Licensed Practical Nurse-Richland Community Based Outpatient Clinic (CBOC)
Veterans Affairs, Veterans Health Administration
Location: Richland, Washington
Internal Number: 659643100
The Licensed Practical Nurse provides direct support to the PACT team in the Ambulatory Care Outpatient Clinic. The incumbent is accountable for greeting the Veterans, using different modalities of gathering Veteran data such as observation, vital signs and recording information the Veteran provides to the LPN; communicating this data to the RN and/or provider and taking action as directed. He/she assists in smooth clinic flow by assisting the Veteran through the clinic environment. Basic Requirements: Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.). Education. Candidate must be a graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) at the time you completed the program. Note: You must submit a copy of your transcripts showing degree/program and conferred date. Exceptions include: (1) Health care education in the military service or training in the military service that is accepted by the licensing body in the jurisdiction in which licensed as qualifying for full LPN/LVN licensure meets the education requirements. (2) Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Licensure: Eligible candidate must possess current, full, active, and unrestricted registration as a LPN/LVN in a US State, Commonwealth, Territory, or the District of Columbia. Note: You must provide a copy of your current, valid, and unrestricted LPN License. Language Proficiency: Eligible candidates must be proficient in both spoken and written English. Grade Determinations: GS-3: None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4: Candidates may be appointed at or advanced to GS-4 if they meet any of the following criteria: Six months of qualifying experience as an LPN or LVN; OR Graduation from an approved school and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; OR Graduation from an approved school of at least 24 months duration. GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent AND Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. [Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes. Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of] patient care, incorporating acceptable, established customer service standards into practice. Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies and procedures. Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO. Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO and assist in resuscitation procedures in cardiac and/or pulmonary arrest. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. Completed work is under the general supervision of an RN or MD/DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer higher-level review. GS-6: Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN AND Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO)] for appropriateness and conformity with established policies/procedures. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. In organizing and delivering care, the LPN/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments. Promptly and accurately documenting noted changes, and reports any deviations from normal to RN or MD/DO. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure. Preferred Experience: Should have at least 1 year Clinical Experience. References: VA Handbook 5005/3 Part II Appendix G13 Licensed Practical Nurse Qualification Standard. dated: April 10, 2003. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: Moderate lifting (15-44 lbs.), Moderate carrying (15-44 lbs.), Straight pulling and pushing (30 min.), Reaching above shoulders, Use of fingers, Both hands required, Walking and standing (up to 6 hours), Stooping, bending, reaching, lifting, and turning; repositioning patients; assisting with transfers; Ability to distinguish basic colors and shades of colors, Hearing (aid permitted), Mental and emotional stability. ["~INCENTIVES NOT AUTHORIZED~ Summary:\nThe Licensed Practical Nurse is responsible for assisting the PACT team with ongoing, continuous care of one or more assigned panel(s) of Veterans. The duties of the Licensed Practical Nurse include but are not limited to: Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel, functioning at the full extent of the team member's scope of practice based on experience/training. Participates in team performance improvement activities. Assists with safe transitions of Veteran between the PACT and other health care settings using warm hand-off communication either in person or by telephone. Use informal/formal communications that are respectful, effective, and timely with all team members and other internal/external customers. Specific Role Assignments.\n1. Participates in PACT team huddles\n2. Participates in PACT team meetings\n3. Promotes personal, pro-active, Veteran Centered care\n4. Reviews daily clinic schedule for accuracy Manages Clinic Flow.\n1. Vital signs and treatments as indicated/appropriate\n2. Completing appropriate clinical reminders\n3. Assisting the provider with exam/procedures\n4. Administering immunizations (per licensure)\n5. Preparing and administering medications (per licensure and protocol)\n6. Completes orders per provider or protocol\n7. Keep providers on schedule\n8. Keep Veterans advised of delays/wait times\n9. Ensures visit closure\n10. Observes and reports changes in patient's condition\n11. Checks daily equipment/supplies and restocks the exam rooms\n12. Promptly recognizes and responds to urgent or emergent situations.\n13. Participates in group visits with team members\n14. Follows medical center policies\n15. Acts as patient advocate; assuring patient understands content of visit and when to return to clinic, as well as how to contact team between visits.\n16. Promotes patient and personal safety. Assists Care Manager in coordinating care for patients assigned to the PACT. 1. Walking into the clinic without an appointment (take vital signs and gather data)\n2. Re-assigned to or from another PACT\n3. Help assure that there is no lapse in care for the patient\n4. Complete the TEACH for Success training and Motivational Interview training.\n5. Needing relevant information communicated to involved providers\n6. New patient to the VA (take vital signs and gather data, clinical reminders)\n7. Complete the TEACH for Success training and Motivational Interview training. Telehealth Duties (As applicable)\n1. Manage required screenings and complete clinical reminders, documentation, opening and closing encounters required.\n2. Assist the primary care or specialty care provider with the Veterans physical exam as needed.\n3. Responsible for Veteran education, documentation and assistance with workload capture basic for the completion of the visit, per scope of practice.\n4. Regular contact with the Facility Telehealth Coordination to work out any process issues, equipment needs/problems, data collection and any other\nlogistical issues.\n5. Performs Tele-Presenter duties for the encounter.\n6. Provides ideal customer service to all Veterans.\n7. Considers gender-specific Tele-Presenters who can serve as chaperones when required.\n8. Covers Telehealth clinics scheduled for the day, as assigned. Work Schedule: M-F: 8:00am to 4:30pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: Licensed Practical Nurse, GS-0620-3/4/5/6; FS: 00000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.