LVN – Winters Rehab & Healthcare

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Licensed Practical Nurse/License Vocational Nurse – Winters Rehab & Healthcare

Summary

Responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric experiencing medically complex conditions, general medical-surgical conditions, with rehabilitation and/or wound care needs. He/she is also responsible for reporting changes in patient conditions to the RN and taking direction from the RN. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Promotes teamwork with physicians and personnel of other departments. Demonstrates behaviors reflective of the mission and core values of the company.

Essential Job Duties and Responsibilities

1. All essential functions should be reviewed with the Nurse Manager upon completion of the 90 day probationary period and no less than annually thereafter to evaluate performance and establish new goals if results are not meeting expectations.

2. Supervises Certified Nurse Aides under direction of RN.

3. Collects patient care data and monitors patient conditions and family dynamics based upon observation, history and nursing/medical diagnosis.

4. Contributes to the development of the plan of care and discharge plan for the assigned patient.

5. Implements patient care utilizing care plan, delegated medical orders and collaborates with health team members as necessary.

6. Assists in evaluating outcomes of patient care planning and teaching and in revising the plan according to changing needs of the patient.

7. Participates in the orientation and education of personnel and students.

8. Documents the delivery of health care and nursing process in accordance with specific unit standards and hospital nursing policy.

9. Demonstrates ability to prioritize tasks/responsibilities and complete duties within allotted time.

10. Knows the rationale for the effect of medications and treatments and correctly administer same.

11. Obtains report from the nurse being relieved from duty and provides report to nurse coming on duty. Keeps Supervisor or other as appropriate informed about patient’s status and related matters. Performs or supervises complete, timely, and accurate documentation of patient care.

12. Performs administration and documentation of medications, internal nutrition and treatments per physician’s orders and accurately records all care provided.

13. Performs or supervises review of medication and treatment records for completeness, accuracy in transcription of physician orders and adherence to stop order policy.

14. Utilizes the nursing process, documentation, communication and technical skills, collaboration with physicians and other team members to meet performance requirements.

15. Performs or supervises the service and documentation of prescribed diets and fluid intake.

16. Makes patient rounds to assess physical and emotional status and to initiate nursing intervention.

17. Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognizes priorities; communicates and models organizational values; fosters high performance; recognizes need for and provides adequate resources.

18. Applies process for improvement in daily work; and assists in education of new employees in the team process.

Other Duties

19. Performs other duties as assigned or delegated by the Registered Nurse.

Qualifications

20. Minimum requirements are a Graduate from an accredited school of licensed vocational nursing or licensed or licensed practical nursing with current state license in good standing. Two or more years of acute care or rehabilitation experience as a LVN is preferred.

21. Current state license to practice as a LVN or by compact agreement.

Key Competencies

Command Skills: Relishes leading: takes unpopular stands if necessary; encourages direct and tough debate but isn’t afraid to end it and move on; is looked to for direction in a crisis; faces adversity head-on; energized by tough challengers.

Composure: Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature; can be counted on to hold things together during tough times; can handle stress; is not knocked off balance by the unexpected; doesn’t show frustration when resisted or blocked; is a settling influence in a crisis.

Conflict Management: Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise.

Customer Focus: is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.

Timely Decision Making: Makes decisions in a timely manner; sometimes with incomplete information and under tight deadlines and pressure: able to make a quick decision.

Decision Quality: Makes good decisions (without considering how much time it takes) based upon a mixture of analysis, wisdom, experience, and judgment; most of his/her solutions and suggestions turn out to be correct and accurate when judged over time; sought out by others for advice and solutions.

Directing Others: Is good at establishing clear directions; sets stretching objectives; distributes the workload appropriately; lays out work in a well-planned and organized manner; maintains two-way dialogue with others on work and results; brings out the best in people; is a clear communicator.

Integrity and Trust: is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain.

Managerial Courage: Doesn’t hold back anything that needs to be said; provides current, direct, complete, and “actionable” positive and corrective feedback to others; lets people know where they stand; faces up to people problems on any person or situation (not including direct reports) quickly and directly; is not afraid to take negative action when necessary.

Motivating Others: Creates a climate in which people want to do their best; can motivate many kinds of direct reports and team or project members; can assess each person’s hot button and use it to get the best out of him/her; pushes tasks and decisions down; empowers others; invites input from each person and shares ownership and visibility; makes each individual feel his/her work is important; is someone people like working for and with.

Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.

Drive for Results: Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results.

Sizing up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Language Skills

1. Ability to read, write, speak, and understand English including the ability to make oral presentations to individuals and groups.

2. Ability to relate positively, effectively and appropriately with patients, families, community members, volunteers and other hospital staff on a daily basis. Possess special interest in, and a positive attitude about, working with long-term care patients and the elderly.

Physical Capabilities: Percent (%) of Time

Lifting/Carrying
1-10 lbs: FREQUENTLY (31-60%)
11-25 lbs: FREQUENTLY (31-60%)
26-50 lbs: OCCASIONALLY (1-30%)

Pushing/Pulling
20-50 lbs: FREQUENTLY (31-60%)
Over 50 lbs: OCCASIONALLY (1-30%)

Climbing/Balancing: FREQUENTLY (31-60%)
Stooping/Bending: FREQUENTLY (31-60%)
Standing:Sitting: CONTINUOSLY (61-100%)
Walking: FREQUENTLY (31-60%)
Travel: FREQUENTLY (31-60%)
Overtime: OCCASIONALLY (1-30%)
Hearing: Y
Vision: Y
Speaking: Y
Color Vision: Y

WORK ENVIRONMENT DEMANDS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ENVIRONMENT: Percent (%) of Time Inside / Percent (%) of Time Outside
Cold: OCCASIONALLY (1-30%)
Hot: FREQUENTLY (31-60%)
Humid: OCCASIONALLY (1-30%)
Wet: OCCASIONALLY (1-30%)
Dry: FREQUENTLY (31-60%)
Dust: OCCASIONALLY (1-30%)
Noise: FREQUENTLY (31-60%)
Fumes: OCCASIONALLY (1-30%)
Odors: CONTINOUSLY (61-100%)
Chemical Exposures: OCCASIONALLY (1-30%)
Infections: OCCASIONALLY (1-30%)
Video Display Terminals: FREQUENTLY (31-60%)
Mechanical/Electrical Hazards (Possible Exposure to): FREQUENTLY (31-60%)
Gloves Necessary: OCCASIONALLY (1-30%)

If you have questions please contact Jackie Miller, Human Resource Director

Phone: 325-754-1500 Ext. 523

Fax: 325-754-4337

Email: jmiller@nrhd.org