Exhibits LVN.docx

Licensed Vocational Nurse (LVN) Certified Nurse Assistant (CNA)

EXHIBIT “C” THROUGH “V”

ADDITIONAL CERTIFICATIONS, EDUCATION AND EXPERIENCE

EXHIBIT C - LVN—OPERATING ROOM

Certifications: The LVN shall possess and maintain current certification in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

Education: The LVN shall have graduated from a preoperative nursing course either in the military situation or civilian equivalent.

Experience: The LVN shall have at least one (1) year of full-time experience working as an LVN in an Operating Room within the last five (5) years.

TECHNICAL EXHIBIT D: CNA—INPATIENT PSYCHIATRY

1. Qualifications.

1.1. Experience. The CNA shall have provided nursing services a minimum of six (6) months in a Mental Health unit within the last two (2) years.

1.2. Skill and Knowledge.

1.2.1. Knowledge of de-escalation techniques

1.2.2. Shall possess knowledge of psychological state, growth, and developmental stages, changes in body image, and risks specific to the young adult through geriatric stage.

1.2.3. General mental health nursing principles and practices; mental health diagnosis; medical nursing and mental health terminology; personality development; communication process; specialized treatment techniques; psychopathology; adjustment mechanism; anatomy and physiology; normal and interviewing techniques, diagnostic nomenclature; psychopharmacology; medical ethics; crisis intervention; medical records administration and documentation and medical supplies.

2. Hours of Performance. The CNA may be scheduled for any shift to include rotating shifts, weekends and holidays.

3. Description of Duties.

3.1. Assisting in controlling aggressive or disruptive patients utilizing Preventive Management of Disruptive Behavior techniques.

3.2. Assists in specialized treatment and rehabilitation of mental health patients.

3.3. Assists professional staff with identifying mental health and nursing diagnosis treatment patient education and disposition planning.

3.4. Observes, monitors, records and reports on patient’s progress and documents observations of behavior, Activities of Daily Living, and therapeutic progress.

3.5. Institutes precautionary measures to prevent patient injury, suicide or elopement.

3.6. Participates in supportive group therapy.

3.7. Assists RN with manual restraints and application of mechanical restraints.

EXHIBIT E - LVN—EMERGENCY DEPARTMENT (ED)

Certifications: The LVN shall possess and maintain a current certification in Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENCP).

Experience: The LVN shall have at least one (1) year of full-time experience in a Level I (one) trauma center or at least two (2) years or full-time experience in a Level II or III Emergency Department in the last four (4) years.

EXHIBIT F - LVN—POST ANESTHESIA CARE UNIT (PACU)

Certification: The LVN shall possess and maintain current certification in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

Experience: Minimum of one (1) year of full-time experience in the past three (3) years in the required specialty.

EXHIBIT G - LVN—BONE MARROW ONCOLOGY

Certifications: The LVN shall possess and maintain a current certification in Advanced Cardiac Life Support (ACLS).

Experience: The LVN shall have a minimum of three (3) years of full-time experience as a clinical nurse in medical/surgical. A minimum of one (1) year of oncology or bone marrow transplant experience is required.

Management of multiple types of central catheters, including PICCS, implanted ports, tunneled catheters and aphaeresis catheters as well as administration and management of chemotherapy is required.

EXHIBIT H - LVN- NEONATAL INTENSIVE CARE UNIT (NICU)

Certifications: The LVN shall possess and maintain a current certification in Neonatal Resuscitation Program (NRP).

Experience: The LVN shall possess at least one (1) year of full-time experience in a level III NICU within the last three (3) years.

EXHIBIT J - LVN—PEDIATRIC INTENSIVE CARE UNIT (PICU)

Certifications: The LVN shall possess and maintain a current certification in Pediatric Advanced Life Support (PALS).

Experience: The LVN shall possess at least one (1) year of full-time Pediatric ICU experience within the last three (3) years and knowledge of age specific criteria.

EXHIBIT K - LVN— PEDIATRIC INPATIENT AND CLINIC

Certifications: LVN shall possess and maintain a current certification in Pediatric Advanced Life Support (PALS).

Experience: The LVN shall have at least (1) one year of full-time pediatric inpatient nursing experience within the last three (3) years and shall have knowledge of age specific criteria for ages one (1) day to adult (21+) years old (for hematology/oncology patients) .

Must have knowledge of pediatric medication dosages and be willing to train as support personnel in the provision of chemotherapy.

Must achieve at least 80% on the pediatric-specific pharmacology exam.

EXHIBIT L - LVN—PEDIATRIC SPECIAL PROCEDURE UNIT

Certifications: The LVN shall possess and maintain a current certification in Pediatric Advanced Life Support (PALS).

Experience: The LVN shall have at least two (2) years of full-time pediatric nursing experience within the last four (4) years or one (1) year of full-time PICU experience within the last three (3) years.

Knowledge of a wide range of medical disorders/conditions, disease processes, and growth/development of infants, children and adolescents, as well as preventive health schedules.

EXHIBIT M - LVN—MEDICAL OR SURGICAL INPATIENT SERVICE

Experience: The LVN shall have at least one (1) year of full-time experience within the last five (5) years working as an LVN in a Medical or Surgical unit (Must have one (1) year of concurrent experience in the type of unit being assigned to within the past two years).

Skill and Knowledge: Must be competent in demonstrating neurovascular assessment, tracheostomy care and care of patients with chest tubes.

Health Requirements: The LVN shall be able to stand for long periods of time and not have physical restrictions that limit their ability to perform independent patient care.

EXHIBIT N - LVN—MENTAL/BEHAVIORAL HEALTH UNIT

Experience: The LVN shall have at least one (1) year of full-time experience within the last five (5) years working as an LVN in a Mental Health Unit.

Must have knowledge of Preventive Management of Disruptive Behavior (PMDB), de-escalation techniques, the Joint Commission recommendations for restraint application and experience in the application of mechanical restraints

Must have knowledge of general medical nursing principles and practices the mental health nursing process, individual and family dynamics in health and during illness; individual and group modalities; theories of personality development, human behavior, psychopathology, diagnosis, psychopharmacology , psychotherapies, and physiological and physical response to alcohol and drug abuse withdrawal.

Assists professional staff with identifying mental health and nursing diagnosis treatment, patient education and disposition planning.

EXHIBIT P - LVN—GASTOENTEROLOGY CLINIC

Certifications: The LVN shall possess and maintain a current certification in Advanced Cardiac Life Support (ACLS). Must attend and maintain conscious sedation certification. Conscious sedation certification must be completed within 60 days of assignment.

Experience: The LVN shall have a minimum of two (2) years of full-time experience as a clinical nurse in the medical/surgical, gastroenterology or critical care inpatient setting within the last four (4) years. Minimum of one (1) year of experience in post anesthesia/sedation.

Skill in setting up, operating and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, and other unit specific equipment.

EXHIBIT Q - LVN—RADIATION/ONCOLOGY

Certifications: The LVN shall possess and maintain a current certification in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

Experience: The LVN shall have provided nursing services a minimum of two (2) years of full-time experience in Medical/Surgical or Radiation/Oncology nursing within the last four (4) years.

Knowledge required: Identifying and managing side effects relating to patients undergoing radiation therapy to include radiation skins reactions, fatigue and nutritional support. Knowledge of patients with radioactive seed implants.

EXHIBIT R - LVN—GENERAL SURGERY/ VASCULAR SURGERY CLINIC/ BREAST CARE ELEMENT

Certifications: The LVN shall possess and maintain a current certification in Advanced Cardiac Life Support (ACLS).

Experience: The LVN shall have at least five (5) years full-time experience in Medical/Surgical Nursing within the last six (6) years.

EHXIBIT S - LVN—OTOLARYNGOLOGY (EAR, NOSE AND THROAT, or ENT)

Experience: The LVN shall have at least one (1) year full-time experience within the past three (3) years in ENT or two (2) years full-time experience in Medical /Surgical Nursing within the last three (3) years.

EXHIBIT T - LVN—WOUND AND OSTOMY (WOCN)

Certifications: The WOCN LVN shall possess and maintain certification from the Wound Ostomy Continence Nurse Credentialing Board. Exceptions may be made for new Wound Ostomy Continence Nurse Education Program (WOCNEP) graduates and they shall obtain certification with one year of employment.

Education: The LVN shall have graduated from an accredited WOCN education program is mandatory.

Experience: The WOCN LVN shall have at least one year experience in the assigned specialty in the past three years.

EXHIBIT U - LVN- LABOR & DELIVERY

Certifications: LVN shall possess and maintain current certification in Neonatal Resuscitation Program (NRP).

Experience: The LVN shall have at least two (2) years of full-time experience working as an LVN on a Labor & Delivery unit within the last five (5) years.

Knowledge required: Prepare and recover cesarean section surgical patients with both regional and general anesthesia. Must also have experience managing patients with Magnesium Sulfate, Pitocin, and insulin drips and patients with epidurals and amnio-infusions. Experience in performing scrub tech role in the OR preferred.

EXHIBIT V - LVN- POST PARTUM / ANTE PARTUM

Certifications: LVN shall possess and maintain current certification in Neonatal Resuscitation Program (NRP). Experience: The LVN shall have at least Two (2) years full-time experience working on postpartum/ante partum unit within the past three (3) years.