Licensed Vocational Nurse - Residential
Centre for Neuro Skills (CNS) helps people with brain injury find hope, independence and a meaningful life - and you can play a key role in that journey as a Staff Licensed Vocational Nurse (LVN).
The Staff LVN renders professional nursing care pursuant to the objective and policies of the Centre. Work can be part-time or full-time as needed during the weekdays with some overtime and on-call work required. Work is performed at the clinic with some work in the community and residential site. A staff LVN will work directly under the supervision of the Nursing Department Coordinator or staff RN’s but utilize all nursing skills to make safe, appropriate and independent decisions within the scope of the LVN nursing practice.
A high degree of accuracy in documentation and observation, adaptability to a variety of situations, strong organizational and communication skills, decision making and an ability to evaluate situations as they occur is needed for this position.
For over 35 years, Centre for Neuro Skills (CNS) has provided post-acute medical treatment, rehabilitation and disease management, and offers residential, inpatient, outpatient and assisted living programs. Locations include Bakersfield, Los Angeles, San Francisco and Dallas.
Our facilities have been honored many times by the prestigious Commission on Accreditation of Rehabilitation Facilities (CARF International) for excellence in therapeutic programs, staff education, patient treatment, and leadership. We also conduct research on brain injury and recovery, with a dedicated, in-house team of Ph.D. researchers who collaborate with major U.S. universities. Please see our moving corporate video, "The Story of Centre for Neuro Skills" at http://www.neuroskills.com/about-us/tour-cns.php.
Full or part time shifts available, options include:
- AM Staff LVN - Residential site -7 AM to 3 PM
- PM Staff LVN – Residential site - 3 AM to 11:30 PM
- Overnight Staff LVN - Residential site - Friday and Saturday 11 PM - 7:30 AM
Work is normally performed at the CNS sites, including clinic, residential and in the community.
The company offers a competitive salary and benefits, paid time off, extended sick leave, medical insurance, paid holidays, and 401(k).
1. Performs nursing techniques for the comfort and well-being of the patient.
a. Administers or supervises the administration of prescribed medications and treatments. Observes patients' reactions to medications and treatments. Visual and verbal ability required to detect adverse reactions.
b. Takes vital signs, including temperature, pulse, respiratory rate, and blood pressure regularly to detect deviations from normal and monitors the medical progress of patients, following physicians' orders and individual nursing care plans.
c. A primary nursing format of care is emphasized.
d. Requires fine motor manipulation, visual ability, hearing, numerical ability to administer medications, treatment and tests. Reaches, lifts, carries and fingers through files weighing up to 15 pounds.
2. Conducts visits at residential site to assess patient’s medical status, administer or supervise medication and perform treatment procedures. Requires standing, walking, bending, stooping and repeated stair climbing.
Assessment: Vital signs, head to toe assessment, listening to the patient’s comments and questions about the patient’s health status, observing the reactions with others. Be cognizant of assessing the 5th vital sign, pain. This involves asking pertinent questions about the signs and symptoms and listening carefully to the answers in conjunction with information presented by therapeutic staff. Objectively observing patient facial expression, body language, in conjunction with utilization of a pain scale in properly assessing any patient for appropriate pain management is paramount.
Nursing Diagnosis: After identifying problems related to health status, formulating a plan to address this problem or potential problem in promoting an expected outcome.
Planning: Setting goals to improve the outcomes for the patient are a primary focus of the nursing process. This directly equates with improving the quality of life for the patient and what the patient needs to do to improve his/her health status or better cope with concerns identified.
Implementation: Setting nursing plans in motion and delegating responsibilities for each step. Communication is essential to the nursing process. All members of the health care team should be informed of the patient’s status, health concerns and goals of care. In return, nursing should receive feedback from the healthcare team including observations and interventions as well as patient’s outcomes and responses.
Evaluation: The nursing process is ongoing. Evaluation not only analyzes the success of goals and interventions but examines the need for adjustments and changes as well. The evaluation incorporates all input from the entire rehabilitation team, including the patient.
3. Assists with weekly and/or bi-monthly medical staffings.
4. Works on-call shifts as required. Demonstrates flexibility with regards to patient census, staffing needs and scheduling.
5. Keeps Nursing Department informed of all patient concerns and treatment course.
6. Performs reporting procedures.
a. Observes, records, and reports medical progress made to Nursing Department, Case Managers, other staff members, insurance carriers, and patients' families.
b. Maintains current medical records for each patient with appropriate documentation and charting reflecting utilization of the nursing process. Requires visual and fine motor coordination, ability to read and write, and cognitive ability to observe and record data.
c. Submits monthly conference reports for own patients.
d. Reports verbally and/or in writing (according to patient/carrier/company needs) in conferences, staffings and other meetings to inform necessary personnel, insurance carriers, patients' families and patients (as appropriate) of patient testing, treatment and progress. Requires visual ability and fine motor manipulation to dictate and review/edit reports.
7. Provides for the safety of patients, visitors, staff and self when interacting with patients who may have behavioral outbursts, which can include yelling, exiting, hitting, kicking, biting, spitting, scratching, and throwing objects.
a. Must be able to recognize patient escalation, via verbal, physical and visual cues.
b. Must be able to attempt to verbally and physically de-escalate patient using Behavior Modification techniques according to each patient's program, which may include Professional Assault Crisis Training (Pro-ACT) such as evasive self-defense (ability to get out of the way) and controlling self-defense (prone restraints).
c. Physical intervention and restraints can include calling for help, lifting, standing, walking, running, stooping, bending, kneeling, squatting, carrying, pulling, pushing and assisting with the restraint of patients weighing up to 150 pounds or more.
8. Performs toilet and chair transfers with assistance for patients up to 150 pounds utilizing approved transfer techniques. Transfer techniques include standing, walking, stooping, bending, kneeling, squatting, lifting, carrying, pushing and pulling. Patients requiring moderate to maximum assistance are lifted and/or transferred by two or more persons.
9. Uses special equipment as required by each patient including, but not limited to wheelchairs, tracheostomy tubes, gastric feeding tubes, and external catheters, at any given time according to the outline of each patient's program. May require fine motor manipulation, lifting, reaching, carrying, pushing and pulling when working with equipment.
10. Maintains professional and ethical relationships with staff, patients, patient families, and other visitors.
11. Attends staff meetings, in-services, and all scheduled shifts.
12. Comprehends and follows instructions:
a. Maintain attention and concentration for necessary periods
b. Apply common sense understanding and carry out instructions (written, oral or diagrammatic)
c. Adapt to situations requiring the precise attainment of set limits, tolerances or standards
13. Performs simple and repetitive tasks:
a. Ask simple questions or request assistance when needed
b. Perform routine, concrete, organized activities
c. Remember locations and work procedures
d. Make decisions based on simple sensory data
14. Maintains work pace appropriate to given work load:
a. Perform activities on schedule, maintain regular attendance, and be punctual within specified tolerance
b. Complete normal workday and/or week, perform at a consistent pace without excessive rest periods
15. Performs complex or varied tasks:
a. Synthesize, coordinate and analyze data
b. Perform job requiring precise attainment of set limits, tolerances or standards
16. Relates to other people beyond giving and receiving instructions:
a. Can get along with co-workers or peers without exhibiting behavioral extremes
b. Maintain open door policy to encourage active, empathetic listening
c. Perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others
d. Respond appropriately to criticism from a supervisor and/or other staff member(s)
17. Effectively influences people on a consistent basis:
a. Convince or redirect others
b. Understand the meaning of words and use them effectively
c. Interact appropriately with people which includes the provision of appropriate internal and external customer service
18. Makes generalizations, evaluations or decisions without immediate supervision:
a. Recognize potential hazards and observe appropriate precautions
b. Understand and remember detailed instructions
c. Make independent decisions or judgments based on sensory data or known guidelines
19. Accepts and carries out responsibility for direction, control and planning:
a. Set realistic goals or make plans independently of others
b. Negotiate, instruct or supervise people
c. Respond appropriately to changes in the work setting
PREFERRED DUTIES AND REQUIREMENTS
1. Independently inventories routine supplies and discusses needs with nursing staff. Will then take initiative to order supplies needed by the nursing department in appropriate quantities. Maintains adequate medical supplies in the clinic Nursing Department. Requires lifting, carrying and handling boxes weighing up to 25 pounds. Requires visual acuity and fine motor coordination to count, identify and put away supplies.
2. Coordinates and attends medical appointments requiring transporting patients in company or personal vehicle. Requires ability to drive vehicle and transfer patients using approved methods.
3. Performs other duties as assigned.
SPECIAL SKILLS UTILIZED, EDUCATION LEVEL, TRAINING
1. Current licensure by State Board of Nursing.
2. Experience in skilled nursing and rehabilitation concepts preferred.
3. Maintain CPR certification.