LVN

Statement of Purpose

Under the direct supervision of the Nursing Supervisor/Program Director, the Licensed Vocational Nurse (LVN) assesses clients and provides nursing care (including but not limited to client care coordination, medication services, patient education, etc.) in accordance with physicians’ orders and treatment objectives and as instructed by supervisor.

Major Tasks, Duties and Responsibilities

Report and record any changes observed in client condition or behavior, including unusual incidents. Identify, report, and assist with the management of emergencies.

Complete nursing assessment, and/or other intake/assessment tools and documentation as indicated (e.g., withdrawal screeners, C-SSRS, etc.)

Take and record accurate vital signs and perform toxicology testing. Chart routine information (e.g., vital signs, client progress, daily activities, etc.). Support clients with health and hygiene needs as indicated per individual plan of care.

Make rounds every 30 minutes for 72 hours on withdrawal management clients, document and record withdrawal symptoms.

Monitor and document client self-administration of medications. Facilitate doctor’s orders including injectables (e.g., Vivitrol, etc.). For nurses assigned to CDRH unit, administer and document medication orders to medication administration records.

Monitor and document client self-administration of PRN and other medications as ordered by physician. For nurses assigned to CDRH unit, administer and document medication orders to medication administration records.

Interact with clients to support their participation in the program. Facilitate and document services including but not limited to educational sessions or other groups, care coordination services, daily activity notes, and discharge services for clients.

Administer anti-overdose medications as needed and support client access to/and education regarding anti-overdose medications, and document accordingly.

Carry out appropriate interventions, including responding to emergencies and performing CPR and/or first aid, and document accordingly. Assist in event of client crisis, and document accordingly.

Conduct medication audits and log and destroy outdated medications per policy.

Assist with screening, orientation, admission, transfer, and discharge of clients. Handle clients’ personal belongings as directed.

Provide clerical support as directed by nursing staff and/or supervisors. Keep charts in order with all forms properly identified, uploaded, input, etc.

Follow directions of supervisors, physicians, mid-level practitioners, and registered nurses.

Observe universal precautions, including correct handling of bloodborne pathogens, storage of lab specimens, and disposal of infectious wastes.

Work as a member of the treatment team, especially in carrying out the client's plan of care.

Maintain professional boundaries and standards. Treat clients with respect, care, and concern. Comply with confidentiality requirements at all times. Maintain health and safety standards of facility.

Recognize personal biases working within diverse populations. Maintain cultural sensitivity at all times.

Maintain familiarity with BHS policies and procedures and other applicable regulations; perform job duties accordingly. Represent BHS well in all contacts.

May order inventory, and/or stock supplies in the unit.

Courteously answer phones, appropriately directing calls and taking messages. Make phone calls for clients as approved by lead nurse and/or supervisor.

Attend meetings and trainings, and participate in committees as assigned. Support with educational training for program as needed.

Other duties as assigned.

LVN Competencies and Performance Expectations

All LVN’s are expected to hold the below competencies

Ability to complete the above major tasks, duties and responsibilities.

Ability to demonstrate professional judgment and decision-making.

Ability to complete PPD screening, perform skin checks, etc.

Ability to effectively document in required note structures (e.g., SOAP, GIRP, etc.).

Ability to demonstrate familiarity of medication common for persons with substance use disorder.

Ability to recognize the symptoms and demonstrate knowledge of appropriate treatment associated with substance use disorder and detoxification.

Ability to communicate effectively with all involved parties, both verbally and written.

Ability to recognize the symptoms and impact of co-occurring conditions, including mental and medical health conditions.

Ability to recognize personal biases when working with diverse populations and maintain cultural sensitivity at all times.

Ability to complete identify and respond appropriately to a crisis. Demonstrate appropriate techniques for interventions, including but not limited to medical emergencies, overdose, AMA, behavioral challenges, suicide threats, safety codes, contraband protocol, etc.

Ability to Adhere to Professional Standards.

Prerequisite Qualifications

The following are the qualifications required to perform the essential functions of this position. Qualifications may be subject to modification based on the Americans with Disabilities Act.

Bilingual abilities may be required within certain BHS programs. CPR/BLS/AED/First Aid certification, maintain in good standing. Medication Management and Overdose Prevention training required within 30 days of employment.

Obtain NPI number, EMR system enrollment within 30 days of employment. Annual TB, maintain in good standing.

High school diploma or equivalency. LVN license required, maintain in good standing at all times. Must have valid California driver’s license and liability insurance, if driving a personal/company vehicle on BHS business.

Ability to operate required computer programs for position, including but not limited to Microsoft Office Suite, electronic timekeeping system, electronic learning management system, upon hire or demonstrated competency developed within 90 days of employment.

Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for the performance of job duties. Able to sit at a desk, use a keyboard, write and physically perform other job duties. Able to move about the facility to observe clients and staff.