LVN

St. Paul's Senior Services•San Diego, CA

About The Position

San Diego’s St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul’s PACE provide a hands-on approach coordinating medical, social, and home care services so individuals no longer need to manage their medical care alone. We're hiring an After Hours LVN! Open shifts: Monday through Friday 4 pm to 12 am Monday through Friday 12 am to 8 am Saturday and Sunday 8 am to 4 pm Saturday and Sunday 4 pm to 12 am Saturday and Sunday 12 am to 8 am Job Summary The St. Paul’s PACE After-Hours Palliative/Comfort Care LVN provides skilled, compassionate, end-of-life care and symptom management to patients in their homes or facilities during evenings, nights, and weekends. Key responsibilities include responding to urgent patient calls, conducting nursing assessments, updating care plans, and providing emotional support to families.

Requirements

Active California LVN license
Minimum of one (1) year in nursing preferred
Six months or more experience in hospice and/or palliative care preferred
Acute Patient Assessment: Mastery in head-to-toe physical exams to identify subtle changes in condition, especially when patients are non-verbal.
Pain & Symptom Management: Expertise in administering comfort medications (pharmacological) and non-pharmacological interventions to alleviate breakthrough pain, nausea, and restlessness.
Technical Nursing Procedures: Proficiency in managing specialized equipment such as subcutaneous medication pumps (CAD pumps), Plurex drains, and Foley catheters.
Wound & Skin Care: Skilled in assessing pressure ulcers and applying appropriate dressings to maintain dignity and comfort.
Medication Reconciliation: Regularly updating and verifying medication lists to ensure alignment with the hospice care plan and avoid adverse interactions.
EHR Proficiency: Accurate and timely documentation in Electronic Health Record systems to ensure continuity of care with daytime teams.
YOU MUST BE ABLE TO CLEAR FINGERPRINTS THROUGH DOJ AND FBI IN ADDITION TO A DRUG SCREEN CLEARANCE.

Responsibilities

Takes on-call duty nights, weekends and holidays as assigned.
Provide specialized care to patients who are in the final stages of their life.
Work closely with patients, their families, and a multidisciplinary healthcare team to ensure comfort and support during this challenging time.
Provides nursing services, treatments and diagnostic and preventive procedures as assigned.
Observes signs and symptoms and reports to the physician and RN reactions to treatments, including drugs and changes in the patient’s physical or emotional condition.
Teaches and counsels the patient and family/significant others regarding the nursing care needs and other related problems of the patient at home.
Evaluates with registered nurse the effectiveness of the LPN’s/LVN’s nursing service to the patient and family under the guidance of the registered nurse.
Maintains accurate and complete records of observations, treatments and care of patient.
Participates in medical record audit as assigned.
Attend staff meetings, IDG conferences and in services as scheduled
Is responsible for submitting any changes in schedule to Director or Manager of Patient Services on a daily basis
Prepares clinical and progress notes
Assists the physician and RN in performing specialized procedures