San Antonio, TX
Full-time


Job Summary

Licensed Vocational Nurse- Internal Medicine

SAMMC

SPECIAL REQUIREMENTS/SKILLS

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment

Position Qualification/Requirements:

  • Education: Licensed Vocational Nurses shall be a graduate from an accredited school of nursing. A copy of the college transcript and Diploma will be submitted.
  • Licensure: Possess and maintain a current, active, valid, unrestricted vocational nurse license in at least one U.S. state, District of Columbia, Commonwealth, territory or jurisdiction. All licenses shall be unencumbered and remain in effect during employment. The contractor shall provide the COR prime source verification of the nursing license, documentation shall include state, license number, expiration date, method of verification, and names of verifying official.
  • Experience : Minimum one year of hospital experience in the Med/Surg/Tele/ICU/ER within the past three years.
  • Life support training. The contract nurses must possess and maintain current course completion documentation for basic life support (BLS) through an American Heart Association and/or Red Cross approved training program. Advanced Cardiac Life Support (ACLS) is highly recommended for all other nurses providing IV sedation. BLS and ACLS shall be renewed every two years. A memorandum from the BAMC’s CPR training office will be recognized. Contract employees may attend BAMC’s BLS and ACLS recertification courses if space is available and at the discretion of the department COR. Attendance is in a non-billable status
  • Must be able to Screens patients….for chest pain, syncope, palpitations, and other common internal medicine diagnoses
  • Must be able to Assist with clinic orientation, one-on-one patient, educational activities related to acute/chronic illnesses, self-care, wellness/preventive health measures, and normal develop and physiology.
  • Must have experience taking care of complex patients with multiple co-morbidities using their nursing skills/judgement to identify any issues that are happening that may/may not verbalized by the patient, but can be assessed from ER/UCC records, medication lists, hospital discharges, and other specialty area documentation. Familiarity with multiple medications, how they work together and when they don’t, knowledge of chronic illnesses so education can be provided and questions can be answered is a must. Also, strong technical skills and ability to respond to an emergency situation appropriately.

Specific Duties:

Contract nurses providing services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience assigned to the same unit. Contract individuals may be designated by BAMC Department or Nursing Service personnel to provide orientation and other activities as deemed appropriate. All nurses may be rotated throughout BAMC’s clinical areas however they will not be required to work outside their scope of practice.

TYPE OF WORK. The duties include but are not limited to the following:

  • Ensures all patients are screened correctly in a timely manner and provider and treatment rooms are adequately stocked at all times. Ensures lab specimens, immunizations, and other prescribed nursing care is delivered appropriately and in a timely manner. Exercises knowledge and communication strategies that are age-specific for patients and their family members.
  • The LVN will provide inpatient/outpatient treatment that ranges from ambulatory to ill patients with a wide variety of dermatological disorders from simple skin irritations to skin
  • Provides assistance for physicians and surgeons during specialized diagnostic, therapeutic surgical procedures and wound care, including but not limited to punch, shave and excisional biopsies, electrodessication, curettage, sclerotherapy, chemical peels, nail surgery, laser therapy, electrosurgery, dermabrasion and cryosurgical procedures of the
  • Assists physician during special procedures. Preceding certain procedures, sets up sterile surgical instrument tray, prepares surgical site with appropriate antibacterial solution, positions and surgically drapes the patient as necessary and ensures proper lighting. During procedures, passes instruments and materials, maintains a sterile field, assists in sharps and needle counts and appropriately disposes of contaminated materials. Immediate post- procedural duties include application of appropriate dressing with attention to size and location. Provides patient and family instructions for home care of the site. Follows prescribed course in cleansing of instruments to include packaging of sterilized equipment and
  • Provider outboxes shall be cleared at least once a day and completed charts are audited prior to sending to This includes forms that are in jackets as well as loose forms of any type. Loose forms shall be stapled together prior to being sent to the coders.
  • Under RN oversight, LVNs will ensure that documentation and physician orders are completed accurately and correctly. Discarded paperwork with patient data shall be shredded and telephone consultations (TCONS) shall be handled and documented as appropriate by nursing staff in a timely
  • Assists providers in performing in-clinic lab work, immunizations, medications, additional vital signs, breathing treatments, EKGs, patient assistance, and other tests in a timely
  • Assists walk in patients requiring assistance such as finding their medical record, requesting medicine renewals or request copies of labs and other requests that may include determining when the patient was last seen and by whom. Renewals shall be made on a case-by-case basis and if warranted, a renewal shall be done so the patient may be seen that
  • Develops and coordinates health care delivery criteria pertaining to TRICARE. Monitors patient access to care and assures patients are incorporated into the ambulatory clinic for care. Identifies both areas of success and areas needing senior management intervention to improve patient access to care into the clinic and independently examines patient care delivery. Continually assesses clinic statistical reports as reported by AHLTA. May also be required to monitor clinic End of Day and Monthly Statistical Reports provided by Clinical Support Branch (CSB) to assess patient access to care and clinic productivity and forwards all information to head nurse or chief for the designated service. Provides interface to the Central Appointment Management Office (CAMO), Patient Appointment System (PAS), and TRICARE Appointment Center (TRAC). Serves as resource person and/or consultant to staff and residents for Template and Schedule submission to CSB, and booking criteria for Serves as point of contact to CAMO, PAS, TRICARE, and CSB for clinic appointing/access issues.
  • Demonstrates the ability to manage interpersonal relationships and maintains composure and react appropriately while relating to patients and families; manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care. Must understand, speak, read and write English
  • Contract LVNs working in specialty clinics may administer medications and monitor blood products with the knowledge of actions and usual dosages of commonly used drugs. Medications shall be administered within the scope of nursing practice and include intravenous, subcutaneous, oral, transdermal, rectal, and intramuscular. Medication administration includes titration of life threatening intravenous medications such as vaso-actives, anticonvulsants, insulin, thrombolytics and many other medications. Each nurse will have knowledge of actions, adverse effects, interactions, and dosages. LVNs shall not administer IV push medication or start blood product transfusions.
  • Assesses patients’ conditions for potential or life threatening crises. Distinguishes between normal and abnormal physical findings (from physical assessment and vital sign assessment). Initiates life saving measures in the absence of a Possesses knowledge of the pharmacology of most commonly used emergency drugs, anticipated results, usual dosages, and their location on crash cart. Operates emergency equipment: defibrillator, EKG machine, cardiac monitor, and other equipment as determined by MTF, unit/clinic and position.
  • Responds to telephone inquiries regarding clinic services and/or follow-up ancillary
  • Performs, assists and set ups the patient for procedures, e., enemas, IVs, dressing changes, suctioning, blood draws, EKG, and other tasks within the individual’s scope of practice, MTF and clinic policies.
  • Maintains required unit-specific clinical competency and increases knowledge by attending unit-level in- services as appropriate; updates competency documentation folder as required. These competencies may include, but are not limited to: skin biopsies; specimen collection; assistance with dermatologic, other invasive, minor procedures performed in the outpatient
  • Prepares all records and reports as may be required in support of services rendered and as required by the MTF Standard Operating Procedures, Federal Law, or Service Regulation. All written reports and documentation shall be legible and/or entered correctly in CIS or AHLTA and shall be considered property of the
  • LVNs working in areas that do conscious sedation and are monitoring the sedated patient must have conscious sedation training provided at BAMC prior to working in this
  • Functions as a patient advocate and patient educator. Assesses patient/family knowledge level, develops and implements a plan of instruction and documents demonstrated level of understanding. Assessment plans will be targeted at age specific needs. Each nurse will electronically document all patient teaching in the patients’ medical record through AHLTA.
  • Constant standing, walking, lifting, and bending is required. May be exposed to highly contagious/infectious disease and from radiation from portable x-ray and continuous fluoroscopy

SPECIAL REQUIREMENTS/SKILLS

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

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