Job description

TMR @ WOODLANDS is looking for OUTSTANDING NURSES !!

Licensed Vocational Nurse

As a LVN, you will deliver care to patients in a long-term acute care and or rehabilitation setting. Observe and provide ongoing assessment of client and family circumstances. Initiation of preventive, rehabilitative and therapeutic measures.

Teach safety precautions; medication actions and interactions; appropriate health care measures. Administration of medications, treatments and other modalities as ordered by the attending provider. Document accurately and submit timely the nursing notes, according to agency standards

Responsibilities although not all inclusive, below are examples of what you will be responsible for in this role:

• Works under direct supervision of DON and ADON in accordance with state-specific Nurse Practice Act, facility Policies and Procedures, and nursing judgement.
• Delivers nursing care to patients, residents requiring long-term or rehabilitation care.
• Collects patient, resident data, makes observations, and reports pertinent information related to the care of the patient, resident.
• According to state-specific regulations, implements the patient, resident plan of care and evaluates the patient, resident.
• In accordance with state-specific regulations, directs and supervises care given by other nursing personnel in selected situations.
• Maintains knowledge of necessary documentation requirements
• Maintains knowledge of equipment set-up, maintenance and use, i.e., monitors, infusion devices, drain devices, etc.
• Maintains confidentiality and patient, resident right regarding all patient, resident, and personnel information.
• Provides patient, resident, family, and caregiver education as directed.
• Conducts self in a professional manner in compliance with unit facility policies.
• Works shifts, holidays and weekends as scheduled,
• Initiates emergency support measure (i.e., CPR, protects patients, residents from injury.)
• Data collection:
• Admission and routine patient, resident observations, transfer notes are complete and accurately reflect the patient, resident’s status.
• Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures.
• Nursing history is present in the medical record for all patients and residents.
• Changes in patients, resident’s physical, psychological condition (i.e., change in lab data, vital signs, mental status), are reported appropriately.
• Planning of Care: contributions to the formulation, review of nesting care plans is made as appropriate, under the direct supervision or delegation of an RN.
• Pertinent nesting problems are identified.
• Goals are stated.
• Appropriate nursing interventions, orders are recommended.
• Evaluation of Care
• Observations related to the effectiveness of nursing interventions, medications, etc., are reported as appropriate and documented in the progress notes.
• Care Plans:
• Evaluation of care is noted in accordance with facility polies and protocol.
• Contributions to care plan revision are made as indicated by the patient, resident’s status and in accordance with facility polices and protocol.
• General Patient/Resident Care.
• Patient, resident is approached in a kind, gentle and friendly manner. Respect for the patients, resident’s dignity and privacy is consistently provided.
• Interventions are performed in a timely manner. Explanations for delays in answer, responds are provided.
• Independence by the patient, resident in activities of daily living is fully encouraged possible.
• Treatments are completed as indicated.
• Safety concerns are identified, and appropriate actions are taken to maintain a safe environment.
• Side-rails and height of bed are adjusted.
• Patient/Resident call light and equipment is within reach.
• Rooms are neat and orderly.
• Functional assignment is completed.
• Patient, Resident identifications bands and allergy bands (if applicable) are present.
• Emergency situations are recognized, and appropriate actions is instituted.
• All emergency equipment can be readily located ad operated (emergency oxygen, supply, drug box, fire extinguisher, etc.)
• Patient/Resident Education//Discharge Planning.
• Patient/Resident Family teaching is conducted according to the nursing care plan.
• Explanations are given to the patient/resident prior to the interventions.
• Discharge/death summaries are complete and accurate.
• Transfer forms are complete and accurate
• Active participation in patient/resident care management is evident.
• Adherence to Facility Procedures.
• Facility Policy and procedure Manual or reference materials are utilized as needed.
• Procedures are performed according to method outlined in procedure manual.
• Body substance precautious and other appropriate infection control practices are utilized with all nursing interventions.
• Safety guidelines established by the facility (i.e. proper needle disposal) are followed.
• Documentation.
• The patients/residents full name sand room number are present on all chart forms. Allergies are noted on chart cover.
• Only approval abbreviations are utilized
• Vital signs are properly and timely recorded
• I&O summaries are recorded and added correctly.
• Progress notes are times, dates and signed with full signature and title.
• Unit flowsheets are completed properly (i.e. wound care records, treatment records, weight sheets, etc.)
• Medication Administration/Parenteral Therapy Record.
• Adheres to state-specific Nurse Practice Act for administration of medication and parenteral therapy.
• Dates that medications are started and discontinued are documented.
• Medications are charted correctly with the name, dose, route, site, time, and initials of nursing administering.
• Vitals (pulse & blood pressure) are obtained and recorded when appropriate.
• Medications that not given are circled, reason noted and physician notified if applicable.
• Appropriate notes are written for medications not given and actions are taken.
• Names and title of nurse administering medication are documented
• Patient’s/Resident’s medication records is labeled with full names, room number, date and allergies.
• The procedure for administration and counting of narcotics if followed.
• All parenteral fluids, including additives, are charted with time and dates started, time infusion completed, site of infusion and signature of nurse.
• All parenteral fluids are administered according to the order infusion rate.
• Parenteral intake is accurately recorded on the unit flow sheet or I&O record.
• Appropriate actions are taken related to identified IV infusion problems (infiltration, phlebitis, poor infusion, etc.)
• IV sites are monitored, and catheters changed according to unit policy.
• IV bags and tubing are changed according to unit policy.
• Coordination of Care
• Tests are scheduled and preps ae completed as indicated.
• Co-workers are informed of changes in patient/resident conditions or of any other changes occurring on the unit.
• Information is relayed to other members of the health care team (i.e. physicians, respiratory therapy, physical therapy, social services, etc.) and family /responsible party.
• Unit activities are coordinates (i.e. changing patient/residents’ rooms for admissions, coordination transfer/discharge forms, etc.)
• Leadership
• Equitable care assignments that are appropriate to patient/resident needs are made prior to the beginning of the shift.
• Staffing needs are communicated to the nursing supervisor.
• Assistance, direction and education are provided to unit personnel and families
• Problems are identified, data are gathered, solutions are suggested and communication regarding the problem is appropriate.
• Transcription of all orders is checked.
• All work areas are neat and clean.
• Communication.
• Change of shift report is complete, accurate and concise.
• Incident Reports are completed accurately and in a timely manner.
• Staff meetings must be attended.
• Professionalism
• Decisions are made that reflect knowledge and good judgment and demonstrate an awareness of patient/resident/family/physician needs.
• Awareness of own limitations is evident, and assistance is sought when necessary.
• Dress code is adhered to.
• Committee meetings (if assigned) are attended. Reports relating to the committee are given during staff meetings.
• Responsibility is taken for won professional growth. All mandatory and other in-services are attended annually.
• Organized ability and time management is demonstrated.
• Confidentiality of patient/resident is respected at all times (i.e. when answering telephone and/or speaking to co-workers)
• Professional behavior is demonstrated.
• Human Relations
• A positive working relationship with patients/residents, visitors and facility staff is demonstrated.
• Authority is acknowledged and response to the direction of supervisors as appropriate.
• Time is spent with patients/residents rather than other personnel.
• Co-workers are readily assisted as needed.
• Cost Awareness
• Supplies are used appropriately.
• Charge system is utilized appropriately.
• Minimal supplies are stored in the patients/residents room.
• Discharge medications are returned to the pharmacy or destroyed in a timely manner.
• Floor-stock medications are charged and re-stocked.
• Patriciates in the identifications of staff educational needs.
• Serves as a preceptor, as delegated, for new staff.
• Maintains patient/resident care supplies, equipment, and environment.
• Participates in the development of unit objectives.
• Provides input in the formulation and evaluation of standards of care.
• Documentation:
• Document per facility policy (on computer or in paper form).
• Accurately records vital signs on the appropriate form.
• Accurately records intake and output on the appropriate form.
• Records patient/resident weights on the appropriate form.
• Maintains CNA flow sheet as appropriate.
• Documents restorative program and progress towards goals.
• Uses only Company-approved abbreviations when recording information.
• Communication.
• Reports all changes in a patient’s/resident’s condition as soon as possible to the Charge Nurse (LVN/RN).
• Reports to nurse supervisor prior to leaving assigned area.
• Attends all staff meetings/in-service
• Reports patient/resident/employee/unit problems to the nursing supervisor.
• Professionalism
• Make decisions that reflect both knowledge and good judgement.
• Shows evidence of awareness of own limitations and seeks assistance when necessary.
• Adheres to dress code and facility attendance policy.
• Attends committee meetings, if assigned. Reports related to the committee are given during staff meetings.
• Takes responsibility for own professional growth. Attends and participates in all scheduled training, educational and orientation classes, programs and activities including annual mandatory classes.
• Follows work schedules and completes assigned tasks according to the established standards of the facility.
• Notifies the nursing supervisor when tardy or absent from work within established facility time frames and according to facility’s policy.
• Demonstrates organizational ability and time management.
• Respects confidentiality of patient/resident always (i.e. when answering telephone and/or speaking to co-workers.)
• Cooperates with inter-departmental personnel to ensure that he needs of the patients/residents are met and maintained.
• Human Relations
• Demonstrates a positive working relationship with patients/residents, visitors and facility staff.
• Acknowledges authority and exhibits appropriate response to the direction of supervisors.
• Spends time with patients/residents rather than other personnel.

Qualifications:

• Associates Degree
• Licensed in the State of Texas as a Licensed Vocational Nurse
• Minimum one (1) year of nursing experience in a long-term or acute care setting
• Excellent communication skills, both verbal and written
• Exceptional organization skills, ability to prepare and maintain accurate resident charts, reports, and observation
• Good problem solving and independent thinking skills
• Knowledge and practicum of basic hygiene and sanitation practices

Job Types: Full-time, Part-time

Pay: From $27.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Paid training
• Vision insurance

Medical specialties:

• Geriatrics
• Wound Care

Physical setting:

• Long term care
• Nursing home
• Rehabilitation center

Schedule:

• 12 hour shift
• Day shift
• Evening shift
• Monday to Friday
• Night shift
• Weekend availability

Ability to commute/relocate:

• Spring, TX 77386: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Long Term Care: 1 year (Preferred)

License/Certification:

• LVN (Required)
• LPN (Required)

Work Location: One location

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