Licensed Vocational Nurse (LVN) & SR. LVN

UCLA Health System

JOB DESCRIPTION/PERFORMANCE EVALUATION Licensed Clinical Positions

Job Description
Performance Evaluation
Period Covered by this Performance Evaluation: ______TO ______

Licensed Vocational Nurse (LVN) & SR. LVN

Employee Name: / Department/Unit: / Current Title:
LVN and SR. LVN / Current Title Code:
Supervisor Name: / Supervisor Title:
ANIV / Approved Title (for reclassifications only): / Approved Title Code (for reclassifications only):
Methods of Measurement Include the Following: /

AGES SERVED

Direct Observation / Documentation / Neonates (< 30 days) / Adults (> = 18 years to < 65 years)
Feedback from staff or patients / PI Reports / Infants (> 30 days and < 1 year) / Geriatrics (> = 65 years)
Pediatrics (> = 1 year & < 13 years) / Not Applicable
Adolescents (> = 13 years & 18 years)
Place an “X” if over 20% of work is exposed to one or more of the following conditions:
Confined area / Noise Exposure / Extreme temperatures / Potential allergenic/irritant conditions
Exposed to weather / Vibrations / Atmospheric conditions / Other (specify)
COMPETENCIES:
INITIAL: RR UCLA MC Specific Orientation Department of Nursing and Service Unit (Float excluded)
ANNUAL: Department of Nursing Unit (Float excluded)
SUMMARY STATEMENT:
The Licensed Vocational Nurse must be able to work with a primary nursing model as delivery care systems and follow established University, Hospital, and Departmental work policies, procedures and guidelines.
TYPE OF SUPERVISION RECEIVED:
Under the direct supervision of an RN.
Duties and Tasks / Rating /
D / M / N/A /
I.  PATIENT CARE
A.  Assessment
1.  After initial RN assessment and under RN supervision, assists in assessment of population specific patient care needs
2.  Provides information to the RN that may be used in the assessment of patients
3.  Utilizes assessment data to identify and state obvious physiological and psychological problems, symptoms, behavioral changes and deviations from normal
B.  Plan of Care
1.  Provides critical assessment data (VS, weight, etc) to assist in the development of Population Specific Nursing Plan of Care
2.  Participates in identifying, developing and/or implementing strategies to ensure continuity of effective care between shifts, between transfers with units, between or among contact with health care team, according to critical pathways
3.  Participates with RN in individualizing practice guidelines according to patient needs
4.  Actions and decisions are based on one or more of the following: standards, practice guidelines, protocols, past experience, logic, scientific principles, intuition, research
C.  Assists patients with admitting procedure:
1.  Sets up room for admission and transfers in
2.  Orients patient to environment and routine of unit
3.  Takes and records patient's vital signs, weight and height as directed
4.  Cares for patient's personal property, labels and stores personal items, labels door, urinals, bedpans, measuring devices, water pitchers, and all patient equipment
D.  Assists patients during transfer procedure/discharge:
1.  Identifies needs and assists with nursing plan of care for patient/family needs regarding discharge planning, interdisciplinary referrals
2.  Prepares and assists with the collection and transfer of personal items and equipment
3.  Accompanies patient during transport/discharge as needed
4.  Replaces bed and bedside tables as needed
E.  Assists with activities of Daily Living
1.  Provides for patient's personal hygiene
2.  Assists and feed patients as needed
3.  Documents food intake for calorie count as ordered
F.  Assists in providing patient safety and comfort measures:
1.  Follows standard precautions for all patients
2.  Maintains and reinforces isolation policy
3.  Implements and maintains heel protectors, special mattress/bed and other pressure reduction devices as directed
4.  Applies and monitors restraints as directed per hospital protocol.
5.  Maintains individual patient safety, e.g., side rails up, brakes locked and call bells within reach, and initiates fall precautions as directed
6.  Responds to emergency situations per hospital protocol
7.  Tags/reports malfunctioning equipment to appropriate personnel
8.  Responds to/reports alarms immediately to RN
G.  Maintains a clean and orderly environment:
1.  Changes bed linen on a routine basis and as needed
2.  Assists in tidying patients' rooms and personal effects
3.  Keeps bedside supply trays stocked per unit protocol
4.  Maintains cleanliness of patient's special equipment
5.  Removes unused equipment and/or supplies from room and places in designated area for pick-up or storage
6.  Routinely checks each patient's bedside to ensure that call bell, light and room clock are accessible and functioning
7.  Assists in the identification of environmental (i.e. frayed cords, spills, wet floors, etc.) hazards and reports to appropriate personnel
8.  Keeps corridors uncluttered
·  Removes or arranges for removal of unnecessary equipment
·  Maintains neatness of linen rooms
·  Empties linen hampers as appropriate and keeps all linen off the floor
9.  Maintains refrigerator logs as directed
10.  Performs/assists with ER cart and defibrillator checks as directed
11.  Maintains unit based equipment as directed
II.  SKILLS AND PROCEDURES
A.  Assists with respiratory care:
1.  Assembles suction equipment
2.  Fills humidifier bottles when not attached to patient
3.  Suctions oral cavity as directed/needed
4.  Assists patient with incentive spirometer
5.  Performs CP (chest percussion) as directed
6.  Assists patients in coughing, deep breathing and position changes as directed
7.  Provides trach care and suctions as necessary
B.  Performs procedures within the LVN scope of practice as directed
1.  Takes and records height and weight, intake and output, temperature, pulse, respiration, blood pressure, pain and/or pulse oximetry as directed
2.  Completes required documentation on flow sheets per unit protocol
3.  Administers and documents medication according to policy
4.  Performs phlebotomy if State Certified
5.  Places and maintaince IV-if State Certified
6.  Sets up and maintains monitoring equipment
7.  Douches/irrigations/gastric feeding
8.  Empties drainage bags (Indwelling, Jackson-Pratt, and Hemovac)
9.  Assists with sterile/non-sterile dressing changes and wound care
10.  Hot and cold application
11.  Provides pre-op scrubs and preps as directed
12.  Assists in removing or taping of jewelry, removal of dentures or other articles (wigs, glasses, etc.)
13.  Labels with patient's name and ID, secures and stores all belongings when patient is not returning to assigned room
14.  Prepares beds for post-operative/procedural patients
15.  Performs the role of a Monitor Tech. as directed
16.  Performs EKG as directed
C.  Assists patient with activity and mobility
1.  Assists patient in position changes, dangling and ambulation
2.  Assists patient in and out of bed
3.  Assists in the application and removal of anti-embolic and pulsatile stockings, as directed
4.  Assists with PT/OT Care such as:
a.  Range of motion
b.  Transfers
c.  Endurance activities
d.  Application of splints, prosthetics and orthotic support devices
e.  Feeding for dysphagia patients
f.  ADL practice/training for home care
D.  Performs special procedures as directed:
1.  Sitz bath
2.  Breast care
3.  Perineal care
4.  Provides Seizure precautions as directed
5.  Provides patient observation as assigned
6.  Assists with post-mortem care
a.  Assists with care and labeling of body according to policy
b.  Assists with packing, labeling and transferring of belongings
E.  Performs skills and procedures as directed by the RN
III.  CUSTOMER RELATIONS
1.  Facilitates a calm, orderly and quiet environment
2.  Coordinates flows of communication between appropriate staff
3.  Answers patient call lights in a courteous and timely manner, as appropriate
4.  Respects customer/staff individuality
5.  Consistently models exceptional interpersonal skills and caring behavior in working with patients, significant others and members of patient care team
6.  Effectively responds to the unique needs of neonatal, pediatric, adolescent, adult, and/or geriatric patients as needs arise
7.  Assists with directing flow of visitors to the Unit
IV.  MISCELLANEOUS DUTIES
A.  Assists with duties as assigned by the charge nurse/shift coordinator:
1.  Assists with checking an stocking cart supplies and assists with charging of patient charge items
2.  Assists in tracking and inventory of equipment
3.  Participates in Nursing Department committees or projects and communicates outcomes to staff and Unit Director/Clinical Nurse Manager
4.  Picks up and delivers supplies as directed
V.  TRAINING
A.  Demonstrates a willingness to assist other members of the team while maintaining performance of individual duties
1.  Assists in orienting new personnel
2.  Participates in work-related continuing education and communication activities
3.  Assists in involving the patient/family in design of their teaching plan
4.  Participates in providing informal teaching to staff and student on the unit
5.  Utilizes structured patient teaching tools to meet the patient family learning needs
VI. UCLA C-I-CARE/Patient Experience Practices: MY COMMITMENT TO CARE
·  Observe and practice all the Service Standards listed in the “World Class Practices” (which I have read and signed)
o  Practice C-I-CARE when interacting with patients, their families, visitors, or internal customers
o  Connect with the patient and family members by addressing them as Mr./Ms., or by the name that they prefer
o  Introduce yourself and your role
o  Communicate what you are going to do, how long it is going to take, and how it will impact the patient.
o  Ask and anticipate patient and/or family needs, questions or concerns
o  Respond to patient and/or family questions and requests with immediacy
o  Exit courteously and/or with an explanation of what will come next (or when you will be back to check on them)
o  Practice C-I-CARE phone etiquette during all phone interactions
·  Always exercise courtesy whenever patients, family members, visitors and co-workers are present
o  Respect privacy and dignity of our patients, family members, visitors and co-workers
o  Maintain professionalism in the presence of patients, their families, visitors and co-workers
·  Observe departmental Patient Experience plan, competencies and practices
o  Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organization
o  Participate in positive problem solving by providing suggestions and possible solutions to identified concerns/problems in the work place
·  Comply with Health System Workplace Conduct Policy
o  Engaging in disruptive behaviors that interfere with or prevent normal work functions or compromise patient safety, including passive or active behaviors will not be tolerated as stated in the HS Workplace Conduct Policy
·  Comply with Health System Dress Code Policy and practices /
/
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VII. INSTITUTIONAL AND/OR PROFESSIONAL STANDARDS

·  Comply with HIPAA and Confidentiality Policies and Procedures as they apply to the job
·  Comply with Department of Public Health (DPH), The Joint Commission and other accreditation and regulatory agencies standards
·  Adhere to all Hospital Policies and Procedures
·  Knowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as described in the annual education module /
/

VIII. PERFORMANCE IMPROVEMENT

·  Adhere to current organizational Performance Improvement priorities
·  Participate in quality studies through data collection and dashboard data collection
·  Make recommendations and take actions to improve structure, system or outcomes
/

OTHER DUTIES

Skills, Knowledge and Abilities
(Disregard this section for performance evaluations)
REQUIREMENTS: / List any equipment (machines, tools, office appliances or motor vehicles) required to do the job, with or without a reasonable accommodation. Indicate whether use is seldom, occasional, frequent, or constant.
See Nursing Policy/Procedure /Equipment manual
CPR:
License: / LVN
Certifications: / State IV & Phlebotomy
Degree:
Experience:
Skills, Knowledge and Abilities
1.  Knowledge of basic computer fundamentals
2.  Ability to speak clearly and distinctly using appropriate English vocabulary and grammar
3.  Ability to understand oral and written directives
4.  Ability to read and write Standard English text
5.  Ability to perform basic arithmetic computations (add, subtract, multiply, and divide)
6.  Demonstrates an understanding of medical terminology and abbreviations
7.  Ability to organize and prioritized work to complete assignments in a timely manner
New Hire:
LVN - New Grad IV and Phlebotomy Certification required within 6 months of hire
SR. LVN - More than 6 months experience as an LVN in the current position or has relevant clinical experience / Importance:
Required or Preferred
Required
Required
Required
Required
Required
Required
Required
If overall rating is “Does Not Meet Expectations”, please complete Future Plans and Actions Section.
According to the Employee Performance Evaluation Policy, an overall rating of “Does Not Meet Expectations” requires an action plan and a follow-up performance evaluation in either a three-month or six-month period depending on the time needed to demonstrate improved performance. Action plan steps must be objective and measurable with a defined time frame. The date of the follow-up performance evaluation will reset the performance evaluation due date.
Does Not Meet Expectations / Meets Expectations
Comments:
Future Plans and Actions:
Employee Comments:
To update our files, please answer the following questions:
Have you received a higher education degree in past 12 months: Yes______No______
If Yes, in what field:______Type:______
Have you received a national certification in the past 12 months: Yes______No______
If yes, please list and bring a copy of certificate to Nursing Resources:______

Employee Signature

I have reviewed this Job Description and/or Performance Evaluation

/ Date
Evaluator Signature / Date
Department Head or Designee Signature / Date
D - / Does Not Meet Expectations / M - / Meets Expectations / N/A - Not Applicable

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W:\NRE\Vivianne Mitilian\JD-PE_LVN-SR LVN.doc

Revised 05/2008, 09

Directions:

You have the option of checking the large boxes next to the headings or of checking the small boxes to indicate performance for each criteria