LICENSED VOCATIONAL NURSE

Supplemental Questionnaire

PART I - MINIMUM QUALIFICATIONS (NOT SCORED)

This section will not be scored but may assist with determining how the applicant reports meeting the minimum qualifications for this position. Possession of the following experience and/or license reflects the knowledge, skills, and abilities appropriate for this classification.

Do you possess two years of responsible licensed vocational nursing experience?

Do you possess a valid license to practice as a Vocational Nurse in the State of California? (Click HERE for information regarding a Vocational Nurse License.)

Do you possess the equivalent to an Associate degree from an accredited college with major course work in vocational nursing or a related field?

PART II - TRAINING AND EXPERIENCE (SCORED EXAMINATION)

Please answer the following questions based on your training and/or experience. Based on your checked responses, your job-related training and experience will be scored and then ranked. Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority and maybe utilized for interview and selection determinations.

Preparing patients for examinations.

Taking and charting vital signs and brief history of complaints.

Assessing the need for tests and equipment.

Conducting tests as ordered.

Reading charts and other records to note condition of patients and treatments, medication, special diets and procedures ordered by physician.

Entering findings, treatments and medication administered in patent’s charts.

Administering simple prescribed treatments, medications and diagnostic procedures.

Observing the condition of patients and reporting unusual occurrences or serious conditions to a supervisor.

Providing patient education regarding conditions/topics such as diabetes, hypertension, nutrition, weight loss or breast self-examination.

Keeping examination and laboratory rooms stocked with adequate and appropriate supplies.

Changing bio-hazard waste containers and disposing of contents according to procedures.

Preparing, sterilizing and maintaining instruments and other equipment used in diagnosis and treatment.

Assisting physicians and mid-level practitioners with examination and treatment of patients.

Please check all that apply.

I have provided the knowledge or skills below independently under normal supervision:

Please describe below.

Knowledge of medical terminology.

Knowledge of medical symptoms especially as related to determination of appropriate examinations and tests.

Knowledge of the use and care of nursing equipment and supplies appropriate to a clinical setting.

Knowledge of principles and practices of work safety, especially as related to communicable diseases.

Knowledge modern office procedures, methods and computer equipment.

Ability to interpret work orders.

Ability to explain medical practices and procedures to patients.

Ability to assist physicians and mid-level practitioners as required.

Ability to administer prescribed treatments, medications and procedures.

Ability to work with various cultural and ethnic groups in a tactful and effective manner.

Ability to obtain information through interviews.

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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