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NORTHEAST VALLEY HEALTH CORPORATION
Job Description: Licensed Vocational Nurse I/II/III
Definition:
 The Licensed Vocational Nurse (LVN) I/II/III provides a variety of administrative, clinical nursing, health education, and outreach services within the community health center. Basic skills for physical assessment include observation, auscultation, palpation and percussion. Basic mental status assessment includes observation of general behavior, appearance and attitude, collection of data relative to sensorium or orientation to time, person and place, and assessment of recall ability. When the LVN notes a problem, complication or abnormality, he/she must notify the physician or RN under whose direction the licensee functions. The LVN cannot independently evaluate or synthesize data.

Responsibilities:
 Performs, under the direction of the R.N. Coordinator, technical nursing services in caring for acute or chronically ill patients, including:
    (a) assists physician with examinations or special procedures, such as lumbar punctures,          sigmoidoscopies, etc.
    (b) administers medications orally, topically, and by injection.
    (c) provides nursing services, including routine screening services, ( e.g.: EKG, hearing          and vision assessments, and immunizations ).
Communicates information to the RN Coordinator through observation of the patients physical condition and behavior, signs and symptoms of illness and reactions to treatment and through communication with the patient and other team members. Executes interventions in accordance with patients care or treatment plan. Contributes to evaluation of individualized interventions related to care or treatment plan. Serves as the nursing team leader and coordinates the activities of Medical Assistants and Team Clerk in the absence of the Registered Nurse Coordinator. Initiates emergency procedures and coordinates the activities of Medical Assistants and Team Clerks until a physician or registered nurse arrives. Participates in planning and executing emergency code drills. Performs CPR as needed. Assembles appropriate and required chart data and provides basic physical assessment of client health problems. Maintains required logs and statistics ( e.g.: CHDP, hospital, and referral logs ). Participates in the in service training of unlicensed assistive personnel and the orientation of new team members. Applies communication skills for the purpose of patient care and education. Contributes to the development and implementation of a teaching plan related to self-care for patients and provides education and reinforcement to the patient for the self-care. Participates in patient follow-up activities for missed appointments, abnormal laboratory results, and maintains patient tickler file. In the absence of the lab assistant/phlebotomist, draws blood specimens and performs routine tests, including hematocrit, dipstick urinalysis, and the preparation of other specimens. Participates in routine audits of patient medical records to determine appropriateness of nursing care, documentation, and follow-up plans. Performs other duties as may be required or assigned by the R.N. Coordinator, Clinic Administrator, or Director of Nursing Services. Performs clinical specialty area related duties as required ( e.g.: Pediatrics, Adult Care, Family Planning, Perinatal, Adolescent Medicine, Care of HIV+, etc.). Participates in all safety programs which may include assignment to an emergency response team. Participates in hazardous waste and infection control assignments as required in the health center which may include being designated as an emergency responder to a hazardous substance release or spill; performing infection control data collection, evaluation, reporting and follow-up as specified in the NEVHC clinical health services policy and procedures manual.

One year of the last two years must have been in a position of ambulatory health team supervision.

Qualifications:
LVN I / II / III
Satisfactory completion of a state approved program in vocational nursing, plus current license to practice in the State of California.
Bilingual Spanish/English preferred.
Valid CA Driver’s License, current vehicle liability insurance, and an available vehicle required.
Must possess excellent interpersonal skills.
Must maintain a current Cardio-Pulmonary Resuscitation certification, in compliance with corporate CPR Policy.
Must be willing and able to work a varied and flexible schedule to accommodate the needs of NEVHC and its patients.
Must maintain or exceed competency levels as established by corporate standards for clinical practice.
Must demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served and has knowledge of the principles of growth and development over the life span. He or she is able to identify and categorize each patients age specific grouping of needs, such as those for infant, adolescent, or geriatric patients.

AND

LVN I
While an entry level position, experience in practical nursing desirable, preferably in an ambulatory patient facility.

OR

LVN II
 Must have three (3) years of experience minimum as an LVN with one year in an ambulatory care facility and patient education expertise in one or more of the following areas:
    (a) well-child care
    (b) family planning, sterilization, or NFP/FA
    (c) Prenatal
    (d) hypertension
    (e) diabetes
    (f) nutrition
Experience must have been as a Licensed Vocational or Technical Nurse within a United States Licensing Jurisdiction

OR

LVN III
 Must have five (5) years of experience minimum as an LVN with three years in an ambulatory care facility with patient education expertise in one or more of the following areas:
    (a) well-child care
    (b) family planning, sterilization, or NFP/FA
    (c) Prenatal
    (d) hypertension
    (e) diabetes
    (f) nutrition
Experience must have been as a Licensed Vocational or Technical Nurse within a United States Licensing Jurisdiction.