LPN provides direct support to the PACT team in the Ambulatory Care Outpatient Clinic. 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. Assists in assuring smooth clinic flow by assisting the Veteran through the transition process as they move through the clinic environment. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. Basic Requirements: United States Citizenship: Citizen of the United States. Education: 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 the program was completed by the applicant. Exceptions include: 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. 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 of the US, or District of Columbia. Language Proficiency: Eligible candidates must be proficient in English (spoken and written) 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: Six months of qualifying experience as an LPN or LVN; OR Must have graduated 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; (copy of transcripts required) OR Must have graduated from an approved school of at least 24 months duration. (copy of transcripts required) 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 one 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 RN/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 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. Preferred Experience: 2 years of clinic or hospital experience preferred. Experience with immunizations, EHR documentation, and ability to multitask and prioritize patient care. References: VA Handbook 5005/3 Part II Appendix G13 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 (15-44lbs), moderate carrying, straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, repeated bending, ability to distinguish basic colors, and hearing (aid may be permitted). Work requires working alone. ["Duties listed are at the GS-6 level, developmental grades will differ in complexity and level of supervision. Ensuring appropriate evaluation and access is provided to patients. Utilizing all available tools to enable effective and efficient identification and intervention of individual patients and cohorts. Functioning at the full extent of the team member's scope of practice based on experience/training. Participates in team performance improvement and sustainment activities. Implement primary care operations management processes as appropriate. Manage communications and facilitate safe transitions of the Veteran between the PACT and other health care settings. Provide health education on wellness, disease prevention, chronic care management and self-management skills to patients and personal support persons, based on the documented expertise or professional training of the PACT member. Use informal/formal communications that are respectful, effective, and timely with all team members and other internal/external customers to convey significant, clinically relevant information for the care of the patient. Collaborate with informatics technology staff to develop and implement systematized, electronically supported, standardized, tools to support PACT care delivery processes. Responsible for specific role assignments: Participates in PACT team huddles Participates in process improvements and system redesign Promotes personal, pro-active, Veteran Centered care Uses shared decision making Assists with pre-visit phone calls Reviews daily clinic schedule for patient care needs Collaborating with PACT team members to develop comprehensive health care plans and care management plans for Veterans assigned to panel. Uses motivational interviewing and applies TEACH techniques to guide patients in setting goals. Manages clinic flow: Vital signs and treatments as indicated/appropriate Completing appropriate clinical reminders Assisting the provider with exam/procedures Administering and tracking immunizations Preparing and administering medications Completes orders per provider or protocol Keep providers on schedule Keep Veterans advised of delays/wait times Ensures visit closure Observes, records and reports patient's response or changes in patient's condition Promptly recognizes and responds to urgent or emergent situations Assists with orientation of new employees Coordinates group visits Checks daily equipment/supplies and restocks the exam rooms Promptly recognizes and responds to urgent or emergent situations Participates in group visits with team members Follows medical center policies Acts as patient advocate Promotes patient and personal safety. Assists Care Manager in coordinating care for patients: Walking into the clinic without an appointment (take vital signs and gather data) Discharged from non-VA hospitals or seen in non-VA Emergency Departments Re-assigned to or from another PACT Receiving care from providers of specialty care Receiving care from several health care providers (dual care) Undergoing complex or high risk surgical or interventional procedures Help assure that there is no lapse in care for the patient Needing relevant information communicated to involved providers Makes PACT team members aware of transitions of assigned patients between care settings and are involved when needed to facilitate safe, effective, and Veteran-centered transitions New patient to the VA (take vital signs and gather data, clinical reminders) Collaborating with PACT team members to incorporate the logistical elements of care coordination into comprehensive care management plans. Complete the TEACH for Success training and Motivational Interview training. Telehealth Duties: Manage required screenings and complete clinical reminders, documentation, opening and closing encounters required Assist the primary care or specialty care provider with the Veterans physical exam as needed Responsible for Veteran education, documentation and assistance with workload capture basic for the completion of the visit, per scope of practice Regular contact with the Facility Telehealth Coordination to work out any process issues, equipment needs/problems, data collection and any other logistical issues Performs Tele-Presenter duties for the encounter Provides ideal customer service to all Veterans Considers gender-specific Tele-Presenters who can serve as chaperones when required Covers Telehealth clinics scheduled for the day, as assigned Work Schedule: Monday thru Friday, 8am - 4:30pm, varying day shifts Telework: Not available Virtual: This is not a virtual position Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial 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.