Licensed Vocational Nurse II - Surgery
City of Hope
Job posting number: #7134545 (Ref:10020142)
Posted: March 16, 2023
Salary / Pay Rate: $28.34 - $42.51 / hour
Application Deadline: Open Until Filled
About City of Hope
City of Hope is an independent biomedical research and treatment organization for cancer, diabetes, and other life-threatening diseases.
Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.
A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.
City of Hope’s commitment to Diversity, Equity, and Inclusion
We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds, and experiences to our work -- and that our teams align with the people we serve to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds, and perspectives; this is reflected in our work and represented in our people.
Under the direction of a licensed provider or Registered Nurse (RN), the LVN assists in the evaluation of nursing care by collecting subjective and objective data and recognition of problems or abnormal conditions specific to patients of all ages. Monitors medical condition of patients and reports changes to appropriate health care team member. The duties may vary from setting to setting, depending on the size, location, and type. Applies good interpersonal and communication process utilizing verbal and non-verbal skills to achieve organizational service goals of customer satisfaction and a positive work environment.
Will provide direct patient care services as determined by the patient’s plan of care under supervision of provider and licensed support staff. The LVN II will support 6 surgeons and 1 Physician Assistant with procedures, post-care, and triage in the clinic.
- Prepares for patient appointments by reviewing and updating patient records prior to appointment. This includes checking for updates of recent test results, lab results and correspondence. Also reviews patient record (EHR) to determine needed services and whether referrals are in process or have been completed since last visit.
- Provides initial medical screening: Greets patients and directs to appropriate exam / procedure room. Obtains weight, height, temperature, blood pressure, pulse, pain level, chief complaint, O2 saturation (if indicated) and basic medical history; accurately documents in medical chart according to generally accepted medical standards
- Appropriately prepares patient for visit and alerts physician when patient is ready to be seen. When provider is unavailable, keeps the patient updated on the status of their appointment and when necessary assists the patient in re-scheduling or scheduling follow-up. Provides information to patient as to general clinic policies, patients’ rights and responsibilities as needed.
- Performs general clerical duties in support of health care team according to the needs of the clinic and as directed by provider(s) and nursing staff. These include but are not limited to answering phones, photocopies, faxing, typing, completing forms, etc. Works with patient scheduling system to assist Patient Scheduling/Registration staff with the orderly and efficient patient flow.
- Assists provider or nurse upon request during examination / procedure of patient and according to generally accepted medical standards. Practices universal precautions with respect to established safety protocols. Facilitates communication between the provider(s) and patient as needed, including translation as appropriate.
- Provides administrative back-up support to the health care team as assigned and as necessary for the smooth and efficient operation of the clinic. Accepts floating assignments to other areas of Clinical as needed and assigned.
- Maintains workstation in accordance with protecting PHI. Performs routine quality check of equipment and promptly reports damaged or missing equipment from exam/procedure rooms.
- Ensures clinical areas are organized with respect of standards in safety and quality patient care. Works collaboratively with health care team and other departments in solutions-oriented problem solving with the goal of providing safe quality patient care.
- Maintains exam / procedure rooms according to protocols: Cleans rooms between patient exams to ensure patients' comfort and compliance with infection control standards; ensures all necessary supplies are stocked. Promptly reports when supplies are low and works with nursing staff to ensure timely reordering is completed.
- Administers medication via the following routes: oral, intradermal, subcutaneous, sublingual, intramuscular, instillation, suppository, topical, and irrigation.
- Administer immunizations understanding order from provider.
- CVAD care and blood withdrawal and starts, hangs, monitors, and discontinues blood products and/or I.V. fluids. (LVNs certified in intravenous therapy only)
- Performs basic nursing procedures including thermal applications, non-sterile soaks and applications of simple dressing, perineal care, and urine tests.
- Perform part of the triage process that includes interview, observation, the collection of subjective and objective data, and the recognition of problems or abnormal conditions specific to the patient.
- Utilizes time in a constructive and efficient manner by assisting in such duties as restocking rooms/shelves/trays, checking supplies, and ensuring that all areas, exam / procedure rooms are clean and orderly.
- Maintains compliance with manufacture guidelines to include, but not limited to disinfectant/sterilization and safe handling of instruments/equipment
- For safety and security reasons, is responsible for knowing the whereabouts of a patient any time the patient is in clinical areas. In the event a patient or clinic emergency, may be called to activate the proper ‘code’, assisting provider(s) and clinical staff with the appropriate emergency response. In the event of evacuation, will assist in the evacuating of patients being seen by her/his provider(s) as scheduled.
- Annually demonstrates competence in accordance with required functions
- Performs other related duties as assigned or requested.
- Performs duties in support of successful HER implementation.
- Performs additional duties within their scope of practice/training, as assigned by health care team and in support of quality assurance and improvement.
- Adherence to identified nursing standards of practice.
- Must demonstrate competence in medication administration and knowledge prior to administering medications.
- Per-certifies surgical and other procedures, if appropriate.
- Receives verbal, telephone and written orders and enters them into the EHR at the time order is received.
- Performs peripheral blood drawing (phlebotomy).
- Directs lab/rest results to provider for review.
- Performs patient education when appropriate, provides health care instructions and documents in the HER
- Enhances professional growth and development through participation in educational programs, reviewing current literature, attending in-service meetings, and workshops.
- Processes instruments, supplies, and equipment according to established policies and procedures.
- Maintains an adequate supply of packs and supplies to meet area needs including inventory control, proper labeling and labeling of packages.
- Responsible for reporting faulty equipment and deficiencies in procedures
- Participates in educational programs and in-service meetings.
- Assists with care and maintenance of department equipment and supplies.
Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, includingadherence to theworkplaceCode of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.
The following non-essential functions may be reassigned:
- Notifies the patients to be seen by their physicians on the designated days.
- Schedules all lab appointments in EPIC. Prepare routing slip for all lab visits. Ensures that each patient is sent to the lab.
- Trains volunteers assisting with clerical tasks.
- Greets all patients daily and puts patients in examination rooms, as needed.
Basic education, experience and skills required for consideration:
- Completion of a licensed vocational nursing program.
- 1-year experience as an LVN in a medical environment.
- Experience assistingwith surgical procedures
- Current LVN license in the State of California
- Current BLS Certification from American Heart Association
Preferred education, experience, and skills:
- Basic knowledge of anatomy and physiology
- Bilingual English/Spanish and/or other languages preferred
- Board Certification in Intravenous Therapy and blood withdrawal
Monday - Friday
Pay Rate: $28.33 - $42.50
- As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.
Salary / Pay Rate Information:
Pay Rate: $28.34 - $42.51 / hour
The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.
City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.