Licensed Vocational Nurse II
The LVN II works under the direct supervision of a Registered Nurse to provide for the care, treatment, and general welfare of patients. Responsibilities include: medication administration, noting and transcribing physician’s orders, assisting with sick call, providing/monitoring treatments and procedures, performs screening tests as ordered, collects specimens for laboratory examination, scheduling necessary appointments/consultations, maintains accountability for controlled medications and the security of assigned keys, Implements established patient/family education plans, provides individual or group teaching, for patients with specific health maintenance goals, prepares nursing and medical summaries, participates in the provision of appropriate psychiatric rehabilitation, using the Social Learning approach to treatment, attends change of shift report and communicates relevant information to support continuity of care. . May receive collateral, consultative coaching and/or training from Social Learning Implementation leaders or consultants. Is knowledgeable of individual treatment plans and actively seeks ways to assist patients to meet their goals. Communicates vital information to the treatment team in relation to progress or lack thereof. Serves as a preceptor/mentor for LVN students and new nurses. In the absence of the RN, may assume responsibility for patient care and management of the unit, within their scope of practice, with RN support via telephone and immediate onsite availability as needed.
Completion of work requires moderate supervision with limited latitude for the use of initiative and independent judgment. The LVN has no financial responsibility but is accountable for assigned property.
Provides nursing support as assigned by the RN with the understanding that duties, location of work, and shift patterns are subject to change as determined by administration to meet the needs of the hospital.
HIPPA Access: Health Care: PHI 1-B. This employee has full access to a limited set of records in accordance with HIPPA regulations.
Essential Job Functions:
Prepares and administers medications according to acceptable standards, hospital policies and procedures and within the parameters of their educational preparation.
Provides for the care, treatment, and general welfare of patients to include assisting with sick call and medical emergencies, providing/monitoring treatments and procedures, performing screening tests as ordered, collecting specimens for laboratory examination, scheduling appointments/consultations etc.
Ensures comprehensive and accurate documentation to support the following: medication administration, treatments, changes in mental/physical condition, education provided, etc. according to MHRS and CWS guidelines.
Reports significant observations in mental/physical condition to the supervising RN or other team members as appropriate to promote quality patient care
Maintains accountability for controlled medications and the security of assigned unit keys.
Implements established plans for patient/family education, provides individual or group teaching as appropriate to increases patient to promote knowledge of medications, health/hygiene skills, disease management/prevention etc. to promote independent living skills.
Participates in the provision of appropriate psychiatric rehabilitation, using the Social Learning approach to treatment, attends change of shift report and communicates relevant information to support continuity of care. Is knowledgeable of individual treatment plans and actively seeks ways to assist patients to meet their goals. Communicates vital information to the treatment team in relation to progress or lack thereof.
Demonstrates a commitment to a culture that minimizes events that lead to restrictive interventions through an understanding and application of the following concepts: a) Primary Prevention, b) Secondary Prevention, and c)Tertiary Prevention
Maintains a medication/treatment area that is clean, neat and orderly. Responsibilities include wiping down counter tops and medication carts at the end of each shift, seeing that all containers are properly labeled and stored in an acceptable location, and ensuring stock medications and treatment supplies are available and within date for safe use.
Serves a preceptor and mentor for LVN students and newly hired nurses, using the program specific orientation guidelines to promote consistency within the program, and encourage retention.
Assumes responsibility for patient care and management of the unit with RN support via telephone, and immediate on-site availability as needed.
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Knowledge Skills Abilities:
Knowledge of nursing techniques and procedures
CPI Continuous Performance Improvement
Emergency Preparedness Procedures
Infection Control Procedures
Mental Health & Mental Illness
Rights of Patients
TDMHMR Departmental Rules
COPSD (co-occurring Psychiatric and Substance Disorders)
Within six (6) months’ of employment, will be expected to have knowledge of and adhere to:
Mental Health Code
Nursing Policy and Procedure Manual
Program Nursing Manual
NTSH Administrative Policy and Procedure Manual
Must demonstrate competency within six (6) months of employment in the following:
Use of Medical Equipment to include: glucometer, AED, Oxygen
Demonstrate skill and capability of accurately observing and identifying significant patient behaviors and possesses the capability of accurately describing such events in the patient’s record
Psychiatric Rehabilitation Social Learning Approach to Treatment
Group Process to include: medication education, disease processes, disease management/prevention
Voluntary and Involuntary Behavioral Interventions
Transcription of Medication Orders
Consent for Psychoactive Medication
Use of Glucometer
Administration of Oxygen
CRS (Computerized Record System)
CWS (Clinician Work Station)
Verbal Therapeutic Communication, Primary, Secondary, and Tertiary Prevention
Ability to intervene therapeutically with patients experiencing Psychiatric Disorders (Delusions, Hallucinations, Suicidal/Homicidal Ideation).
Psychiatric Symptoms and Aggression Management
Ability to provide patient care; to prepare and maintain records; and to train and supervise others
Ability to perform CPR, use AED, Heimlich Maneuver, First Aid, and PMAB (Sections 1-3 required)
Ability to establish and maintain successful working relationships with others
Registration or Licensure Requirements:
Licensed as a LVN in the state of Texas or in a party state that recognizes reciprocity through the Nurse Licensure Compact as described in Art. 4528b of the Nurse Practice Act.
One (1) year’s prior clinical LVN experience or as outlined in the Department of Nursling’s Appointment and Promotion Standards, for LVNs, (on file).
Initial Selection Criteria:
Graduation from an accredited LVN program with a valid permit to practice in the State of Texas with awaiting licensure. Licensed to practice as a LVN in the State of Texas; OR Be a Licensed Vocational Nurse (LVN) in a party state that recognizes reciprocity through the Nurse Licensure Compact as described in Art. 4528b of the Nurse Practice Act.
Requisition # 216486
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Texas Department of Family and Protective Services - 17 months ago