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Licensed Practical / Vocational Nurse
Nacogdoches, TX
Find & Apply For Licensed Practical / Vocational Nurse Jobs in Nacogdoches, Texas
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Supplements the nursing care needs of the client as provided by the Registered Nurse and include: Providing services in accordance with agency policies; Preparing clinical and progress notes; Assisting the Registered Nurse or physician in performing specialized procedures and duties; Assisting the Registered Nurse in carrying out the plan of care; and, Assisting the client in learning appropriate self-care techniques.
Benefits:
Mileage reimbursement
Duties and Responsibilities:
Supplements the nursing care needs of the client as provided by the Registered Nurse and include: preparing clinical and progress notes written the day service is rendered and incorporated into the client record within 14 working days. Shall utilize a systematic approach to provide individualized, goal-directed nursing care by: i) collecting data and performing focused nursing assessments; ii) participating in the planning of nursing care needs for clients; iii) participating in the development and modification of the comprehensive nursing care plan for assigned clients implementing appropriate aspects of care within LVN's scope of practice including compliance with the laws as applicable to the LVN's practice setting; assisting in the evaluation of the client's responses and outcomes to therapeutic interventions and the identification of client needs; and utilize a problem-solving approach as the basis for decision making in practice.
The Licensed Vocational Nurse shall:
Know and conform to the Texas Nursing Practice Act and the board's rules and regulations as well as all federal, state, or local laws, rules or regulations affecting the nurse's current area of nursing practice: Implement measures to promote a safe environment for clients and others; Know the rationale for and the effects of medications and treatments and shall correctly administer the same; Accurately and completely report and document: The client's status including signs and symptoms; Nursing care rendered; Physician, dentist or podiatrist orders; Administration of medications and treatments; Provide, without discrimination, nursing services regardless of the age, disability, economic status, gender, national origin, race, religion, health problems, or sexual orientation of the client served; Provides comprehensive nursing care through the utilization of the home assessment, nursing diagnosis and care plans, and ensures that the rights of the client are maintained. Performs treatment(s) requiring specialized skills ordered by the Physician. Observes signs and symptoms and reports them to the RN Supervisor and/or Physician immediately. Notes change in client's physical or emotional status. Teaches and supervises the client and family members regarding the nursing care needs. Collaborates with other team members in the care of the clients, under the direction of the referring Physician and supervision of the Registered Nurse. Establishes priorities and goals for the client and implements plans to achieve them under the supervision of the Registered Nurse. Administers medication as defined in the medication policy, and treatments, as prescribed by a Physician. Submits clinical notes on a daily basis with accurate, completed itinerary. Consults with Physician when necessary and documents, in writing, appropriate changes of orders that are necessary and notifies the Supervisory RN. Acts as a liaison between the client, the health team, the Physician and the Agency's administrative staff. Participates in professional meetings when directed. Attends scheduled monthly in-services and weekly case conferences. Notifies the Regional Supervisory RN and Parent/Branch Supervisory RN of any potential discharge so the Parent/Branch Supervisory RN can assess the client's medical condition for appropriate discharge if applicable. Implements discharge plans for Agency clients under the supervision of the Supervisory RN and Regional Supervisory RN. Keeps fully cognizant of CMS reimbursement criteria, current charting needs and dates of recertification of all clients under his/her care and Registered Nurse supervision. Rotates working on the weekend with the other staff nurses and complies with policy and procedure for the weekend shift. Is responsible for completing Clinical review adjustments and turning in by the determined guideline. Education Required V.N. currently licensed in the State of Texas. Recommends an active CPR card, but not required. Graduate from an approved school of nursing. Prefer one year of experience in a health related field, but not required. Demonstrates the ability and education to learn in the health care area.
Skills and Abilities:
Is able to work in various environments. Is able to work as scheduled and report to work on time. Is able to lift a minimum of 50 pounds. Is able to push and pull up to 100 pounds. Has good manual dexterity. Has good visual acuity. Has good hearing and is able to properly assess cardiac sounds. Must be able to analyze situations. Can handle multi-tasks and multi-deadlines. Handles emergency situations well. Is able to work in a stressful environment. Have excellent guest relations' skills. Follows Universal Precautions. Is able to operate an automobile and travel up to 50-200 miles a day. Has excellent planning and organizational skills. Have excellent time management skills. Communicates well orally and in writing. Has access to personal transportation. Complies with agency policies and procedures.