Correction Health Licensed Practical Nurse

Salary: $29.73 - $39.96 Hourly
Location : OR, OR
Job Type: Full-Time
Job Number: 23-51 (187)
Department: Sheriff's Office
Division: CORRECTIONS
Opening Date: 08/03/2023
Closing Date: Continuous
Position Summary
$5,000 Hiring Bonus
Your job in the department is to . . .
Provide standard nursing care to patients within the correctional facility. Respond to day-to-day medical issues with each patient and to medical emergencies. Must be able to work within a correctional facility environment and treat patients with respect.
Your job also involves . . .
Providing direct care and treatment to patients of the correctional facility. Promoting health through education. Assisting in the operation of the health care unit and in the development, direction, coordination, and evaluation of services.
Essential Functions/Major Responsibilities
ESSENTIAL FUNCTIONS are critical and fundamental responsibilities of the position of all Corrections Health LPN. The incumbent must be able to perform these functions with or without reasonable accommodation. A Corrections Health LPN will follow the six standards of practice:

• Assessment - Collect comprehensive data related to the health of the population served. Document assessment data in terms that are understandable to all involved in the care process.
• Diagnosis and Priorities - Analysis of the assessment data to derive a nursing diagnosis and priorities. Documents diagnoses or concerns in a manner that facilitates the patient's involvement in developing a plan of care.
• Outcomes identification - Based on the diagnosis the LPN will identify outcomes that are culturally relevant, health literate, based in evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives.
• Planning - Develop and coordinate a comprehensive plan of nursing care to maintain continuity of treatment and develop focused plans of nursing care, including selecting appropriate nursing interventions and strategies, especially for patients with chronic medical problems or serious and persistent mental illness. Document the plan using health literate and culturally competent language that can be understood by the care team and patient.
• Implementation - The LPN oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and educates patients concerning diet, hygiene, long term effects of alcohol and drug abuse, and methods of prevention of disease. Implement the plan of care by administering medical and nursing treatments including giving medications, titrating medications, daily detox assessments and handling dressing changes; also monitors and evaluates vital signs.
• Evaluation - Apply on-going assessment data to revise plans, interventions, and activities as appropriate for ultimate health outcomes for the population. Document changes to enhance effectiveness of interventions.

Additional job responsibilities:

• Documentation - The LPN will document medical history including current medical problems, allergies, on-going medications, and treatment of patients, using an electronic medical records program. As well as nursing interventions and responses to care in an accurate, timely, thorough, and clear manner. All prescription drug use for patients will be documented according to established drug recordkeeping practices in an electronic medical records program. Documents activities and status of care coordination.
• Medication - Provides sound pharmacology dispensing practices, including drug identification, drug action, side effects and proper dosage.
• Equipment - Evaluate and monitor medical supplies to ensure availability of appropriate supplies, accurate accounting, and secure storage, including maintenance of narcotic, needle, and syringe counts. Evaluate new and replacement medical equipment; operates equipment necessary for the provision of patient care, monitors equipment to ensure that it is in good working condition. Prepares equipment and assists physician and/or physicians' assistants during examination and treatment. Maintains equipment for use.
• Emergencies - Respond to emergency situations and take charge of the scene until EMS arrives if RN is not on scene. Implements emergency measures, interpretation of medical orders and ensures follow-up on any referrals made.

OTHER JOB FUNCTIONS are those duties that are performed either very infrequently or could be performed by others without altering the underlying reason the job exists:

• Attend and participate in team meetings, training, and activities to further the health of the community.
• Provide training to staff of the Lincoln County Sheriff's Office on various topics such as First Aid/AED/CPR, Narcan and other patient specific health care training to Corrections Deputies such as medication administration, detox issues, labor, and birth symptoms.

JOB SCOPE:
Operates from established and well-known procedures as documented in the policy and procedures of Lincoln County
Corrections Health. Decisions are made within written standing orders. Work is performed under the direction of the licensed Medical Provider.
Typical Qualifications
Minimum Education Level
Associates and/or Professional Certification
Specifics: Completion of a Licensed Practical Nursing certificate program.
Minimum Experience Level
None
Specifics: Experience as an LPN is not required however, 3 years' experience as a non-licensed or licensed caregiver preferred.
Compensation Note: Added financial incentive will be given to LPNs with an AA or BS degree from an accredited university. Those with verified translation abilities are also eligible for additional incentive.
Substitution Note: Any satisfactory combination of experience and training which clearly demonstrates the ability to perform the above-described duties.
Driver's License
Oregon Driver's License required
Specifics: Valid Oregon driver's license within 30 days of hire.
Other Licenses
Professional License required
Specifics: Must possess a valid license to practice in the State of Oregon as Licensed Practical Nurse as defined by statutes or administrative rules, which include but are not limited to ORS 678.010 to 678.360 at the time of appointment. The employee is required to maintain current and active licensures and certifications, as applicable, and to provide the appropriate verifications at the time of renewals.
Desirable Qualifications: Must be free of conviction of a crime designated under the law where the conviction occurred as being punishable as a felony or as a crime for which a maximum term of imprisonment of more than one (1) year may be imposed; or of violating any law involving the unlawful use, possession, delivery, or manufacture of a controlled substance, narcotic, or dangerous drug. Dishonorable or undesirable discharge from the military is cause for disqualification. Must be able to pass a law enforcement background check. A psychological assessment will also be administered. Reside within two hours of the Lincoln County Sheriff's Office.
Knowledge of:

• All areas of general healthcare services, including medical record keeping practices.
• The principles, practices, methods, and procedures of nursing as applied to primary care.
• The uses and effects of medications, narcotics, and immunizations provided in a correctional facility; considerable knowledge of issues related to alcohol and drug abuse and psychopathology.
• All clinical skills, including physical assessment and interpretation of lab tests.
• Public health laws and regulations.

Skill or ability to:

• Exercise considerable judgment, to recognize problems outside of this role and refer appropriately.
• Work with a diverse population from young adults to geriatrics and analyze health problems.
• Utilize community resources.
• Identify community and individual health problems and to plan and administer solutions.
• Plan and evaluate for a wide variety of health issues.
• Administer medications and immunizations.
• Interpret and apply written policies, procedures, protocols, directives, and guidelines.
• Establish and maintain accurate, legible, and complete records of patient care, including chart documentation, objective data collection, treatment provided, evaluation of treatment effectiveness, patient education provided.
• Learn new information quickly and adapt to changing situations.
• Provide professional nursing care independently and courteously meet and deal with patients.
• Prioritize work within the Corrections Health Service office to meet numerous deadlines.
• Function as a member of the healthcare team to collaborate in the development, implementation, and evaluation of integrated client-centered plans of care.
• Carry out physicians/dentists/nurse practitioners, and physicians' assistant orders.
• Maintain the confidentiality of privileged information including confidentiality of records as well as deal with sensitive issues, such as HIV testing and counseling, pregnancy testing and counseling.
• Interact with others, be aware of safety and security issues, be cognizant of surroundings and possible dangerous situations, and perform mobility requirements of the position.
• Respond to medical emergencies in a potentially hazardous and life-threatening environment.
• Perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
• Work alone in satellite offices.
• Prepare information for and testify in court cases.
• Maintain awareness of safety regulations and procedures at all times. And the ability to work with inmates.
• Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the county, using language and a format the audience will best understand.
• Utilize computers and other technology to communicate in written and verbal forms (e.g., word processing, texts, emails, spreadsheets, department-specific software).
• Effectively relate well with others, including supervisors, colleagues, and individuals inside and outside the county. Exhibit a professional manner in dealing with others and working to maintain constructive working relationships.
• Take personal responsibility for the quality and timeliness of work. Show up to work on time, and follow instructions, policies, and procedures. Meet productivity standards, deadlines, and work schedules.
• Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the county, using language and a format the audience will best understand.

Job Conditions and Physical Demands
WORKING CONDITIONS
Job Conditions: Works with potentially dangerous subjects. May work a varied schedule. Work is primarily indoors, often noisy, confined, crowded, hazardous and potentially high risk. Restricted to work areas with violent and combative arrestees/inmates while maintaining composure and professionalism. Exposure to abusive language, personal and familial threats, and possibility of physical assaults. Some risk of exposure to chemical restraint agents, electronic immobilization devices, and other methods or equipment used in a correctional setting to bring patients' behavior to within acceptable limits. May require sitting for extended periods of time, moderate keyboarding, climbing stairs, and walking from area to area repeatedly. Potential for contact with persons infected with a variety of communicable diseases including Tuberculosis, MRSA, Lice, Hepatitis, HIV and AIDS. Works in an environment with little natural lighting or direct ventilation.
Work Location: Lincoln County
Travel: Required to travel within Lincoln County to the Labs and Pharmacies in county owned vehicles or personal vehicles. Occasional overnight travel for participation in conferences or training in county owned vehicles or personal vehicles.
PHYSICAL DEMANDS
Requires sufficient hand/eye coordination to operate equipment, visual acuity necessary for performing necessary functions of the job; ambulatory ability to walk and run while at work. Requires speech and auditory abilities sufficient to carry on conversations and project voice among large crowds. Sufficient hand/eye coordination to operate a computer keyboard and recognize words and numbers. Applicants must pass a medical exam and physical abilities test prior to appointment. Vision: Corrected vision must be at least 20/30 (Snellen) when tested using both eyes together. Hearing: Achieve a Speech Reception Threshold (SRT) of no greater than 25 dB for each ear.
Physical capability to handle high mobility demands and complex personal interactions.

• Physical Ability: Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of stooping, kneeling, crouching, and crawling, and which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (12-20 pounds).
• Sensory Requirements: Some tasks require visual perception and discrimination. Some tasks require oral communications ability. Some tasks require the ability to perceive and discriminate sounds.
• Environmental Factors: Tasks are regularly performed without exposure to adverse environmental conditions, such as dirt, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, anima...