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Placer County Human Resources Department
#2022-15610-01


Supplemental Questionnaire

Last Name First Name
 

 

Licensed Vocational Nurse

 Supplemental Questionnaire

2022-15610-01

This is the supplemental questionnaire for the classification of Licensed Vocational Nurse. Part I will not be scored or used for determining minimum qualifications but is provided for the applicant to review prior to completing the questionnaire. Part II will be scored based on your checked responses.

Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority.

By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge. If selected for an interview, you may be required to display and respond to questions to validate your responses to this exam.

NOTE: Resumes, letters, and other materials will not be evaluated or considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


 

I have read and understood the above information.


 

PART I - MINIMUM QUALIFICATIONS (NOT SCORED)

This section will not be scored but may assist the applicant with determining how he/she meets the minimum qualifications for this position.


1.

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

Yes No
2.

Do you possess an associate's degree from an accredited college with major course work in vocational nursing or a related field?

Yes No
3.

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.)

Yes No

 

PART II - TRAINING AND EXPERIENCE (SCORED EXAMINATION)

This section of the supplemental questionnaire is the Civil Service examination for this position. This supplemental questionnaire will be scored based on your checked responses below. Narratives provided by applicants describing training and/or experience will not be scored, but will be available to the hiring authority and may be utilized for interview and selection determination. Scores received from this section will determine applicant ranking and placement on the eligible list.

For the items in this section, please indicate your level of experience and then provide a brief but detailed description of your related experience in the space provided. Please note references to "Experience" is defined as paid employment or internships, with amount of time calculated on a full-time basis (ie. 40 hours/week).

Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


1.

Describe your experience administering simple prescribed treatments, medications, and diagnostic procedures.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

2.

Describe your experience providing patient education.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

3.

Describe your experience performing vocational nursing, including first aid, sterilization techniques, infection control, disposal of bio-hazardous material, medications, and treatments and procedures.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

4.

Describe your experience using medical terminology.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

5.

Describe your experience identifying medical symptoms especially as related to determination of appropriate examinations and tests.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience above, please describe below.

6.

Describe your experience working with at risk populations in a tactful and effective manner.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

7.

Describe your experience acting quickly and calmly in emergency situations.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

8.

Describe your experience obtaining information through patient interviews.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

9.

Describe your experience handling multiple cases.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.

10.

Describe your experience analyzing situations quickly and objectively and determine proper course of action in a health care setting or working in the field at various locations including clients homes and congregate living situations.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated any experience, please describe below.


 

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