Licensed Vocational Nurse

Licensed Vocational Nurse Prestige Concierge Nursing Corona del Mar, CA Job Details PRN | Per diem $40 - $48 an hour 1 hour ago Benefits Flexible schedule Qualifications Working with individuals requiring tube feeding CPR Certification Caregiving documentation requirements LVN Medical equipment operation Tube feeding Patient transfer methods Tracheostomy care BLS Certification Mechanical ventilation monitoring Care documentation Full Job Description job overview Position Summary Prestige Concierge Nursing is seeking a compassionate, highly skilled Licensed Vocational Nurse (LVN) to provide one-on-one concierge nursing care for a medically complex pediatric patient in the home setting. The ideal candidate is clinically competent, detail-oriented, and passionate about delivering exceptional family-centered care while maintaining the highest standards of patient safety and professionalism. The patient is a child with a traumatic brain injury (TBI) requiring 24-hour skilled nursing care, including tracheostomy and mechanical ventilation management, gastrostomy tube (MIC-KEY button) care, and total assistance with activities of daily living. Essential Responsibilities Respiratory Care Provide continuous assessment and monitoring of respiratory status. Care for and maintain a tracheostomy. Monitor and manage mechanical ventilator settings as directed. Perform tracheal suctioning utilizing sterile technique. Administer supplemental oxygen per physician orders. Recognize and respond appropriately to respiratory distress or ventilator emergencies. Perform routine tracheostomy care and trach changes as directed. Ensure emergency airway equipment is immediately available. Gastrointestinal & Nutrition Administer enteral feedings through a MIC-KEY button G-tube. Administer medications via G-tube. Monitor feeding tolerance and hydration status. Perform routine G-tube site assessments and care. Report concerns such as leakage, dislodgement, infection, or skin breakdown. Neurological Care Perform ongoing neurological assessments. Monitor for seizure activity and implement seizure precautions. Assess for changes in level of consciousness and neurological status. Report significant changes immediately to the RN and physician. Personal Care Provide complete assistance with activities of daily living. Perform incontinence care while maintaining dignity and skin integrity. Reposition patient at scheduled intervals to prevent pressure injuries. Perform range-of-motion exercises as ordered. Maintain excellent infection prevention practices. Medication Administration Administer medications accurately according to physician orders. Monitor for medication effectiveness and adverse reactions. Maintain accurate medication documentation.

Patient Monitoring Monitor and document:

Vital signs Oxygen saturation Respiratory status Pain and comfort Intake and output Skin integrity Overall condition Identify subtle changes in patient status and escalate concerns promptly.

Equipment Management Safely operate:

Mechanical ventilator Pulse oximeter Oxygen equipment Suction machine Feeding pump Troubleshoot equipment issues. Maintain emergency supplies and equipment readiness. Documentation Complete accurate and timely nursing documentation. Document assessments, interventions, medications, treatments, and caregiver communication. Report significant changes immediately according to agency policy. Family Support Build trusting relationships with the patient and family. Provide compassionate, respectful care. Reinforce education provided by the RN regarding equipment and care plans. Support family goals while maintaining professional boundaries.

Collaboration Communicate effectively with:

Director of Nursing RN Case Manager Physicians Therapists Durable Medical Equipment providers Family members Participate in care conferences as requested. Required Qualifications Current California Licensed Vocational Nurse (LVN) license in good standing. Current CPR certification (BLS). Pediatric nursing experience preferred. Home health or private duty nursing experience preferred.

Experience with:

Tracheostomy care Mechanical ventilation G-tube/MIC-KEY button care Suctioning Oxygen therapy Ability to recognize and respond to emergencies. Excellent communication and documentation skills. Reliable transportation. Ability to pass background check and drug screening. Preferred Qualifications Pediatric ventilator certification or demonstrated ventilator competency. Experience caring for children with traumatic brain injuries or neurological disorders. Experience with seizure management. Experience in concierge or high-acuity private duty nursing. Professional Expectations The LVN is expected to: Demonstrate exceptional professionalism and reliability. Maintain patient confidentiality in accordance with HIPAA regulations. Arrive on time and prepared for every shift. Maintain a clean, organized, and safe patient environment. Communicate changes in patient condition immediately. Work collaboratively with the interdisciplinary team. Exercise sound clinical judgment and prioritize patient safety at all times. Treat the patient and family with dignity, compassion, and respect. Physical Requirements Ability to lift, reposition, and transfer pediatric patients safely. Ability to sit, stand, bend, kneel, and reach for extended periods. Ability to respond quickly during medical emergencies. Visual and auditory acuity sufficient to monitor ventilator alarms, oxygen saturation, and changes in patient condition. Join us to make a meaningful impact through compassionate nursing care while advancing your professional growth in a vibrant healthcare environment!

Pay:

$40.00 - $48.00 per hour

Benefits:

Flexible schedule

Work Location:

In person