Licensed Vocational Nurse (SNF) Day Shift

Crmcmed; Coalinga (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

Crmcmed is seeking a Licensed Vocational/Practical Nurse (LVN/LPN) for a role in Coalinga, California. The nurse will be responsible for delivering quality patient care, implementing assessment plans, and managing nursing services. This role requires strong interpersonal skills and adherence to safety and ethical standards.

The ideal candidate must hold a valid CA State Practical/Vocational Nurse license and BLS certification. The position demands physical endurance, a team-oriented attitude, and a commitment to ongoing education and skill enhancement.

Qualifications

• Requires valid CA State Practical/Vocational Nurse license.
• BLS certification required at hire.
• Strong interpersonal skills and ability to manage multiple priorities.

Responsibilities

• Maintain quality care by implementing nursing care plans.
• Conduct ongoing assessments of patient needs.
• Manage nursing care and educate patients.

Skills

Interpersonal skills

Patient care

Decision-making

BLS certification

Education

Valid California State Practical/Vocational Nurse license

Job description

Position Summary

Using independent and interdependent judgment, the Licensed Vocational/Practical Nurse (LVN/LPN) maintains the delivery of quality care by assuring the nursing care plan is followed. In collaboration with the physician, the LVN/LPN assures implementation of the assessment plan, evaluation, and follow‑up of the plan of care for the patient population.

Duties and Responsibilities

To the Patient

• Participates in an ongoing systematic assessment of the physical, emotional, social, educational, and functional needs of the patient/family through interview, observation, and physical examination.
• Provides plans, coordinates or manages nursing care, nursing services, and health education to patients/residents.
• Interprets assessment data and information to develop a nursing care plan which contains problem identification, nursing diagnosis, nursing orders, approaches, interventions, short/long term goals, and discharge planning.
• Develops nursing care plan utilizing nursing diagnosis.
• Assesses safety and fall risk levels for patients.
• Ensures that medical orders are transcribed and processed accurately, and integrates the medical care plan into the provision of nursing care.
• Ensures that medication/I.V. administration is correct and according to the established nursing policies and procedures.
• Looks up unfamiliar medications, processes medication orders, administers medications as ordered, evaluates effectiveness of PRN medications.
• Verbalizes process for self‑administered medications and patient education on identified medications, standing orders.
• Administers I.V. hydration if I.V. certified.
• Provides for personal and environmental safety in accordance with hospital and nursing policies and procedures.
• Demonstrates skills in handling emergency and life‑threatening situations, locates and uses crash cart items, calls Code Blue and Medical Emergency, initiates CPR, follows P&P and POLST.
• Ensures that documents in the medical record are complete, factual, accurate and timely; documents materials, equipment used; notes orders; documents discharge in chart; initiates and updates care plan as appropriate; provides discharge instructions; completes inter‑agency transfer form.
• Performs a complete head‑to‑toe assessment of each assigned patient per shift using proper documentation tools; acts promptly on changes in patient condition using the SBAR method; reviews lab and test results, notifying physician of abnormal and critical results; performs wound care, basic ventilator management and trouble‑shooting.

To Unit Staff

• Provides direction and leadership in patient care to assigned personnel.
• Acts as a team leader and provides guidance to unlicensed personnel.
• Makes assignments for team, prioritizes activities and plans for effective use of time for patient needs.
• Communicates the plan of nursing care for each patient through reports, conferences, rounds, and patient care records; leads shift‑to‑shift report and shift huddle with aides; delegates tasks to aides and monitors completion.
• Demonstrates responsibility for teaching nursing assistants in new techniques, policies, and procedures; serves as preceptor.
• Participates in quality improvement activities, attends appropriate meetings, communicates identified learning needs to the DON, assists the DON in orientation of new staff, adheres to established policies and procedures of the hospital and Nursing Department, actively participates on nursing committees, performs other duties as assigned or requested.

To Self

• Evaluates own performance and seeks opportunities for growth and expansion of skills.
• Takes initiative to upgrade and maintain skills necessary to provide quality care and leadership to assigned staff.
• Acquires continuing education sufficient to maintain licensure and certification; maintains current nursing licensure; provides Human Resources and DON with a copy of current nursing license; maintains required competencies; completes assigned program tracks by DON/DSD; completes appropriate level of Clinical Advancement within established timeframes; holds membership in appropriate professional organizations.
• Assumes responsibility for maintaining/enhancing physical health and alleviating stress; maintains attendance; demonstrates competency in a variety of nursing skills evaluated at least annually; attends annual skills fair; displays a customer‑service attitude toward patients, visitors, and other staff at all times; demonstrates basic telephone skills (answer, place on hold, transfer a call), utilizes intercom, demonstrates paging of physicians or others on call; adheres to all safety, infection control, and other guidelines; follows guidelines for caring for patients in isolation; utilizes hand‑washing techniques; cleans equipment between patient usage; reports personal symptoms of suspected illness or contagious disease to the Employee Health Nurse; demonstrates knowledge of universal blood and body fluid precautions; promotes an ethic of continuous quality improvement; performs all other tasks and duties as assigned; provides competency to treat patients 18 and older; involves adults in care planning, identifies normal living patterns, involves family as much as possible, speaks distinctly and moves slowly for geriatric patients.

Dress and present oneself in a professional manner at all times. Adherence to the corporate appearance policy is required.

Conduct oneself ethically at all times while on duty. Uphold all service standards, including safety, environment of care, communication, courtesy, presentation, and efficiency. Protect the privacy of patients and maintain a quiet atmosphere.

Position Qualifications

Requires a valid temporary or permanent CA State Practical/Vocational Nurse license. The individual must have strong interpersonal skills, the ability to manage multiple priorities, be dedicated to the provision of quality patient care, and use sound judgment in decision‑making. BLS certification is required at the time of hire.

Ability to maintain assigned work hours: Requires endurance to perform tasks over long periods of work hours.

Physical Demands

Standing/Walking: 34‑66%; Sitting: 1‑33%; Twisting: 1‑33%; Lifting/Carrying: 1‑33%; Pushing/Pulling: 1‑33%; Climbing (ascending/descending): 1‑33%; Bending/Stooping: 1‑33%; Using arm and leg muscles frequently: 1‑33%; Using back muscles frequently: 1‑33%.

Lifting Requirements

• 2‑10 lbs – 67‑100%
• 11‑20 lbs – 67‑100%
• 21‑30 lbs – 67‑100%
• 31‑40 lbs – 34‑66%
• 41‑50 lbs – 1‑33%
• 51 lbs or more – 1‑33%

Working Environment

• Working in hot, cold, wet surroundings – 1‑33%
• Working outdoors – 1‑33%
• Working with or near chemicals – 34‑66%
• Working near radiation sources – 1‑33%
• Potential exposure to communicable diseases – 1‑33%
• Working with hazardous waste materials – 34‑66%
• Utilizing essential upgraded or adaptive equipment as industry standards require – 34‑66%
• Using hand tools – 1‑33%
• Potential for cuts and bruises – 1‑33%

Universal Precautions

Category I: Light contact with moist body substances, non‑intact skin or mucous membranes – minimum protective measures required. Category II: No contact with moist body substances, may require performing unplanned Category I tasks – protective measures readily available. Category III: No contact with moist body substances or non‑intact skin or mucous membranes.