The Robley Rex VA Healthcare System is currently recruiting for Licensed Practical Nurses for their inpatient units. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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: 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. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. License: 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 District of Columbia. 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 the provisions in chapter 3, section B, paragraph 16 of this part. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-03: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); completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-04:(a) Six months of qualifying experience as an LPN or LVN;OR(b) Graduation from an approved school, one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, supervised medical, nursing, patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures;OR(c) Graduation from an approved school with 24 months duration. GS-5:(a) Completion of at least one year of qualifying experience at GS-4 level or equivalent.(b) Demonstrated knowledge and ability to provide a full range of care to patients with a variety of physical and/or behavioral problems. Works with the RN and MD/DO to appropriately train less experienced and Nursing Assistants,Health Technicians in relation to acceptable standards of practice in promoting optimal patient care. Provides effective education to patients, family members in relation to common disease processes, medication, and prescribed treatment regimes.(c) Demonstrated ability to serve as a responsible member of the nursing team and interact in appropriate manner with patients, family members, professional and supportive personnel involved in the patient care.(d) Knowledge and skill sufficient to prepare, administer, appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and intravenous medications permitted by approved facility policies/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.(e) 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 pulmonary arrest.(f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.(g) Completed work is under the general supervision of a 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(a) 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.(b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.(c) 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 or physician for appropriateness and conformity with established policies/procedures.(d) 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.(e) 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 RNor MD/DO.(f) 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.(g) 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.(h) 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.(i) 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.(j) 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, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD Physical Requirements:See VA Handbook 5005, Part III, Chapter 2, paragraph 7, and VA Handbook 5019, Occupational Health Services. All applicants must be physically and mentally able to perform efficiently the duties of the position. Must be able to lift (30 lbs or more); twisting and/or bending, standing and/or walking almost constantly during the course of the day. ["A recruitment incentive of $6,000 with a two year commitment authorized. Provides nursing care to patients in meeting personal hygiene needs such as bathing, lifting, turning and feeding; administers tube feeding via feeding pump and changes administration sets. Take vitals, including blood pressure, heart rate, temperature Administer medication; monitor medication doses and patient response Assists selected patients with rehabilitation such as range of motion, ambulation, positioning, and self-help activities of daily living; assists with bowel and bladder training programs. Assists and instructs patients on how to keep lungs clear. Enters information about the patient's condition, an assessment of the patient's condition and a plan of action to carry out nursing care. Measures and records vital signs, neurochecks, intake and output, weights; collects urine, stool, sputum and drainage specimens; measures and records PH from nasogastric tubes; measures and records urine specific gravity. Performs procedures such as application of external urinary catheters; routine Foley catheter care; irrigation of Foley catheters, Carries out respiratory treatments such as postural drainage, chest physiotherapy; sets up and initiates oxygen therapy, including nebulization treatments; performs oropharngeal, nasopharyngeal and tracheal suctioning, performs routine tracheostomy care, Prepares and administers prescribed medications (oral and intramuscular), including PRN medications orders, after carefully assessing the patient's condition; observes effectiveness and documents observations in the clinical record. Assist with monitoring the patient's condition before, during and following the procedure. Identifies subtle changes in condition, both physical and emotional, which have relevance to health status. Applies knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices of procedures. Observes for physical and/or emotional changes in patients' condition from prescribed medications/treatments, Monitors and regulates the flow of intravenous fluids manually or via infusion pumps Responds appropriately to emergency situations such as cardiopulmonary arrest; Assists physicians and nurses with patients undergoing diagnostic and therapeutic procedures; Observes patient's changing conditions and provides specialized care to patients who may be helpless, comatose, and/or critically ill, including the patient on a ventilator; uses judgment in adapting and varying procedures and/or approaches based on patient's current condition, Participates in patient care planning conferences contributing to the identification of patient problems/needs; updates care plans and reflecting current patient status Documents all patient observations and procedures performed on appropriate forms such as flow sheets and progress notes in the electronic record. Work Schedule: 12 hour shifts; Day 0730 - 2000, Evening 1130 - 1200; Nights 1930 - 0800 and every other weekend\nPosition Title/Functional Statement #:Licensed Practical Nurse - Inpatient/PD000000\nRecruitment Incentives: Incentive of $6,000 with a 2 year commitment authorizede\nPermanent Change of Station (PCS): Not Authorized\nPCS Appraised Value Offer (AVO): Not Authorized\nFinancial Disclosure Report: Not required\nPay Schedule: VA73"]
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.