The Fort Harrison VA Medical Center, Nursing Ambulatory Care, is currently recruiting for 5 Licensed Practical Nurses - PACT. This is an open continuous announcement. We accept applications for this occupation on an ongoing basis; Applicants will be referred to selecting official on a continual basis until all vacancies are filled OR until the closing date of this announcement. Basic Requirements: Citizenship: US Citizen Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Exceptions: Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions Individuals granted a license by a jurisdiction that does not require graduation from an approved school Licensure. Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or DC. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with policy. 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 GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs below: Six months of qualifying experience as an LPN or LVN OR, Graduation from an approved school (which may be waived per policy 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 LPNs at this grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent Knowledge, Skills and Abilities: 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 Education/Experience: Completion of] at least one year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN Knowledge, Skills and Abilities: Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations 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 reporting 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. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice References: VA HANDBOOK 5005/3 PART II APPENDIX G13 Preferred experience: Unrestricted LPN License; Completion of LPN program. BLS required The full performance level is a GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 6. Physical Requirements: Able to meet the physical demands for the position, reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions. Must have a good manual dexterity. Must be able to express or exchange ideas by means of spoken or written word. Must be able to view and read information on computer screens. ["The PACT LPN functions under the supervision of an RN, Licensed Independent Practitioner, or MD on all tours of duty. This LPN is accountable to the designated Nurse Manager for the provision of technical nursing care. He/she is responsible for individual nursing actions and competence within the scope of his/her license, the guidelines of this functional description, the general rules of conduct per the Employee Handbook, and the policies, procedures, and guidelines of this Patient Care Service and Montana VA Health Care System. Specific task assignments are competency-based. Initially, the LPN will complete a demonstration of basic competencies defined in the Orientation/Competency Profile for PACT LPN with additional or ongoing competencies available as needed. Formal performance review follows established policies and regulations related to Hybrid Title 38 employment. All nurses in VA Montana Health Care System are accountable to the Associate Director, PCS for nursing standards of care. The PACT LPN practices within Patient Care Services for the Primary Care CBOCs VA Montana Healthcare System and supports the mission and vision of Patient Care Services and the Healthcare System. Primary Care serves adult and elderly Veterans needing Medical/Surgical services. Provides full range of practical nursing care for primary care Provides effective education to patients and/or family members in relation to medication, and/or prescribed treatment regimes Interacts with patients, family members, professional and other supportive personnel involved in delivery of patient care Prepares, administers, and appropriately documents actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and intravenous medications as permitted by approved local policy Documents all observations, treatments, and nursing care provided in the computer record Recognizes the need for and to institute emergency measures, when indicated, promptly seeking assistance of RN, Licensed Independent Practitioner, or MD Assists in de-escalation of patients as needed Recognizes and responds to breakage/malfunction of equipment, safety hazards, and supply deficiencies Assists in maintaining a safe and therapeutic patient environment. Functions as a nursing team member within the scope of practice determined by licensure and Healthcare System policy and procedure standards. Utilizes standardized procedures in the observation and care of the ill and provides health promotion and patient teaching under the supervision of a Registered Nurse. Work Schedule: Monday - Friday 8:00 a.m. - 4:30 p.m.\nCompressed/Flexible: No\nTelework: Not available\nVirtual: This is not a virtual position.\nFunctional Statement #: Practical Nurse - PACT LPN/PD52840A\nRelocation/Recruitment Incentives: 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.