State of Maryland

A Licensed Practical Nurse III Advanced is the advanced level work at Maryland Department of Health (MDH) designated Court Involved (CI) Facilities performing practical nursing duties for the care, treatment, habilitation or rehabilitation of mentally ill, aged, physically ill or physically disabled patients; developmentally disabled clients; or clients attending clinics for preventive or treatment services.  Employees in this classification perform more complex duties that require additional technical training.  Employees in this classification do not supervise other positions but may lead direct care and other non-licensed staff.

Employees in this classification receive general supervision from a Registered Nurse or other licensed health professional.  Employees may be assigned to day, evening, night or rotating shifts which may include holidays and weekends.  Employees may be subject to call-in and overtime based on staffing needs.  Employees are required to observe infection control precautions in order to prevent contamination and spread of disease.  Employees may be required to physically restrain patients/clients displaying violent aggressive behavior.  The work may require the lifting and positioning of non-ambulatory patients/clients and the lifting of wheel chairs and other heavy equipment.  The work may require long periods of standing, walking, bending and reaching.

Positions in this classification are evaluated by using the classification job evaluation methodology.  The use of this method involves comparing the assigned duties and responsibilities of a position to the job criteria found in the Nature of Work and Examples of Work sections of the class specification.

The Licensed Practical Nurse III Advanced is differentiated from Licensed Practical Nurse II in that the Licensed Practical Nurse III Advanced requires additional technical training to perform advanced level practical nursing responsibilities while the Licensed Practical Nurse II performs the full range of duties and responsibilities under general supervision.

Administers intravenous fluids, tube feedings, aerosol treatments, chest physiotherapy and postural draining for oxygen/ventilator dependent patients;

Monitors dialysis procedures;

Performs blood transfusions with dialysis patients;

Participates on feeding team to provide nutritional feedings and care through naso-gastric tubes and gastrostomy tubes for clients unable to take nourishment orally;

Performs specialized technical treatments and sterile dressings for decubitous ulcer patients;

Attaches electrocardiograph and electroencephalograph leads and operates the equipment;

Responds to physical problems related to substance abuse and provides counseling and education on drug and alcohol effects, Human Immunodeficiency Virus (HIV) information and related issues to residents of inpatient substance abuse treatment facilities;

Conducts in-service educational programs for facility staff;

Operates the central supply of medical equipment requiring adherence to sterility requirements and adaptation of medical equipment for special patient needs;

Coordinates scheduling and clinical services of facility-wide clinics;

Develops and presents health education programs concerning specific patient populations such as AIDS/HIV or Alzheimer's disease patients;

Performs nursing procedures such as administering prescribed medications, monitoring patients' vital signs, obtaining specimens for laboratory testing and assisting in physical examinations;

Performs patient medical treatments such as catheterizations, suctioning procedures, tracheotomy care and the application of dressings;

Provides health education counseling to patients and assists patients in performing daily living activities;

Documents and maintains required charts, reports and individual health records on patients and, as directed, keeps Physicians, Registered Nurses and other designated personnel informed of same;

Practices behavior modification techniques designed to assist patients/clients in their treatments;

Maintains proper inventories of supplies;

Follows prescribed procedures for cleanliness, sterility and aseptic techniques;

Attends in-service training programs in order to maintain a continual awareness of current nursing practices, procedures and policies;

Participates in multi-disciplinary patient conferences;

Provides individual and group health instruction for students and non-nursing staff in the community setting;

May assign, review and approve the work of direct care and other non-licensed staff;

Performs other related duties.

Knowledge of current practical nursing scope of practice, theories, principles, practices and their application;

Knowledge of drug dosages and their effects;

Knowledge of medical terminology and nursing process;

Knowledge of the symptoms of common physical or mental illnesses or developmental disabilities;

Knowledge of community resources and referral procedures in a community setting;

Skill in administering medication;

Skill in applying nursing treatments;

Skill in observing patients and clients;

Skill in documenting nursing intervention;

Ability to apply specialized training to complex practical nursing skills as required by the nursing assignment; 

Ability to work as an effective member of a team of health care providers;

Ability to carry out emergency and routine procedures for the protection and safety of patients, clients, staff and the public;

Ability to life and position patients and clients;

Ability to apply specialized training to complex practical nursing skills as required by the nursing assignment.

Education:   Determined by the Maryland Board of Nursing under the licensing requirements for Practical Nurses.

Experience: Three years of experience as a Licensed Practical Nurse.

Note: Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Nursing classifications or Nursing or Health Care Specialist specialty codes in the Nursing field of work on a year-for-year basis for the required experience.

1. Candidates for positions in this classification must possess a current license as a Practical Nurse from the Maryland Board of Nursing.

2. Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be require to possess a motor vehicle operator's license valid in the State of Maryland.

3. Employees in this classification may be required to successfully complete and maintain current certification of cardiopulmonary resuscitation training.

1. Employees in this classification are subject to call-in, and therefore, will be required to provide the facility with a telephone number where they can be reached.

2. Employees in this classification are subject to substance abuse testing in accordance with Code of Maryland Regulations 17.04.09, Testing for Illegal Use of Drugs.

Class specifications are broad descriptions covering groups of positions used by various State departments and agencies. Position descriptions maintained by the using department or agency specifically address the essential job functions of each position.

This is a Skilled Service classification in the State Personnel Management System.  All positions in this classification are Skilled Service positions.  Some positions in Skilled Service classifications may be designated Special Appointment in accordance with the State Personnel and Pensions Article, Section 6-405, Annotated Code of Maryland.

This classification is assigned to Bargaining Unit D- Health and Human Service Nonprofessionals classes.  As provided by State Personnel and Pensions Article, Section 3-102, special appointment, temporary, contractual, supervisory, managerial and confidential employees are excluded from collective bargaining.  Additionally, certain executive branch agencies are exempt from collective bargaining and all positions in those agencies are excluded from collective bargaining.

Employees in this classification are eligible to receive overtime compensation.  An employee who works more than the normal workweek is entitled to be compensated for that overtime, as provided by the State Personnel and Pensions Article, Section 8-305. 

July 1 2021 12:00AM