Licensed Vocational Nurse II - 4LOCS(NY)

Licensed Vocational Nurse II

Works under the supervision of a Registered Nurse. Duties include providing routine care, general observation of client’s health status, assists the RN and physician in treatments and communicating with clients and their families/guardians. Reports changes in condition and/or additional client needs to supervisor.

Medication Administration:

• Administers medications, verifying the correct medications are administered (per the six “rights” of medication administration), and that client’s response to medications is noted and documented along with any noted side effects
• Works closely with home/facility/pharmacy staff in consulting on psychotropic medications, side effects, and medication reviews
• Orders, reviews, monitors, and discontinues medications as ordered by physician. Dispose of unused medication per policy
• Assures that monthly Medication Administration Records (MAR’s) are accurately transcribed in each individual’s record
• Checks the medication cabinet on a weekly basis to ensure medications are administered as ordered, appropriately documented on the MAR, and that missed medications are documented, and required follow-up occurs
• Returns completed med cards at the end of each month, along with expired and unused medications as applicable
• Checks program/service areas on a frequent but not less than a monthly basis to ensure the necessary medical/nursing/medication supplies are available and in ample supply
• Reports client illness, potential communicable diseases or infections and works closely with RN, direct care staff, other programmatic and health care professionals, and family in maintaining a safe environment for clients and staff. Implements isolation precautions as needed
• Ensures health status, care and services are documented accurately and timely per company and state requirements
• Provides supervision and education for non-licensed staff in the provision of care and services and reports any changes
• Complete a quarterly nursing evaluation/review of body systems on assigned individuals per program requirements. Refer to physician any assessment findings needing further review.
• Ensures incidents are recorded, the individual is safe, receives required medical care, communicates to RN, operations leadership timely
• Participates in clinics completed at the operation with PCP, psych, etc. as assigned. Participate in on-call duties to ensure weekend and after-hours access to clinicians by staff and individuals served (participates in on-call rotation as assigned)
• Participates in quarterly quality improvement activities, weekly team/staff meetings and Interdisciplinary Team meetings (IDT/PDP) Transcribes physician phone orders and other medically related reports
• Work hours may vary – weekends and evening shifts/visits may be required