The Telehealth Clinical Technician (LPN) is an LPN/LVN who serves in a generalist role to support Telehealth clinical programs from the patient location. The incumbent provides a wide range of clinical and technical services that demonstrates complex technical judgment under limited supervision of a registered nurse or MD, who may be remotely located at another site. 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. Exceptions include: (1) 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. (2) 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. (3) 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 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. Preferred Experience: Previous Telehealth experience Grade Determinations: Applicants may be selected at hiring manager discretion to any of the described grades. For GS-3 (Entry Level): 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. For GS-4 (Developmental Level): Employees 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 (which may be waived as provided in paragraph 4 of Section C) and one (1) 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. For GS-5 (Developmental Level): Employees may be appointed at or advanced to GS-5 if they meet the following criteria: Completion of at least one (1) year of qualifying full-time experience at the GS-4 level or equivalent in the same occupational series or field. In addition, applicants must demonstrate the following Knowledge, Skills, and Abilities (KSAs): 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. For GS-6 (Full Performance Level): Employees may be appointed at or advanced to GS-6 if they meet the following criteria: 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. In addition, applicants must demonstrate the following Knowledge, Skills, and Abilities (KSAs): 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. Additional KSAs are listed, and will be provided by the posting HR Specialist upon request. Text limitations are cutting off the ability to show them all. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G13. This can be found in the local Human Resources Office. 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: The work requires some physical exertion such as prolonged periods of standing, bending, reaching, crouching, stooping, stretching, and lifting moderately heavy items such as manuals, record boxes, equipment and assisting patients. The work requires above average agility and dexterity. The incumbent may be required to travel between VA and/or Non-VA clinical care sites using a government vehicle, so the incumbent must possess a valid driver's license. ["The work involves the independent performance of the full range of functions using a variety of conventional techniques and procedures. The work involves a variety of patients of diverse cultural, spiritual, and education backgrounds. The work directly affects the overall well-being of patients served. The work involves the independent involvement of normal cases following accepted facility practices. The employee must be able to identify materials and techniques used with each patient. Guidelines include operating policies and practices of the facility including those involving telehealth; accepted materials, procedures and techniques associated with each piece of equipment for telehealth; and other facility publications including memoranda of understanding, service agreements, and telehealth plans. Equipment for telehealth includes items such as clinical video teleconferencing (CVT) carts, teleretinal imaging cameras, MOVI cameras, telederm cameras, cardiac device interrogators, and similar type of equipment used to capture images, voice, video, or electrical signals and transmit them between the patient and a remotely located provider. The employee uses judgment in selecting and adapting techniques, procedures, and materials most appropriate for the specific condition of each patient in an independent manner, often serving as the only Telehealth personnel on site. Materials may include components of the telehealth equipment such as stethoscopes, transducers, and EKG recording devices or educational materials for the providers, clinic staff, or patients. Situations requiring deviations from the guidelines are referred to the supervisor. Work Schedule: Monday through Friday, 7:30am to 4:00pm\nCompressed Schedule: available\nTelework: Not available\nRecruitment/Relocation Incentive: Not available\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.