LVN II- State Hospital

Job Title
:
Licensed Vocational Nurse II
Agency
:
Health and Human Services Commission
Location
:
Big Spring State Hospital, 1901 N Highway 87, Big Spring, TX
Shift
:
Regular Evening and Weekend (with additional shift options)
Telework
:
Not Eligible
Closing Date
: 07/09/2026

• Performs highly complex vocational nursing work and provides care, treatment, and general welfare of individuals residing at the State Hospital (SH) with complex mental health, behavioral, and medical diagnoses.
• Executes basic and complex routine and non‑routine nursing tasks to promote patient health.
• Collects specimens for lab work and performs health screenings.
• Instructs psychiatric nursing assistants and other staff on how to provide service and care that supports the individuals’ needs.
• Performs technical nursing procedures per facility and state regulations.
• Follows all agency, SH, and hospital policies and procedures.
• Provides direction and assists with on‑the‑job training for new LVNs and direct‑care staff.
• Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals.
• Works under general supervision of an RN with moderate latitude for initiative and independent judgment.
• Performs other duties as assigned, including participation in disaster response, continuity‑of‑operations (COOP) activation, or other agency obligations that may require alternate shift patterns or location.
• Administers medications and treatments orally, rectally, internally, or by injection.
• Assists other medical staff in examining and caring for patients.
• Makes rounds as needed and works in other locations within the hospital.
• Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, hospital, and state regulations.
• Trains and instructs new LVN staff to perform nursing functions, including acclimating them to individuals and describing their needs and preferences.
• Performs complex and technical nursing procedures such as wound care and breathing treatments.
• Monitors individuals’ weight, diet, meals, and vital signs.
• Monitors individuals’ health status after medication administration, treatments, and procedures.
• Instructs psychiatric nursing assistants on monitoring individuals after a treatment or procedure.
• Documents and reports pertinent treatments and observations accurately and timely in the medical record (electronic or paper) according to hospital procedures and protocols.
• Recognizes symptoms of illness and reports accurately to RN and/or Primary Care Provider.
• Fosters interdisciplinary collaboration and integration; communicates pertinent information orally and in writing to other team members.