License Vocational Nurse - Naval Medical Center San Diego
Downtown San Diego is located on San Diego Bay. Balboa Park encompasses several mesas and canyons to the northeast, surrounded by older, dense urban communities including Hillcrest and North Park. To the east and southeast lie City Heights, the College Area, and Southeast San Diego. To the north lies Mission Valley and Interstate 8. The communities north of the valley and freeway, and south of Marine Corps Air Station Miramar, include Clairemont, Kearny Mesa, Tierrasanta, and Navajo. Stretching north from Miramar are the northern suburbs of Mira Mesa, Scripps Ranch, Rancho Peñasquitos, and Rancho Bernardo. The far northeast portion of the city encompasses Lake Hodges and the San Pasqual Valley, which holds an agricultural preserve. Carmel Valley and Del Mar Heights occupy the northwest corner of the city. To their south are Torrey Pines State Reserve and the business center of the Golden Triangle. Further south are the beach and coastal communities of La Jolla, Pacific Beach, Mission Beach, and Ocean Beach. Point Loma occupies the peninsula across San Diego Bay from downtown. The communities of South San Diego (an Exclave), such as San Ysidro and Otay Mesa, are located next to the Mexico–United States border, and are physically separated from the rest of the city by the cities of National City and Chula Vista. A narrow strip of land at the bottom of San Diego Bay connects these southern neighborhoods with the rest of the city.
San Diego has one of the top-ten best climates in the United States and has one of the two best summer climates in the country as scored by The Weather Channel. San Diego area has been variously categorized as having either a semi-arid climate or a Mediterranean climate. San Diego's climate is characterized by warm, dry summers and mild winters, with most of the annual precipitation falling between December and March. The city has a mild climate year-round, with an average of 201 days above 70 °F and low rainfall (9–13 inches annually).
Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/
Provides direct nursing care services to ambulatory patient populations serviced by the Branch Clinics. Evaluates patients' condition, initiates and/or directs subordinates in the delivery of routine nursing measures.
Serves as front line customer service representative. Greets and interviews patients and their families on arrival in various clinic. Records chief complaint and documents brief history of problem.
Performs weight and vital signs (heart rate, respiratory rate, temperature, blood pressure) and notifies charge nurse of unusual variations from normal results.
Administers oral medications, gives subcutaneous, intradermal, and intramuscular injections to service line patients. Makes necessary judgments prior to administration of certain medications based on practical knowledge of the physiological effect, current condition of the patient and awareness of proper dosage. Records medications administered. Reports and records any reaction to medication and/or treatment.
Monitors flow rate of and discontinues IV fluids. If IV Certified by the state, may superimpose simple IV fluids for continuous volume infusions, but may NOT add solutions with additives or inject heparin solution into heparin locks.
Monitors and facilitates patient flow and provider coverage throughout clinic spaces. Assigns and accompanies patients to examination rooms; provides stand-by assistance to physicians for routine physicals and special examinations.
Assists patients to X-ray, Laboratory, Emergency Room and Inpatient Units for admission when directed by the charge nurse.
Recognizes and reacts calmly and appropriately in emergency situations. Assists in adult or child resuscitations and Basic Life Support.
Assists in the orientation of new personnel, students, and volunteers. Assists in the supervision of the duties of hospital corpsmen, students and volunteers assigned to the various clinics.
Performs the following treatments/test using aseptic techniques, including, but not limited to: Bladder Catherizations
Urine tests for protein, sugar, acetone levels Serum blood glucose levels
Urine and throat specimens for culture and sensitivity studies.
Assigns appointments using written triage guidelines: when urgency of care is uncertain, obtains further guidance from charge nurse.
Prepares laboratory, X-ray requests and other forms needed to carry out doctors' orders.
Assembles equipment for intravenous therapy, physical exams, and lumbar punctures.
Provides a safe environment for patients and visitors. Carefully positions patients during procedures and provides stand-by services for invasive examinations.
Collects and appropriately distributes all laboratory, X-ray, EKG, and consultation reports prior to patient's return visits with physicians.
Maintains all records required on patients treated during assigned shift. Maintains all necessary records in assigned clinic, including log sheets for statistical reporting.
Cleans and maintains equipment in good working order; ensures that each examination space is properly stocked with supplies and equipment. Assists with the ordering, pickup and maintenance of clinic supplies.
Answers phones, takes messages, and provides advice to patients using written clinic guidelines. Records telephone information and advice given in patient record.
Makes appointment to other clinics by phone or in person using written clinic guidelines.
Inputs and retrieves information through the various computer systems daily. Utilizes lab computer to retrieve laboratory results on patients.
Performs end-of-day computer processing of information.
Performs other duties as assigned. Upon request of supervisor, may be assigned to other areas to provide adequate nursing coverage.
Current licensure as a Vocational Nurse with minimum of several years general nursing experience and one year specialty nursing in the specific service line.
Current State IV Certification
Current certification in basic life support (BLS)
Evidence of continuing education for professional growth
Education and/or experience providing knowledge and skills necessary to carry out assignments of nursing concepts, principles and practices needed to perform the necessary nursing care of the service line patient and to perform each of the designated duties with accuracy and in a timely manner.