BASIC FUNCTION: Under supervision and direction of a credentialed school nurse, assigned supervisor or physician's orders, provide specialized physical health care services as required; assess and administer student health care safely within the LVN Practice Act. Assist nursing personnel to manage the physical health conditions of students and maintain student health records.
REPRESENTATIVE DUTIES: (Incumbents may perform any combination of the essential functions shown below. This position description is not intended to be an exhaustive list of all duties, knowledge, or abilities associated with this classification, but is intended to reflect the principal job elements accurately.)
- Travel to various school sites within the District to perform a wide variety of nursing duties as assigned and needed using personal automobile for transportation.
- Administer insulin or assist in the administration of insulin to diabetic students, including assisting with carbohydrate counting, the calculation of proper insulin dosages, and insuring proper administration techniques.
- Monitor blood glucose levels or supervise such monitoring for diabetic students.
- Administer rectal diastat appropriately.
- Assist in the administration of other medications to students as prescribed.
- Collaborate with teachers, parents, and physicians concerning side effects and adjustments to medications under the direction of the school nurse; obtain physicians' orders for medication needed at school.
- Provide students with standardized information in areas related to hygiene, sleep habits, drug and alcohol abuse, fitness and nutrition under supervision.
- Review student immunization and health records and assist families to assure compliance with immunization laws as directed by the school nurse.
- Assist in maintaining confidential health and other related records and reports; including student health records, accident reports and Medi-Cal logs; log medical procedures and input data into the health information system.
- Perform specialized physical health care procedures, including but not limited to gastrostomy and nasogastric feedings, toileting, catheterizations, tracheotomy care, suction, ostomy care, diaper changes, nebulizer treatments, glucagon administration, emergency care in an anaphylactic reaction, including administration of the epi-pen, and lifting and positioning physically disabled students, and all other procedures.
- Update credentialed school nurse regarding any changes in a student's condition or changes in the doctor's orders.
- Initiate emergency procedures as needed, including, but not limited to, administering minor first aid and CPR to students and activating EMS or other follow-up care.
- Provide follow-up for health problems identified during vision, hearing, scoliosis, diabetic, dental and nutritional screenings using standardized information under supervision.
- Monitor inventory of classroom and medical supplies, including first aid kits and nursing informational flyers and forms; assist in ordering, receiving and maintaining appropriate inventory levels of supplies as assigned.
- Report suspected child abuse in accordance with State law and District policy.
- Work cooperatively with District nursing, teaching and administrative staff and consult with staff regarding health information as needed.
- Help maintain a positive school health environment through open communication and effective human relations by establishing collaborative relations with a diverse range of individuals.
- Attend appropriate in-service training, workshops, and meetings, as assigned, to keep informed of current practices and trends in assigned area and to meet new safety and/or technology standards; receive direct and indirect supervision from School Nurse regarding health related issues.
- Demonstrate and model safe, prudent work behaviors and practices that result in a safe and healthy environment; report or correct unsafe conditions to ensure a safe environment.
- Adhere to schedules and timelines to meet the needs of students, staff and sites.
- Perform other related duties as may be assigned by administration in compliance with Board policies and administrative regulations, and Federal, State, or local regulations.
KNOWLEDGE AND ABILITIES
- Applicable federal, state, and District codes, regulations, policies and procedures governing work scope
- CPR, first aid, and appropriate activities for the care and disposition of severely disabled students in a school setting
- Medication management of children and adolescents
- Specialized health care procedures and crisis intervention techniques
- Modern medical terminology, equipment, techniques and methods
- Proper English usage, grammar, vocabulary, spelling and punctuation
- Accepted record keeping and reporting methods and strategies
- Public health agencies and local health care resources
- Accepted safety standards, practices and procedures of the industry, including Occupational Safety and Health Administration (OSHA) and Cal-OSHA guidelines and requirements, and strategies and practices for work place safety in a health care environment
- Child/adolescent development and guidance principles related to disabled and/or at-risk youth, including family and community involvement
- Organizations, operations, policies and objectives of public education
- Safe contact with bodily fluids, blood-borne pathogens, and communicable diseases
- Planning, organization and coordination needed for assigned program
- Diverse academic, socio-economic, cultural, ethnic, and disability backgrounds of District students
- Technology and computer software applications relative to instruction, administration, and education
- Provide basic nursing skills to administer health care to students including severely disabled children
- Identify and monitor the physical and mental health of students, recognizing when to notify the school nurse of conditions that may require additional intervention
- Assist disabled students in areas related to activities of daily function, such as feeding, toileting, exercises, and positioning
- Remain calm and exercise judgment in dealing with emergencies and special health needs
- Gather and analyze clinical data and prepare reports, as directed
- Establish and maintain cooperative relationships with students, school personnel, parents, co-workers, and the public
- Work independently with appropriate direction and follow established policies and practices
- Communicate effectively in the English language, both orally and in writing
- Compose letters from oral and written instructions
- Make simple mathematical calculations with speed and accuracy
- Analyze situations accurately and adopt an effective course of action
- Learn and use technology and computer software applications as appropriate to the work environment
- Use tact, patience, and courtesy when dealing with people, and discretion in handling of confidential records
- Understand and be sensitive to those of culturally and linguistically diverse backgrounds
- Use initiative and judgment in discussing problems involving office practices and policies with the public and District staff
- Read, understand, interpret, and follow laws, rules, regulations, processes, policies, and methods of the office, the District, and the State of California in accordance with assigned duties
- Plan, organize and meet schedules and timelines
- Apply integrity and trust in all situations
High school diploma or GED equivalent is required; graduation from an accredited Licensed Vocational Nurses Training Program.
One year of job-related experience in a public health setting, preferable in a public school setting; experience with children in a classroom or other structured setting, preferably experience working with children with disabilities or the medically fragile child. Alternatively, one-year post-graduation clinical experience in an acute care setting, preferably pediatric unit.
LICENSES AND OTHER REQUIREMENTS:
- Valid State of California License of Vocational Nursing
- Possess and maintain a valid First Aid Certificate and CPR Certificate
- Valid California Driver's License
- Employment eligibility will include fingerprints, tuberculosis and/or other employment clearance
Office environment and diverse school site environments; driving a vehicle to conduct work; fast-paced work; constant interruptions; potential contact with blood and other body fluids and communicable diseases.
Physical, mental and emotional stamina to perform the duties and responsibilities of the position; mental acuity to collect and interpret data, evaluate, reason, define problems, establish facts draw valid conclusions and make valid judgments and decisions; consistent mental alertness; sitting or standing for extended periods of time; lifting, carrying, pushing, and pulling objects up to 50 pounds, occasionally 50+ pounds; bending and twisting at the waist, reaching overhead, above the shoulders and horizontally; dexterity of both hands and fingers while performing duties; seeing to read, write and use the computer; hearing and speaking to exchange information, in person or on the telephone, and make presentations.
The Oakland Unified School District does not discriminate in any program, activity, or in employment on the basis of actual or perceived race, religion, color, national origin, ancestry, age, marital status, pregnancy, physical or mental disability, medical condition, genetic information, veteran status, gender, sex, or sexual orientation.
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