-LVN Definitive Observation Full Time Nights

At Hi-Desert Medical Center (HDMC) we've been caring for our community for over 40 years. Our Continuing Care Center (CCC), located on the campus of HDMC, provides specialized care to residents close to their own communities, with spectacular panoramic views of desert landscapes for both residents and their guests 

The Continuing Care Center has 120 beds and offers three distinct levels of service in semi-private rooms: 

Subacute care: This is the highest level of care available in our long-term care setting. The CCC provides 25 beds dedicated to residents with ventilator and tracheostomy requirements. Clinical staff is specially trained to meet the unique needs of these patients. The CCC is one of the few facilities in Southern California providing this level of care. 

Skilled nursing care: We provide long-term skilled nursing care to residents who require assistance with personal and medical needs. Care is provided to our patients who require rehabilitative therapies, wound care or recovery from accidents or invasive procedures. 

Long-Term Care: We provide long-term care to residents who require assistance with personal and medical needs. 

Position Summary

Coordinates resident nursing care on the Subacute Unit

Physical Demands: 

• Considerable reaching, stooping, bending, kneeling, and crouching 
• Heavy physical effort (lift/carry up to 50lbs) 
• Lifts, positions and/or transfers residents 
• Occasional prolonged standing and walking 
• Occasionally lift supplies/equipment 

Working Conditions: 

• Contact with residents/patients/visitors under wide variety of circumstances 
• May be exposed to infections/contagious diseases
• Regularly exposed to risk of blood borne diseases 
• Requires judgment/action which could result in the death of a resident

Primary Duties

1. Knowledge of HDMC policies & procedures, nursing certification requirements. Performs job duties within legal and professional regulations and guidelines. Applies nursing principles, techniques and practices according to HDMC policies and procedures. Behaves in a manner to promote a professional and caring environment of care at all times.
2.  Demonstrates an understanding of , Department of Healthcare Services, Title XXII, OBRA, and MediCal Subacute Program requirements applicable to Skilled Nursing Facilities (SNF) and MediCal certified Subacute ventilator programs. Performs all skills appropriately with consideration to age specific needs of young adult, middle-aged adult, and older adult residents. Residents are treated with sensitivity and appropriateness in approach to age, culture, religion, gender, and sexual orientation of the residents.
3. Maintains current professional Licensed Vocational Nurse and appropriate Basic Life Support certification and provides facility with a copy of these documents in a timely manner to ensure practice is covered by active license and certification at all times. Keeps up to date educationally, especially in areas of Specialty. 
4. Completes initial and annual competencies and annual health and safety requirements timely. Orients new LVNs as assigned. Assists in appropriately orienting registry and float staff as assigned by the Charge Nurse. Is helpful, positive and supportive when working with registry and float staff. 
5. Knowledge of Residents’ Bill of Rights and Elder Abuse reporting regulations. Observes Residents’ Bill of Rights and reports incidents of elder abuse, if indicated. Carries out duties in a manner sensitive to and appropriate to age (primarily adults and older adults), culture, religion, gender, and sexual orientation of the residents. 
6. Controls the environment to prevent hazards and cross infection by observing HDMC policies and procedures. 
7. Arrives and leaves work timely. Follows HDMC Human Resources policies, especially regarding dress code, call off policy, breaks, lateness and sleeping while on duty. 
8. Communicates with Charge Nurse, other team leaders and Certified Nursing Assistant (CNA) staff, residents, family members and visitors, to ensure a professional two-way flow of information regarding resident care and other issues. Assesses residents daily and on an as-needed basis, and communicates concerns to the Charge Nurse using sound nursing judgment and decision-making skills. Communicates regularly with the Director of Nursing or designee regarding resident care and other issues not resolved by discussion with the Charge Nurse.
9. Helps ensure department operates in a financially sound manner by using supplies and resources appropriately. 
10. Other duties as assigned. 
11. Carries out on a daily basis, and/or as needed:

• Administers and documents ordered medications and treatme