropriate use of BCMA for medication administration. Is able to trouble shoot when issues with the BCMA scanners arise. Is aware of the contingency policy for medication administration and documentation should the computer system be non-functional. Veteran Safety Is able to verbalize understanding of the Joint Commission National Patient Safety Goals (NPSG) and the means by which VANTHCS is assuring that these goals are met. Operates and is familiar with equipment utilized for physiological monitoring, ventilation, patient-controlled analgesia (PCA) pumps, pulse oximeter, and blood/fluid warmers if assigned in areas where in use. Identifies documents and reports fall risk, confused/wandering patients to all staff. Recognizes and reports potential safety hazards and takes appropriate action to address the problem. Customer Service Displays an attitude of caring and courtesy toward all veterans and their families by treating them as our customers, greeting them with a smile, referring to them by name, responding quickly to their needs, maintaining confidentiality and treating them at all times with dignity and respect. Initiates and organizes quality process improvement activities for specifically assigned specialty areas. Participates in unit-based quality improvement activities. Demonstrates understanding of current customer service measure, and activities to improve customer service throughout VANTHCS. Actively promotes and participates in customers service activities. Demonstrates ability to recognize opportunities for improvement and takes actions to address customer complaints and the lowest possible level. Reports customer service issues to the Nurse Manager. Work Schedule: Monday - Friday 8:00am-4:30pm. May be required to work other shifts, be on call, work weekends and/or holidays as patient care and needs of the service require. Should operational needs dictate, candidates must be willing to work within other units (including community based outpatient clinics, for example) to assist and support continuation of the provision. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.