LPN​/LVN NOC

River Vista Behavioral Health – LVN/LPT Position

River Vista Behavioral Health is a brand‑new 128‑bed behavioral health facility located along the bluffs overlooking the San Joaquin River. The hospital will employ more than 250 people, including clinicians, nurses, mental health technicians, support staff and administration. This forward‑thinking, compassionate LVN/LPT will be part of our Nursing Team and will provide high‑quality and advanced behavioral health services to residents and visitors in the Central Valley.

Assists in the delivery of patient care in an acute psychiatric setting for patients experiencing a wide range of psychiatric conditions. Provides nursing care, within the scope of practice, to meet the unique needs of each patient. Assists the Charge/Staff Nurse by collecting data related to the patient’s condition. Reports data findings related to the patient’s condition to the Charge Nurse.

Assists the Registered Nurse in assessing for pain, utilizes pain scale and documents accordingly. Documents patient activity and behavior in an accurate, timely and legible manner. Recognizes when the patient is in need of 1:1 intervention and interacts therapeutically. Informs the Charge/Staff Nurse of significant developments and documents in progress note. Provides 1:1 intervention as directed. Reports significant developments to Charge/Staff Nurse.

Assists the Charge/Staff Nurse in assessing the patient’s response to interventions; communicates findings to other team members. Responds to patient in a manner that takes into account patient’s diagnosis, strengths, weaknesses, and current level of functioning. Transcribes and administers medications and treatments accurately. Documents correctly and legibly on medication record. Initiates an infection control form and adds to the treatment plan when medications ordered indicate a medical problem.

Demonstrates responsibility for the proper safekeeping, monitoring, and accurate recording of all controlled medications kept on the unit. Follows safety procedures. Secures contraband. Keeps Charge/Staff Nurse informed of events that may change staffing needs such as admissions, discharges, transfers and patients in crisis. Provides education to patients based upon learning needs, documents education about medications, disease management and coping mechanisms.

Notifies Charge/Staff Nurse of patients with potential risk of injury due to falls or self‑destructive or assaultive behavior; implements Fall Precautions. Communicates the potential risk of injury to others. Demonstrates effective management of assaultive behavior, use of Seclusion and/or Quiet Time. Demonstrates utilization of most facilitative measure prior to Seclusion and Restraint. Demonstrates use of application of restraints; monitors patients in restraints;

provides fluids, food, ROM and bathroom. Assesses and assists with discontinuation criteria. Demonstrates competence in CPI:
Personal Defense Releases, Blocks, Restraint Techniques, and Escort Techniques. Demonstrates competence in Verbal De‑Escalation skills. Utilizes appropriate observation level for patient: Q15 minute checks, Q5 minute checks, line of sight visual observation, and 1:1 observation. When seclusion and/or restraints are used, has patient assessed by a Charge/Staff Nurse and ensures that all required documentation is completed. Regularly reviews work in progress, ensuring that all physician and medication orders are carried out and recorded.

Monitors patient for adverse drug reactions and reports any adverse drug reactions immediately to the Charge Nurse, physician or pharmacist. Ensures that medication consents are obtained and signed prior to administering psychotropic medications. Informs Charge Nurse when patient refuses medication. Practices the “5 Rights” of medication administration. Knows side effects, normal dosage, contraindications of all medications given. Has no more than four medication errors per calendar year.

Ensures that physician orders are affected within 30 minutes and transcribed within one hour. Ensures that lab results and other test results are posted upon receipt.…