Licensed Practical Nurse jobs at Tarrant County - 212 jobs

**NIGHT SHIFT** Full Time Position PRIMARY PURPOSE The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. MINIMUM SPECIFICATIONS . Education: Graduate of a Registered Nursing program, Bachelor's in Nursing Degree (BSN) preferred. . Experience :Must have 2+ years of nursing experience. Prefer experience in an acute care setting. Certification/Registration/Licensure: Must have current RN license or valid temporary license with the Texas Board of Nursing; or, valid Compact RN license. Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network. Skills or Special Abilities Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. This includes EMTALA, Order of Productive Custody, Memorandum of Transfer and APOWW. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Completes appropriate patient assessments, admission criteria, identification and implementation of appropriate clinical interventions, discharge planning, interdisciplinary communication. Utilizes critical thinking skills and recognizes emergency situations and provides appropriate nursing interventions. Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned Med/Surg department and Parkland. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of the assigned Med/Surg department and Parkland. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the assigned Med/Surg department and Parkland. Prepares and conducts an in-service educational program for the assigned Med/Surg department, at least once per year. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. Serves as a preceptor or trainer to newer nursing staff members. Serves as a Charge Nurse on rotation as necessary. Requisition ID: 994629

Primary Purpose The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. Minimum Specifications Education Must be a graduate from an accredited school of nursing. Experience Must have two years of nursing experience. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or valid Compact RN license. Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Must have Oncology Nursing Society (ONS) Chemotherapy and Immunotherapy certificate within six months of placement in the role. Current incumbents hired prior to May 1, 2022 that are not in possession of the certificate will be expected to attain no later than May 31, 2022. Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must demonstrate ability to safety and successfully perform all responsibilities of Registered Nurse II-Oncology Services. Must have comprehensive understanding of chemotherapy as it relates to indications and side effects. Must be able to start and discontinue intravenous access. Must be able to access and provide maintenance of central line devices. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Must satisfactorily complete the oncology orientation to all applicable competencies. Responsibilities Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. This includes EMTALA, Order of Productive Custody, Memorandum of Transfer and APOWW. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Performs appropriate patient assessments meeting admission and discharge criteria, provide safe medication administration using the patients six (6) rights, adequately perform POC monitoring and demonstrate safe infection control practices. Performs patient assessments related to cancer care and other medical diagnosis to include allergies and hypersensitivity reactions, physical, signs and symptoms, changes in activities of daily living, psychosocial, support network and financial dimensions across the continuum of care (diagnosis, treatment, surveillance, and end of life). Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of Oncology Services and Parkland. Educates patients, families and significant others on cancer care, therapies, treatment side effects, interventions and prevention. Performs patient teaching with documented care plans that are disease site oriented as related to phase of care across the continuum and for discharge planning. Collaborates with wound care stoma and ENT nurses for performing wound, colostomy and tracheotomy care as directed. Manages triage for patients/families/other internal and external health care professionals to optimally navigate the health care system. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of Oncology Services and Parkland. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of Oncology Services and Parkland. Serves as a preceptor or trainer to newer nursing staff members. Serves as a Charge Nurse on rotation as necessary. Serves as a role model for oncology nursing. Serves as a resource to unit nurses. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in specialty nursing organizations. Keeps abreast of current clinical trials relevant to the patient population and specific cancer, communicating effectively with clinical trial staff. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. Prepares and conducts an in-service educational program for Oncology Services, at least once per year. Will maintain current Commission on Cancer specific certification in the nurse's specialty by an accredited certification program or will continue ongoing education by earning 12 cancer-related continuing education nursing contract hours per year or 36 cancer-related continuing education nursing contract hours each accreditation cycle (3 years). Requisition ID: 983102

**NIGHT SHIFT** Full Time Position PRIMARY PURPOSE A Registered Nurse (RN) with 2+ years of experience. The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. MINIMUM REQUIREMENTS Education: Graduate of a Registered Nursing program, Bachelor's in Nursing Degree (BSN) preferred. Experience: Must have 2+ years of nursing ICU experience. Prefer experience in an acute care setting. Certification/Registration/Licensure . Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. . Must have current ACLS/ALS course completion care within 90 days of hire or reclassification into the role. . Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network. Skills or Special Abilities Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to provide continuous assessment, consult with other team members as required and provide nursing care which demonstrates patient centered/patient valued care. Must exercise independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in service educational programs. Must be able to demonstrate patient centered/patient valued behaviors.As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Serves as a resource for specific clinical patient care issues. Provides patient care educational information and training to patient and family members. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patients condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the critically ill/stable patient. Must be able to manage an adult ICU patient with neurological, pulmonary, cardiovascular, gastrointestinal, genitourinary disorders/conditions. Must provide safe medical administration using the patients six (6) rights, provide maintenance and management of IV access, must be able to perform POC monitoring, demonstrate safe infection control practices and CRRT for the adult ICU patient. Supports pain management as appropriate for each individual patient, provides emergency resuscitation care of an adult and provides an individualized plan of care. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the Adult ICU/Critical Care department and Parkland. Requisition ID: 992690

$10K Hiring Incentive Eligible for NEW Talent and/or Eligible Parkland Rehires with 1+ year from Term Date. Work schedule: Full-time Nights (36 hours/week), 7:00 p.m.-7:00 a.m., with rotating weekends and holidays Primary Purpose: A Registered Nurse with > 2 years of experience. The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. Minimum Specifications: Education Must be a graduate from an accredited school of nursing. Experience Must have two (2) years of nursing experience. Highly prefer Emergency Room/Department experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment. (excluding Med/Surg; ED Observation/Clinical Decision Units; Clinical Rotations as part of degree program, and/or LVN experience). Certification/Registration/Licensure: *Please Note: All certification cards must provide an expiration date. The expiration date must be more than 30 days from date of hire. Completion course certificates will not substitute this requirement. Current/Valid State of TX RN license or temporary RN license or, Compact RN license in good standing. Current/Valid Basic Life Support (BLS) healthcare provider certification card at time of hire, and the ability to maintain thereafter from one of the following: American Heart Association; American Red Cross; or Military Training Network. Current/Valid American Heart Association Advanced Cardiovascular Life Support (ACLS) or Advanced Life Support (ALS) certification card at time hire, and the ability to maintain thereafter from one of the following: American Heart Association; American Red Cross; or Military Training Network. Current/Valid Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) certification card at time of hire, and the ability to maintain thereafter. Current/Valid Trauma Nurse Core Course (TNCC) or Advanced Trauma Care for Nurses (ATCN) at time of interview, and the ability to maintain thereafter (Please be prepared to upload this certification at time of application submission). Skills or Special Abilities: Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities: Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Utilizes effective verbal and non-verbal communication facilitating development of a therapeutic relationship and environment that promotes wellness. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Performs appropriate patient assessments including continuous surveillance as indicated. Recognizes changes in patient's condition and provides appropriate interventions as necessary. Consults with other team members as required, notified providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the stable, critically unstable, and critically stable patients. Manages patients with Cardiovascular, Dental, Ear, Nose, Throat, Endocrine, Environmental, Facial, Genitourinary, Hematologic, Communicable and Infectious Disease, Ocular, Orthopedic, Respiratory, Toxicological and Trauma related injuries. Provides thorough assessments of these body systems and documents appropriately. Provides safe medication administration using the patient's six (6) rights, provides maintenance and management of intra-venous (IV) access, performs Point of Care (POC) testing, demonstrates safe infection control practices, invasive hemodynamic monitoring and provides emergency resuscitation management of patient. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures all records and documents meet the standards, goals, and objectives of the Emergency Department and Parkland. Works with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. Seeks and utilizes direction from more experience staff and team members as needed. Serves as Charge Nurse on rotation as necessary. Serves as a preceptor or trainer to newer nursing staff members. Prepares and conducts an in-service educational program for the Emergency Department at least once per year. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the Emergency Department and Parkland. May serve on various interdisciplinary committees as assigned. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. Job Accountabilities: Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Requisition ID: 996011

Primary Purpose The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition, and the competencies of the employee. Education Must be a graduate from an accredited school of nursing. Experience Must have two years of nursing experience Prefer experience in an acute care setting. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have a current, valid RN license or temporary RN license from the Texas Board of Nursing, or a valid Compact RN license. Must have a current healthcare provider CPR course completion card from one of the following: -American Heart Association -American Red Cross - Military Training Network. Required Tests for Placement None Skills or Special Abilities Provides care to the assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area-specific standards. Provides continuous assessment, consults with other team members as required, and provides nursing care that demonstrates patient-centered/patient-valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient-centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care areas. Job Accountabilities Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Requisition ID: 990447

Primary Purpose The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. Minimum Specifications Education Must be a graduate from an accredited school of nursing. Experience Must have two years of nursing experience. Equivalent Education and/or Experience: None Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network Must have current Neonatal Resuscitation Program (NRP) certification on hire or placement in the role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network May be required to have additional specialty certifications. Required Tests for Placement Skills or Special Abilities Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in service educational programs. Must be able to demonstrate patient centered/patient valued behaviors and be capable of handling complex or clinical specialty care, and initiate changes utilizing independent judgment with minimum supervision. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty unique critical care area. Must possess leadership abilities. Responsibilities 1. Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Utilizes effective verbal and non-verbal communication facilitating development of a therapeutic relationship and environment that promotes wellness. Serves as a resource for specific clinical patient care issues. Provides patient care educational information and training to patient and family members. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 2. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. 3. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patients condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the stable neonate and antepartum patient. 4. Supports breastfeeding and provides education related to newborn care. Provides safe medication administration using the patients six (6) rights, provide maintenance and management of IV access, must be able to perform POC monitoring and demonstrate safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and antepartum population. 5. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the Antepartum department and Parkland. 6. Works with other staff in providing direction to non-nursing staff. Provides appropriate hand off any time care is relinquished. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. Seeks and utilizes direction from more experience staff and team members as needed. Serves as Charge Nurse on rotation as necessary. 7. Serves as a preceptor or trainer to newer nursing staff members. 8. Prepares and conducts an in-service educational program for the Antepartum department, at least once per year. 9. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the Antepartum department and Parkland. May serve on various interdisciplinary committees as assigned. 10. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. 11. Any duties deemed competent Requisition ID: 991482

Primary Purpose The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. Minimum Specifications Education Must be a graduate from an accredited school of nursing. Experience If less than 9 months experience, a Nurse residency is required. LVN experience does not waive this requirement. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network Must have current Neonatal Resuscitation Program (NRP) certification on hire or placement in the role. May be required to have additional specialty certifications. Electronic Fetal Monitoring Must have completed RELIAS or AWHONN (Association of Women's Health, Obstetric and Neonatal) endorsed Basic Electronic Fetal Monitoring Certificate within 90 days of hire or reclassification into the role. Attainment is needed only once and is considered a lifetime event and not subject to renewals. Must obtain AWHONN (Association of Women's Health, Obstetrics Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate no later than 1 year from date of hire or reclassification into the role, and before transition into a Sr. RN Spec - L&D position. Skills or Special Abilities Must be able to provide care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, ANA Scope and Standards, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to provide continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities 1. Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Utilizes effective verbal and non-verbal communication to facilitate development of a therapeutic relationship and environment that promotes wellness. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 2. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Maintains current knowledge of procedures and practice for patients requiring induction of pregnancy. 3. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patient's condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the laboring patient, stable neonate, recovering, ECU and postpartum patient. 4. Performs appropriate duties during the laboring process, during a vaginal delivery, cesarean delivery and during the immediate postpartum period. Supports breastfeeding and provides education related to newborn. Provides safe medication administration using the patient's 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and patient in the Labor and Delivery area. 5. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned department and Parkland. 6. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the department and Parkland. 7. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. 8. Seeks and utilizes direction from more experience staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Provides appropriate hand off any time care is relinquished. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. 9. Any duties deemed competent. Requisition ID: 991488

Under the general supervision of the Director of Nursing, RN Charge Nurse, and Registered Nurse, this position evaluates inmates within the scope of their license, and provides necessary and appropriate nursing care while observing all security requirements in a jail setting. ESSENTIAL JOB FUNCTIONS: * Assists in sick call screening and physical examinations under the supervision of physicians and based upon the physician's orders and protocols. Records health care complaints and takes patient histories. Takes and records necessary vital signs for patients. Collects samples for laboratory examinations and issues routine medications. Records treatment provided according to physician's orders and protocol * Assists physicians in providing emergency health services in life threatening medical emergencies including suicide prevention * Participates in the screening and primary management of providing health services to inmate patients in confinement based upon physician's orders and using physician's protocols * Maintains examination rooms and checks operational status of health services equipment and supplies to ensure secure, ready to use status * Participates in continuing education and in-service training to maintain paraprofessional capability and proficiency * Maintains health services records and prepares designated reports as required * Conducts initial and ongoing medical examinations and assessments; documents results of assessments * Gives injections, takes blood pressure and temperatures * Prepares, administers and records medications * Collects urine, draws blood and administers oxygen * Cares for minor wounds (sterile techniques) * Regular attendance and timeliness are required LIMITATIONS AND DISCLAIMER: The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. EDUCATION: Required: * Graduation from an accredited licensed vocational nursing program * Licensed as a Licensed Vocational Nurse (LVN) in the State of Texas * Current BLS/CPR Certification SKILLS ~ EXPERIENCE: Required: * Current and valid Texas driver's license and a safe driving record * Maintain appropriate, unrestricted credentials according to the licensure, certification, and registration requirements of the jurisdiction * Considerable knowledge of nursing theory, techniques, and practices * Working knowledge of medications, drugs, and narcotics and their effects * Ability to perform all functions of the job classification without posing a direct threat to the health or safety of other individuals in the workplace * Exceptional skill in establishing and maintaining effective working relationships with County staff, inmates, police departments and the public * General knowledge of basic hardware and software and uses of a variety of different computer operating systems such as Microsoft Office Work, Excel, Outlook * Ability to work in a hostile environment of inmates and their visitors without reacting in a negative manner and project a professional image at all times * Possess excellent communication skills in expressing oneself clearly and concisely, both orally and in writing * Is familiar with current medical documentation requirements DISCLAIMER: Johnson County will conduct background checks on new hires that will include a criminal background check related to convictions and deferred adjudications in the past 10 years and may include credit reports, motor vehicle records, employment records, and educational attainment. A conviction or deferred adjudication is not an automatic bar to employment. Each case is considered individually. Disqualifiers: * Undesirable character or reputation * A felony conviction or felony deferred adjudication against the laws of this state, another state, or the United States * Conviction including court-ordered community supervision or probation for any criminal offense above the grade of Class B Misdemeanor, or a Class B Misdemeanor within the last 10 years * Currently under indictment for any criminal offense * Conviction, guilty plea, or probation for any family violence offense * Discharge from any military service under less than honorable conditions, or any other characterizations of service indicating bad character All Employees o Must be committed to achieving excellence in assigned duties, always in service of the county and community o Must have ability to earn and keep the trust of fellow employees and the community at large o Must be approachable and ready to help fellow employees and the general public ENVIRONMENTAL FACTORS: * Contact with "at risk" clients and persons accused or adjudicated of misdemeanor and felony offenses, visitors and general public * Work is performed mostly indoors in a 24-hour/7-day confined, security facility * Significant contact with the public, elected officials, department heads, and other County employees * The work characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. * This position has been identified with possible risk of exposure to blood-borne pathogens and/or various hazards that require immunization against such exposure. PHYSICAL DEMAND REQUIREMENTS: * While performing the duties of this job, the employee is regularly required to talk and hear * The employee frequently is required to stand; walk; sit; use hands to find, handle, or feel objects; reach with hands and arms; stoop, kneel and climb stairs * Must be able to safely lift 20 lbs. HOURS / SPECIAL CONDITIONS: Must be willing to work overtime, weekends, holidays, rotating shifts, evenings and nights. Must be able to work 12 hour shifts. Johnson County is an Equal Opportunity Employer.

Assists in sick call screening and physical examinations under the supervision of physicians and based upon the physician's orders and protocols. Records health care complaints and takes patient histories. Takes and records necessary vital signs for patients. Collects samples for laboratory examinations and issues routine medications. Records treatment provided according to physician's orders and protocol. Assists physicians in providing emergency health services in life threatening medical emergencies, including suicide prevention. Participates in the screening and primary management of providing health services to offender patients in confinement based upon physician's orders and using physician's protocols. Maintains examination rooms and checks operational status of health services equipment and supplies to ensure secure, ready to use status. Participates in continuing education and in-service training to maintain paraprofessional capability and proficiency. Maintains health services records and prepares designated reports as required. Conducts initial and ongoing medical examinations and assessments, documents results of assessments. Gives injections, takes blood pressure and temperatures. Prepares, administers and records medications. Collects urine, draws blood and administers oxygen. Cares for minor wounds (sterile techniques). Performs other duties as required

Assists in sick call screening and physical examinations under the supervision of physicians and based upon the physician's orders and protocols. Records health care complaints and takes patient histories. Takes and records necessary vital signs for patients. Collects samples for laboratory examinations and issues routine medications. Records treatment provided according to physician's orders and protocol. Assists physicians in providing emergency health services in life threatening medical emergencies, including suicide prevention. Participates in the screening and primary management of providing health services to offender patients in confinement based upon physician's orders and using physician's protocols. Maintains examination rooms and checks operational status of health services equipment and supplies to ensure secure, ready to use status. Participates in continuing education and in-service training to maintain paraprofessional capability and proficiency. Maintains health services records and prepares designated reports as required. Conducts initial and ongoing medical examinations and assessments, documents results of assessments. Gives injections, takes blood pressure and temperatures. Prepares, administers and records medications. Collects urine, draws blood and administers oxygen. Cares for minor wounds (sterile techniques). Performs other duties as required Required Knowledge Skills/Abilities: Excellent verbal and written communication skills. Excellent interpersonal and customer service skills. Excellent organizational skills and attention to detail. Excellent time management skills with a proven ability to meet deadlines. Ability to function well in a high-paced and at times stressful environment. Proficient with Microsoft Office Suite or related software. Education and Experience: Experience in providing health support services in a hospital, clinic, or infirmaries is highly desirable Graduation from an accredited school of nursing Must have two (1) years of Licensed Vocational Nursing experience Experience working in an institutional or residential setting is preferred. Must possess a license to practice as a professional nurse. Physical Requirements: The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to satisfactorily perform these essential functions without causing an undue hardship for the employer. Continuous sitting for up to 2-3 hours Continuous periods of walking and standing for 4 or more hours per shift Occasional climbing stairs up to 3 times per shift Remaining awake and alert while on duty for 12 or more hours per shift Lifting and carrying up to 20 lbs periodically and lifting up to 50-100 lbs rarely Frequently working on computer/tablets throughout the shift Frequent grasping, reaching, pushing, pulling, bending, twisting

For description, visit PDF: ************ co. ector. tx. us/upload/page/7929/docs/HR/Job%20Postings/LEC - LVN NURSE. pdf

General Description This position provides complex (senior-level) vocational nursing work. Work involves providing for the care, treatment, and general welfare of patients; May supervise the work of others; Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Examples of Work Performed Administers medication orally, rectally, internally, or by injection. Monitors patients for treatments and procedures. Monitors patients' temperature, pulse, and respiration. Collects specimens for laboratory examination. Conducts appropriate screening tests. Applies principles and practices to assess, prevent, and control disease. Maintains records pertaining to medication, deaths, illnesses, and the transfer of patients. Evaluates nursing intervention outcomes, conferring with other health care team members as necessary. Oversees the preparation and maintenance of records and reports. Reviews and assesses patient records. Develops quality assurance programs. Develops in-service training and educational programs. Participates in conducting therapeutic programs. May supervise the work of others. Performs related work as assigned. Education and Experience Must be a Licensed Vocational Nurse. Two (2) years of experience in nursing work. Certificates, Licenses and Registration: Must be licensed as a Licensed Vocational Nurse by the State of Texas or in a party state that recognizes reciprocity through the Nurse Licensure Compact. Must have a current valid Texas motor vehicle operator's license. Must be able to be insured by the County's insurance carrier. Knowledge, Skills and Abilities Knowledge of nursing procedures and techniques. Ability to provide patient medical care, to prepare and maintain records, and to train others. The County of Hidalgo offers a full range of employee benefit programs for eligible employees, retirees, and their families. For more information, please Click Here 01 Are you licensed as a Licensed Vocational Nurse by the State of Texas or in a party state that recognizes reciprocity through the Nurse Licensure Compact? * Yes * No 02 Do you have two (2) years of experience in nursing work? * Yes * No Required Question Employer Hidalgo County Address 505 S. McColl Rd., Suite A Edinburg, Texas, 78539 Phone ************ Website *****************************

General Description This position provides complex (senior-level) vocational nursing care. Work involves providing early recognition and immediate response to medical treatment and general welfare of patients; May supervise the work of others; Works under general supervision, with moderate latitude for the use of initiative and independent judgment. To be considered an applicant for this position, we require that you upload copies of the following documents. Applicant package will not be considered complete until we receive all of the required documents that are listed below. Please upload each document separately 1. Please upload/attach a copy of the following: * Please upload a copy of your high school diploma, GED or college transcript. 2. Please download the link below. Make sure to get this form notarized and uploaded as an attachment to your application: * Authority To Release Information Form 3. Please DO NOT upload or attach any other documents not listed above. Attaching other documents will delay the processing of your application. Examples of Work Performed Ensures that care is delivered to each patient in accordance with the nurse Practice Act of the State of Texas. Administers medication orally, rectally, internally, or by injection; within the scope of safe nursing practice. Monitors patients for treatments and procedures. Monitors patients' vital signs: blood pressure, temperature, pulse, oxygen saturation, and respirations. Collects specimens for laboratory examination. Conducts appropriate screening tests. Adheres to policies, procedures, and protocols. Responds in a timely manner to meet the needs of the patients. Implements Physicians orders in a safe and accurate manner. Applies principles and practices to assess, prevent, and control disease. Maintains records pertaining to medication, deaths, illnesses, and the transfer of patients. Maintains detailed and accurate records of nursing actions. Collaborates with other professional disciplines to ensure effective patient care delivery and the achievement of desired patient outcomes. Oversees the preparation and maintenance of records and reports. Reviews and assesses patient records. Develops quality assurance programs. Develops in-service training and educational programs. Participates in conducting therapeutic programs. Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively. Provides and receives reports in a status of patients at the change of shifts. Maintains a safe and clean environment for patients and co-workers. Adapts to the needs of the unit by demonstrating flexibility/adaptability. May supervise the work of others. Provides direction to non-licensed nursing staff in the delivery of patient care. Performs related work as assigned. Informs the charge nurse of any anticipated or actual problems. Education and Experience Must be a Licensed Vocational Nurse. Three (3) years of experience in nursing work. Certificates, Licenses and Registration: Must be licensed as a Licensed Vocational Nurse by the State of Texas or in a party state that recognizes reciprocity through the Nurse Licensure Compact. Maintains current with license renewal every 2 years and required continued education hours. Current Basic Life Support (CPR) certification. Must have a current valid Texas motor vehicle operator's license. Must be able to be insured by the County's insurance carrier. Knowledge, Skills and Abilities Knowledge of nursing procedures and techniques. Ability to provide patient medical care, to prepare and maintain records, and to supervise the work of others. The County of Hidalgo offers a full range of employee benefit programs for eligible employees, retirees, and their families. For more information, please Click Here Employer Hidalgo County Address 505 S. McColl Rd., Suite A Edinburg, Texas, 78539 Phone ************ Website *****************************

The Licensed Vocational Nurse (LVN) within both Brazos County Detention Center and Brazos County Juvenile Justice Center. This role ensures the delivery of safe, compliant, and effective patient care to incarcerated individuals while supervising nursing and support staff. The registered nurse collaborates with correctional officers, providers, and administrative personnel to promote patient well-being, manage clinical operations, and maintain adherence to state, federal, and accreditation standards. Essential Duties: 1. Patient Care Delivery o Provide direct nursing care to incarcerated individuals, including assessment, planning, intervention, and evaluation. o Administer medications and treatments according to physician orders and facility protocols. o Respond to medical emergencies and perform triage and stabilization as needed. 2. Health Assessments o Conduct intake health screenings for new inmates. o Perform routine and follow-up physical assessments. o Identify and monitor chronic health conditions. 3. Medical Documentation o Accurately document patient assessments, treatments, and responses in the electronic medical record (EMR). o Maintain compliance with legal, regulatory, and facility documentation standards. 4. Care Coordination o Collaborate with physicians, mental health professionals, and other healthcare staff to coordinate patient care. o Refer patients to higher levels of care when necessary. 5. Infection Control & Health Education o Implement and follow infection control procedures. o Educate inmates on health maintenance, chronic disease management, and medication adherence. 6. Medication Management o Prepare, dispense, and monitor medications safely. o Observe for and report adverse drug reactions. 7. Security & Safety Compliance o Follow all facility safety, security, and operational procedures. o Maintain appropriate boundaries and awareness of safety risks unique to the correctional environment. 8. Guidance and Supervision of Unlicensed Staff o Provide direction, oversight, and mentorship to unlicensed assistive personnel (UAPs), including Certified Nursing Assistants (CNAs), Medical Assistants (MAs), or Correctional Health Aides. o Monitor performance and provide feedback or corrective action as needed. o Ensure that unlicensed staff follow infection control, safety protocols, and documentation standards. 9. Mental Health Support o Recognize signs of mental health crises and initiate appropriate interventions. o Collaborate with mental health staff to support inmates with psychiatric needs. 10. Legal and Ethical Compliance o Maintain confidentiality and adhere to HIPAA regulations. o Comply with all state and federal laws relevant to nursing practice in correctional facilities. Other Duties as assigned. Supervision Received: Nurse Manager; Medical Manager, and Medical Authority, Registered Nurses Given: Medical Assistants (Correctional), Records Management, Medical Clerk Education Required: Graduated from a Texas Board of Nursing-approved vocational nursing program and LVN License (active and unencumbered) issued from the Texas Board of Nursing. Preferred: Graduated from a Texas Board of Nursing-approved vocational nursing program and LVN License (active and unencumbered) issued from the Texas Board of Nursing. Experience Required: 2-3 Years Preferred: 3+ years' experience Certificates, Licenses, Registrations Required: Valid Texas Driver's License Licensed Vocational Nurse - Texas Board of Nursing (active and unencumbered) Basic First Aid / CPR Certificate Preferred: Valid Texas Driver's License Licensed Vocational Nurse - Texas Board of Nursing (active and unencumbered) Basic First Aid / CPR Certificate Physical Demands Typical: Physical demands for an LVN include long periods of standing, sitting, and walking, as well as frequent bending, stooping, reaching, and pushing/pulling. Specific job duties may require lifting patients or objects (up to 50 pounds, though this varies), using fine motor skills for procedures, and possessing normal vision and hearing. Some registered nurses have small amounts of travel to clinical sites, working extended or on-call hours, and the physical demands of handling infectious diseases. Knowledge, Skills, & Abilities * Chronic disease management o High prevalence of diabetes, hypertension, HIV/AIDS, Hepatitis C, and COPD in incarcerated populations. * Infectious disease control o Knowledge of TB, MRSA, STDs, and outbreak management in confined populations. * Psychiatric and behavioral health o Common conditions include PTSD, schizophrenia, bipolar disorder, depression, and substance use disorders. * Addiction medicine and withdrawal protocols o Understanding medication-assisted treatment (MAT), detox protocols, and managing withdrawal symptoms safely. * Trauma-informed care o Sensitivity to histories of abuse, neglect, or trauma common among inmates. * Pharmacology in restricted settings o Knowledge of drug formulary restrictions, controlled substance handling, and medication diversion risks. * Legal and ethical aspects of correctional healthcare o Informed consent, confidentiality, refusal of care, involuntary treatment, and legal liability. * Chronic disease management o High prevalence of diabetes, hypertension, HIV/AIDS, Hepatitis C, and COPD in incarcerated populations. * Infectious disease control o Knowledge of TB, MRSA, STDs, and outbreak management in confined populations. * Psychiatric and behavioral health o Common conditions include PTSD, schizophrenia, bipolar disorder, depression, and substance use disorders. * Addiction medicine and withdrawal protocols o Understanding medication-assisted treatment (MAT), detox protocols, and managing withdrawal symptoms safely. * Trauma-informed care o Sensitivity to histories of abuse, neglect, or trauma common among inmates. * Pharmacology in restricted settings o Knowledge of drug formulary restrictions, controlled substance handling, and medication diversion risks. * Legal and ethical aspects of correctional healthcare o Informed consent, confidentiality, refusal of care, involuntary treatment, and legal liability. Special Skills These are practical competencies essential for success in a correctional setting: * Assessment and triage o Accurately identifying urgent vs non-urgent cases in high-demand, low-resource environments. * Autonomous clinical decision-making o Comfort making medical decisions independently, often with limited access to a physician. * Crisis intervention and de-escalation o Managing behavioral outbursts, psychiatric crises, or medical emergencies safely and effectively. * Effective communication with security staff o Collaborating with correctional officers while maintaining patient confidentiality and safety. * Documentation and legal reporting o Precise, legally defensible medical recordkeeping, incident reports, and follow-ups. * Cultural competence and interpersonal skills o Working with diverse populations, including marginalized and underserved individuals. Work Environment Typical: Correctional Facilities: * Juveniles ages 10 years of age to 18 years of age, male and female patients. * Adults age 18 +, male and female patients.

The Licensed Vocational Nurse (LVN) within both Brazos County Detention Center and Brazos County Juvenile Justice Center. This role ensures the delivery of safe, compliant, and effective patient care to incarcerated individuals while supervising nursing and support staff. The registered nurse collaborates with correctional officers, providers, and administrative personnel to promote patient well-being, manage clinical operations, and maintain adherence to state, federal, and accreditation standards. Essential Duties: 1. Patient Care Delivery o Provide direct nursing care to incarcerated individuals, including assessment, planning, intervention, and evaluation. o Administer medications and treatments according to physician orders and facility protocols. o Respond to medical emergencies and perform triage and stabilization as needed. 2. Health Assessments o Conduct intake health screenings for new inmates. o Perform routine and follow-up physical assessments. o Identify and monitor chronic health conditions. 3. Medical Documentation o Accurately document patient assessments, treatments, and responses in the electronic medical record (EMR). o Maintain compliance with legal, regulatory, and facility documentation standards. 4. Care Coordination o Collaborate with physicians, mental health professionals, and other healthcare staff to coordinate patient care. o Refer patients to higher levels of care when necessary. 5. Infection Control & Health Education o Implement and follow infection control procedures. o Educate inmates on health maintenance, chronic disease management, and medication adherence. 6. Medication Management o Prepare, dispense, and monitor medications safely. o Observe for and report adverse drug reactions. 7. Security & Safety Compliance o Follow all facility safety, security, and operational procedures. o Maintain appropriate boundaries and awareness of safety risks unique to the correctional environment. 8. Guidance and Supervision of Unlicensed Staff o Provide direction, oversight, and mentorship to unlicensed assistive personnel (UAPs), including Certified Nursing Assistants (CNAs), Medical Assistants (MAs), or Correctional Health Aides. o Monitor performance and provide feedback or corrective action as needed. o Ensure that unlicensed staff follow infection control, safety protocols, and documentation standards. 9. Mental Health Support o Recognize signs of mental health crises and initiate appropriate interventions. o Collaborate with mental health staff to support inmates with psychiatric needs. 10. Legal and Ethical Compliance o Maintain confidentiality and adhere to HIPAA regulations. o Comply with all state and federal laws relevant to nursing practice in correctional facilities. Other Duties as assigned. Supervision Received: Nurse Manager; Medical Manager, and Medical Authority, Registered Nurses Given: Medical Assistants (Correctional), Records Management, Medical Clerk Education Required: Graduated from a Texas Board of Nursing-approved vocational nursing program and LVN License (active and unencumbered) issued from the Texas Board of Nursing. Preferred: Graduated from a Texas Board of Nursing-approved vocational nursing program and LVN License (active and unencumbered) issued from the Texas Board of Nursing. Experience Required: 2-3 Years Preferred: 3+ years' experience Certificates, Licenses, Registrations Required: Valid Texas Driver's License Licensed Vocational Nurse - Texas Board of Nursing (active and unencumbered) Basic First Aid / CPR Certificate Preferred: Valid Texas Driver's License Licensed Vocational Nurse - Texas Board of Nursing (active and unencumbered) Basic First Aid / CPR Certificate Physical Demands Typical: Physical demands for an LVN include long periods of standing, sitting, and walking, as well as frequent bending, stooping, reaching, and pushing/pulling. Specific job duties may require lifting patients or objects (up to 50 pounds, though this varies), using fine motor skills for procedures, and possessing normal vision and hearing. Some registered nurses have small amounts of travel to clinical sites, working extended or on-call hours, and the physical demands of handling infectious diseases. Knowledge, Skills, & Abilities • Chronic disease management o High prevalence of diabetes, hypertension, HIV/AIDS, Hepatitis C, and COPD in incarcerated populations. • Infectious disease control o Knowledge of TB, MRSA, STDs, and outbreak management in confined populations. • Psychiatric and behavioral health o Common conditions include PTSD, schizophrenia, bipolar disorder, depression, and substance use disorders. • Addiction medicine and withdrawal protocols o Understanding medication-assisted treatment (MAT), detox protocols, and managing withdrawal symptoms safely. • Trauma-informed care o Sensitivity to histories of abuse, neglect, or trauma common among inmates. • Pharmacology in restricted settings o Knowledge of drug formulary restrictions, controlled substance handling, and medication diversion risks. • Legal and ethical aspects of correctional healthcare o Informed consent, confidentiality, refusal of care, involuntary treatment, and legal liability. • Chronic disease management o High prevalence of diabetes, hypertension, HIV/AIDS, Hepatitis C, and COPD in incarcerated populations. • Infectious disease control o Knowledge of TB, MRSA, STDs, and outbreak management in confined populations. • Psychiatric and behavioral health o Common conditions include PTSD, schizophrenia, bipolar disorder, depression, and substance use disorders. • Addiction medicine and withdrawal protocols o Understanding medication-assisted treatment (MAT), detox protocols, and managing withdrawal symptoms safely. • Trauma-informed care o Sensitivity to histories of abuse, neglect, or trauma common among inmates. • Pharmacology in restricted settings o Knowledge of drug formulary restrictions, controlled substance handling, and medication diversion risks. • Legal and ethical aspects of correctional healthcare o Informed consent, confidentiality, refusal of care, involuntary treatment, and legal liability. Special Skills These are practical competencies essential for success in a correctional setting: • Assessment and triage o Accurately identifying urgent vs non-urgent cases in high-demand, low-resource environments. • Autonomous clinical decision-making o Comfort making medical decisions independently, often with limited access to a physician. • Crisis intervention and de-escalation o Managing behavioral outbursts, psychiatric crises, or medical emergencies safely and effectively. • Effective communication with security staff o Collaborating with correctional officers while maintaining patient confidentiality and safety. • Documentation and legal reporting o Precise, legally defensible medical recordkeeping, incident reports, and follow-ups. • Cultural competence and interpersonal skills o Working with diverse populations, including marginalized and underserved individuals. Work Environment Typical: Correctional Facilities: • Juveniles ages 10 years of age to 18 years of age, male and female patients. • Adults age 18 +, male and female patients.

Join Our Team as a Charge Nurse - LVN or RN Lead Quality Care and Support Resident Well-Being We're seeking a dedicated and reliable Charge Nurse - LVN or RN to join our growing team! This role requires trustworthiness, consistency in attendance, and the ability to multitask effectively in a dynamic environment. A professional and cooperative demeanor is essential to collaborate with others and provide exceptional care to residents. Your Impact as a Charge Nurse - LVN or RN In this role, you will: Direct Care Teams: Provide guidance to Nurse Aides to ensure appropriate care for residents. Administer Medications: Properly and safely administer resident medications as prescribed. Implement Care Plans: Execute resident care plans in compliance with company policies, federal guidelines, and physician orders. Perform Treatments: Deliver treatments as required to ensure resident health and comfort. Transcribe Orders: Accurately and promptly transcribe physician orders. Document Resident Care: Maintain timely and accurate documentation in resident charts and complete required nursing assessments. Collaborate During Shift Reports: Participate in shift reports to ensure seamless communication and care continuity. Educate Support Staff: Implement nursing policies and procedures, educating staff on the care needs of residents. Maintain Safety Standards: Promote a safe working environment by complying with infection control and body mechanic procedures. Address Staffing Needs: Respond to staffing shortages by arranging for replacement staff as necessary. What Makes You a Great Fit We're looking for someone who: Is a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in good standing Demonstrates excellent technical, assessment, and documentation skills Possesses strong communication skills and the ability to organize workflows effectively Responds efficiently to emergencies and pays attention to detail in all tasks Benefits (Full-Time) Comprehensive Coverage: Health, Dental, and Vision Insurance Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more Life Insurance: Whole and Term Policies Professional Growth: Tuition Reimbursement for continued education Time to Recharge: Paid Time Off Retirement Planning: Immediate 401(k) eligibility Unwavering Support: Exceptional corporate resources Equal Opportunity Employer We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Helping people feel better isn't just about the treatment we give - the relationships we create and the compassion we share are just as important. At Stephens Memorial Hospital we make a difference in the lives of our communities and the lives of those we work alongside every day. We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment. From your first day, you'll be part of a group of some of the most talented professionals united in a common goal to care for those in our community. Ready to work with awe-inspiring teammates who are dedicated to making a difference? Join us in going above and beyond. Stephens Memorial Hospital has a job opening for 4 Full Time Licensed Vocational Nurses to work in the Med-Surg Department. Sign on bonus available. SUMMARY OF RESPONSIBILITIES: The Licensed Vocational Nurse utilizes the nursing process to deliver nursing care to an individual or group of patients and accepts assigned responsibilities as an accountable member of the health care team. Provides an optimal, achievable quality of nursing care for patients across their lifespan. Assesses and documents the effects of this care under the supervision of a Registered Professional Nurse. Works cooperatively with allied, nursing, and other support personnel to maintain standards for nursing practice. These nursing functions of the LVN are carried out according to system standards of care, the hospital mission statement, and the philosophy of the Department of Nursing. KNOWLEDGE AND ABILITY: Ability to determine priorities of care based on the need for immediate intervention under the direction of a registered nurse. Ability to maintain a professional relationship with physicians, patients, visitors, and staff by demonstrating appropriate interpersonal skills and demeanor. Ability to prepare and assist with diagnostic and therapeutic procedures. Ability to observe, record, and report signs/symptoms and response to care. POSITION REQUIREMENTS: Graduate of an accredited school of vocational nursing. Maintains a current license with the Texas State Board of Nurse Examiners for Vocational Nursing Current card for the successful completion of Basic Cardiac Life Support (CPR Healthcare Provider) within 6 months of hire. Completion of competency skill courses, such as intravenous therapy within one year per hospital Standard of Practice. ACLS preferred. We offer competitive salary (DOE), Paid Time Off, Night & Weekend differential, Extended Illness Bank, retirement plan, medical/Dental/Vision plan, cancer insurance, short term disability insurance, accident insurance, Life insurance, critical illness, and employee discount programs. SMH is An Equal Opportunity Employer--M/F/D/V and a Drug/Tobacco Free Workplace

Essential Job Functions: Provides immunization services and ACIP-recommended vaccines to children, adolescents and adults to maximize vaccine coverage levels in accordance with the DSHS Immunization Contractors Guide for Local Health Departments. Assists with ensuring that all ACIP-recommended vaccines are routinely available to patients who want them. Recommends the simultaneous administration of all needed vaccines for the patient. Follows only medically supportable contraindications to vaccination. Verbally educates patients and parents/guardians about the benefits and risks of vaccination, and distributes DSHS educational materials as applicable as part of this conversation. Discusses, and schedules the next immunization visit at each client encounter. Explains the benefits of a "medical home" and assists the parent/guardian in obtaining or identifying the child's medical home. Uses a Reminder/Recall system (manual, TWICES, ImmTrac, or other system). Follows "standing orders" for vaccination. Adheres to employee immunization policy according to CDC recommendations. Promotes and assesses immunization compliance. Meets and monitors the established goals and objectives of the department's immunization program. Participates in the Division's Quality Assurance and Quality Improvement activities. Other Job Functions: Performs related duties as assigned. Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required. This position requires 100% on-site work. Works indoors in a clinical environment; constantly exposed to communicable diseases; is exposed to inclement weather when performing field work. Must comply with department's employee immunization policy. Regular hours 8:00 a.m. - 5:00 p.m., Monday thru Friday, occasional overtime and weekends as required. This position is considered essential personnel, and may be required to stay during an emergency or return early depending on the emergency. Knowledge: Practical working knowledge of basic nursing procedures and techniques and basic clerical and computer procedures. Skills/Abilities: Ability to write, speak, and read English and Spanish. Ability to apply the nursing process; ability to work with the public and other employees; ability to exercise judgment and initiative; ability to use syringes, needles; ability to investigate and gather information; ability to hear, to communicate orally and in writing. Physical Requirements: Constantly sees and hears; frequently drives, sits, stands, stoops, twists body, walks and writes by hand, lifts objects weighing up to 25lbs. Education/Experience: Graduation from accredited school of vocational nursing plus two (2) years experience in nursing with a license to practice vocational nursing in Texas. Experience in a public health practice and experience in vaccine administration; bilingual in Spanish preferred. This position requires 100% on-site work. Must be able to speak, read and write in Spanish. Must have current license to practice vocational nursing in Texas. Must possess a valid Class C Driver's License with a good driving record. Other state valid Driver's License equivalent to Texas Class C with a good driving record will be considered. Texas state law requires within 30 days of residency; must possess a valid Texas driver's license. Applicant selected for hire will be subject to a background investigation and drug/alcohol screen test. The City of Beaumont provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, The City of Beaumont will provide reasonable accommodations for qualified individuals with disabilities. To request a reasonable accommodation or other assistance contact a Human Resources representative at ************** or through RELAY Texas at ************** or mail your request to P.O. Box 3827, Beaumont, Texas 77704. The City may consider all related education and/or experience in determining the applicant's minimum qualifications and starting salary.

Provides nursing care to patients in the field, which includes giving and reading skin tests, and dispensing medications to support medical objectives. Responsibilities 1. Visits patients in homes and in scheduled nursing clinics and provides nursing services according to protocol. Performs venipuncture, dispenses medication, collects sputum, and gives injections. 2. Maintains records according to protocol. 3. Follows up on patients who miss scheduled appointments. 4. Screens and investigates contacts according to procedure. 5. Provides and delivers medications as needed and monitors drug compliance. 6. Schedules patients by treatment regime and maintains up-to-date tickler files. 7. Educates patients on transmission and pathogenesis of tuberculosis and on compliance with prescribed treatment. 8. Assembles dot packs and coordinates distribution according to protocol. 9. Performs other duties as assigned. Qualifications Education, Experience and Training: Graduation from an accredited high school/GED program. Completion of an accredited LVN program. No experience required. Special Requirements/Knowledge, Skills & Abilities: Licensed in the State of Texas as a vocational nurse. Skilled in the use of standard software applications. Ability to effectively communicate, both verbally and in writing, and establish and maintain effective working relationships with employees, departments and the general public. Must possess a valid Texas driver's license, with a good driving record. Physical/Environmental Requirements: Must be able to walk, stand and sit for prolonged periods. Requires the ability to lift weights in excess of 50 lbs., assisted.