Licensed Vocational Nurse Surgical Specialty Clinics

Department of Veterans Affairs

The LVN is a position within Nursing Services at VA San Diego Healthcare System. The LVN functions as a member of the multidisciplinary team assisting with the delivery of care to patients. The LVN is accountable for the quality of nursing care he or she provides to patients and utilizes the nursing process, assumes responsibility for planning, implementing, directing, and evaluating nursing care for assigned patients. ***Position located in Oceanside VA Clinic***

• The LVN assumes the following responsibilities: 1. This position requires flexibility in schedule and assignments, as this is a 24/7 hospital. 2. BLS certified. 3. Obtains/collects specimens as ordered. 4. Participate in performance improvements. 5. Administers medications and treatments to patients with complex nursing problems. 6. Participates in daily DMS huddles and unit specific staff meetings. 7. Participates in coaching and mentoring of colleagues or new employees. 8. Performs and documents within the electronic medical record. 9. Completes CPRS documentation and closes encounters by facility policy. 10. Provides timely patient follow-up. 11. Maintains confidentiality of patient information. 12. Seeking opportunities for self-improvement and participating in performance improvements. 13. Collaborates and communicates effectively with the Interdisciplinary Care Team. 14. Documentation is factual, objective, accurate, consistent, timely, and complete. 15. Documents and signs all patient related activity within tour of duty. 16. Assists with coordinating care of patients. 17. Adhere to ethical principles and standards in delivering care. 18. Communicate with team members regarding patient care. 19. Seeking opportunities for self-improvement. 20. Demonstrate mandatory and clinical competencies of the position. 21. Implements nursing interventions/orders in a timely and complete manner. 22.Recognizes changes in patient's condition and deviations from baseline that require immediate intervention. 23.Provide patient education related to managing risk factors, medications, procedures, and other medical regimens related to disease process/specialty clinic, within scope of practice. 24.Educates patients on provided discharge instructions related to their disease process, ensuring the patient can ask questions. 25.Recognizes changes in patient's condition and deviations from baseline that require immediate intervention. 26. Apply infection control measures appropriately in delivering care. 27.Alerts providers (physicians/nurse practitioners) of abnormal signs and symptoms and/or abnormal test results to expedite care. 28.Collaborate with the Registered Nurse or Charge Nurse when the patient requires a higher level of care that is not manageable on the unit. 29. Obtains Nail Certification within 12 months of hire. 30. Performs other duties, as assigned. Surgical Specialty Clinics: 1. Provides direct patient care to Surgical Specialty patients in accordance with hospital policies and practice standards and guidelines. 2. Gathers additional data (face to face or via phone) related to patient needs for treatment determination of Surgical Specialty Clinic's needs. Participates in ongoing quality improvement workplace activities, including conducting unit audits, as appropriate to the individual's position, education, and practice. 3. Participates in Surgical Specialty performance measure activities such as, but not limited to, hand hygiene, universal protocol, and access to clinics. 4. Assists RN with coordinating care of patients as needed, including patients consulted. 5. Assured patients have pre-appointment requirements completed prior to Surgical Specialty procedure. Preferred Experience: 1-2 Current experience in Ambulatory Care (PACT, Surgical Specialty). Experience in gynecology, podiatry, orthopedic, ED, inpatient care helpful. Work Schedule: Full Time Tour of Duty: Monday - Friday, 0730 - 1730 Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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