Licensed Vocational Nurse Substitutes

Job Description

JOB On-Call hours vary between 3.75 - 5.75 hours/dayBASIC FUNCTION: Under the general direction of the Director of Safety and Student Services, Site Administrator, and regular supervision of a credentialed school nurse, perform a wide range of technical and skilled nursing duties and provide physical care for Pre-K to age 22 students within the scope of practice for a Licensed Vocational Nurse; perform specialized health services for students in regular education and special education programs, provide community based instruction for students, communicate with parents, school sites, and district personnel on health related matters, assist with medical screening of students, disseminate health information, and provide emergency medical care. EXAMPLE OF DUTIES REPRESENTATIVE DUTIES: Participate in the administration of nursing services described in individual education plans or other written plans of care.Perform specialized health care procedures, including but not limited to glucose testing, catheterization, blood pressure monitoring, oral suctioning, tracheotomy care, gastronomy tube feedings, oxygen therapy, chest percussion, postural drainage, ventilator care, manual manipulation of respirator bag, ileostomy and/or colostomy care, and seizure precautions as needed.Administer medications such as but not limited to Diastat, insulin, Epi-Pens, immunizations and Tuberculin Skin Tests according to physician instructions and established district procedures; administer medications via gastrostomy tube as required. Record medication and treatment given as prescribed by the physician.Prepare and maintain a variety of records, files and reports related to student health, nutrition, medications and daily health office activities; review records for compliance with applicable regulations; maintain confidentiality of student health information.Verify that all procedures are provided under specified written provisions approved by a licensed physician and requested by the parent/guardian.Respond to medical emergencies and provide first aid as needed..Assist with maintaining daily logs and medical records including MediCal billing coordination and Medical Assistance Administration (MAA) billing.Provides necessary physical care and emotional support, including assisting students with personal needs, i.e. positioning and ambulation.Participate in various meetings for the purpose of receiving and/or providing information, including required staff meetings and in-service trainings, IEP and 504 meetings, conferences with parents, staff and community.Report adverse medical conditions of students served through coordination and consultations with school nurse and administrators to appropriate staff.Adjust specialized wheelchairs, lifts, walkers, or other orthopedic devices and be able to position or reposition students in such devices. Remove/replace orthopedic braces and/or equipment per student need.Perform patient care as ordered, including, but not limited to, lifting students using lifting equipment; diaper students and assist them in maintaining personal hygiene, dispose of catheterization bags, assist/train students in use of bathroom facilities; assist students in changing clothing or putting on garments;; set up food trays and hand-feed; tube feed as required.Accompany students on district transportation, assist in the loading and unloading of students from buses, and in the transferring of students to and from classroom, activities and events.Performs necessary procedures for diabetic students. Calculate insulin dose, blood sugar and carb ratios. Treat blood sugar highs/lows. Observe diabetic students who self-monitor blood sugar levels and self-administer insulin.Prepare reports for district, county, and state agencies.Observe progress and behavior of students and communicate regularly with other members of the instructional team. Travel to district sites to perform a variety of nursing duties.Maintain orders for daily, as needed and emergency medications. Maintain supplies for health office day to day function.Assist the organization and/or presentation of health-related information and demonstrations to students/staff as approved by the Director of Safety and Student Services District Nurse and school site administrator.Prepare medications and paperwork for students participating in extracurricular activities, the outdoor education program and other educational field trips.Administer first aid and CPR. Take vital signs including temperature, pulse, blood pressure, respiration, height and weight and make appropriate entries on medical/health records.Assist with training staff on specialized healthcare procedures that are ordered by a physician.Assist in planning and implementing suitable learning experiences for students, including the preparation and maintenance of instructional materials.Assist students in learning or using special equipment, in the development and maintenance of appropriate social behaviors, modeling gross motor skills and independent mobility, and in instructional activities.May assist with community-based instruction.Assist in the supervision of students in and out of the classroom setting, including supervising and/or participating in playground activities.Perform a variety of clerical and recordkeeping activities.Perform a variety of custodial duties to maintain the facility in a clean and sanitary manner.Perform other job-related duties as assigned. SUPPLEMENTAL INFORMATION EDUCATION: High School Diploma, GED, or Certificate of Completion and completion of a Licensed Vocational Nursing program approved by the California Board of Vocational Nursing and Psychiatric Technicians and board issued LVN license. A Registered Nurse license may be substituted. BA/BS degree from an accredited college or university is highly desirable.EXPERIENCE: One year of experience providing physical care to disabled persons or working in a health care service environment. POSSESS AND MAINTAIN THE FOLLOWING: Valid California Vocational Nurse License – A Registered Nurse license may be substituted.Valid First Aid and CPR Certificate