LVN-Expectations

County Correctional Health Services

The LVN Performs a wide variety of Vocational Nursing duties, including hands-on care, testing, and treatment of patients, interviewing patients and assisting them in follow-up care, maintaining medical and medication supplies, assisting in emergency medical treatment, administering medications, and maintaining charts and records.

Duties may include, but are not limited to the following:

Interview and observe patients to ascertain medical history and current condition, review patient records, take vital signs, record and report all information.

Prepare examination room, assemble treatment supplies, prepare patients for examination, and assist Registered Nurses, Nurse Practitioners, and Physicians in examination and treatment of patients.

Perform various tests and treatments such as hypodermic injections, blood draws, tuberculin skin tests, immunizations, pregnancy tests, EKGs, hearing tests, vision tests, and asthmatic inhalation therapy.

Administer oral and topical medications, observe patients for normal and abnormal reactions, record results, and notify appropriate staff as necessary.

Instruct individual patients on follow-up care, birth control, communicable disease prevention, hygiene, and general health care, as needed for specific medical condition.

Make appointments and referrals for patient regarding medical care, social services, and psychiatric services.

Maintain records, inventory, and physical security of drugs and medical supplies; sets up and stocks medication cart, crash cart, and dispensary medications and supplies.

Maintain infection control by using universal precautions.

Clean and sterilize equipment and furniture.

Assist in emergency medical treatment, including cardio-pulmonary resuscitation.

Perform simple laboratory work, and prepares specimens for delivery to laboratory, obtains tests results, and notify patients of test results.

Report suspected cases of abuse and neglect of children or adults to proper authorities, according to procedures and protocols.

Respond to inquiries from patients

Keep accurate records, charts and case files.

Attend and participate in training demonstration sessions, and in-service educational programs to attain and maintain nursing skills.

Testify in court regarding medical test results and treatment.

Perform related duties as assigned

Knowledge Of

Vocational Nursing Principles, Procedures, and Techniques (BVNPT Article 2; 2859-2873)

State of California laws and regulations on Licensed Vocational Nursing

Proper handling and administering of biologicals

Standard medical record-keeping

Interviewing techniques

Common current Medical Terminology

Use and care of medical equipment used in clinical and infirmary settings

Basic medical indications of alcoholism and drug abuse and their overdoses

Basic behavioral indications of mental disturbance

Basic laboratory testing procedures

Current standard asepsis protocols

Basic symptoms and treatment of communicable diseases

Common drugs and medications used for birth control, communicable diseases, immunizations, and allergies

Cardiovascular conditions and substance overdoses, including their contra- indications and normal and abnormal results

Universal Precautions

Electronic Charting system and MAR

Windows operating system and its applications

Ability To

Communicate with and gain the cooperation of patients of various social, cultural, economic and educational backgrounds

Work cooperatively with other medical care providers and staff

Comply with laws, rules, regulations, protocols, and procedures, including security requirements, applicable to the work unit

Chart all patient information and physician's orders

Gain cooperation of patients in treatment and follow-up care

Maintain patient confidentiality

Follow oral and written instructions, including standing orders, clinical protocols, orders for treatment and dispensary orders

Take patients vital signs

Use electronic charting (E-Chart) and electronic MAR (Admin-RX)

Resynchronize basic bluetooth device (Pill Call)

Pill Call assignment:

Example of typical duties:

Prep medications in totes/carts prior to leaving 2M area

Pull non-formulary, narcotic, liquid, and other necessary medications from AccuDose

Check in with custody and ask for stand-by for medication pass

Identify six rights of medication administration (medication, route, time, client dosage, and documentation)

Verify patient via wristband; If no wristband available have custody confirm via identification card in control

Administration of medications via all routes

Use EMR (Admin-RX and scanner)

Identify patient/inmate cheeking

Document in eChart all incidents of cheeking and make appointment for MD chart review

Medication refusals require fully completed refusal form with patient signature and nurse administering medication or staff witness and nurse administering medication

Document in MARS

Follow up and administer essential early return court medications, new orders (valid first doses processed through HMM), and newly transferred patient's medications on your assigned units

Pass TID medications at ordered times

Return medications not administered via pharmacy return box (non-narcotic) and AccuDose (narcotic)

Place completed forms for scanning (i.e: refusals, cheeking)

Place completed medical, dental, & JPS kites in appropriate locations

Diabetic checks and insulin administration

Document blood sugar and insulin given

Training of other LVN's

Rotation of assignments

Other duties as applicable

TB Nurse assignment:

Example of typical duties:

TST plants/sticks, reads, Hx reviews, f/u CXR's

Court Orders

Collaborate with Public Health (TB Dept) and other necessary person (s)

E-Chart documentation

ROI's

MD/NP orders

Complete Lab slips

Back-up pill call(if needed)

2M desk coverage(if needed)

Restock supplies used

Other duties as applicable

Removing/replacing sharp containers

Respond and participate in man-downs

Assist as needed

Keep area clean and tidy

Nurse follow-ups

Training of other LVN's

Rotation of assignments

2E/Float/Intake/Dressing Nurse

Example of typical duties:

Vital signs of walk-in patients/inmates

Check fridge temps and record

CMR

E-Chart documentation

ROI's

Dressing changes

MD/NP orders

Diabetics (finger sticks and insulins if applicable)

STD testing/ PG testing/dipsticks, etc..

Complete Lab slips

2E medications

2E follow-ups

Intake

Back-up pill call (if needed)

2M desk (if needed)

Restock supplies used

Other duties as applicable

Removing/replacing sharp containers

Respond and participate in man-downs

Assist as needed

Keep area clean and tidy

Nurse follow-ups/Follow-ups

Court Meds (if applicable)

Training of other LVN's

Rotation of assignments

Shift

0600-1630