The incumbent serves as a Licensed Practical Nurse working in the Laboratory at the Springfield CBOC. In addition to performing phlebotomy and Point of Care Testing (POC), the incumbent will be assigned to various higher-level duties according to the needs of the laboratory; plan work assignments and workflow; provide phlebotomy and specimen processing training and education. The incumbent will also be required to be trained and provide coverage in PACT/Specialty areas based on clinic workload. To qualify for this position, applicants must meet all requirements with in 30 days of the closing date of this announcement. Basic Requirements: Citizenship: Must be a Citizen of the United States. Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education: Must be a 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. Licensure: Must possess a 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. (COPY OF LICENSE REQUIRED) Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-3 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. GS-4 Level: Must have completed six (6) 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. (TRANSCRIPTS REQUIRED) OR Graduation from an approved school of at least 24 months duration. (TRANSCRIPTS REQUIRED) LPNs at the GS-4 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 Level: Must have completed at least 1 year of qualifying experience at the GS-4 level or equivalent that includes: 1. 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. 2. 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. 3. 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. 4. 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. 5. 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 Level: Must have 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 that includes: 1.Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 2. 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. 3. 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. 4. 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. 5. 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. 6. 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. 7. 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. 8. 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. 9. 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. This can be found in the local Human Resources Office. Preferred Experience: 2-3 yrs. LPN experience in a specialty clinic setting. Physical Requirements: Requires potentially long periods of continues walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patient and objects may be required. ["Major Duties Include, but are not limited to: Coordinating with the section supervisor to assure routine venipuncture collections and specimen processing from inpatients and outpatients and send outs of specimen and packing and shipping to other facilities. Perform venipuncture collections and specimen processing, as needed. Performing routine and specialized tests and examinations using the techniques of medical laboratory practices in the chemistry, hematology, coagulation, urinalysis, microbiology, serology and immunochemistry. Performing complex laboratory procedures; recognizing deviation from expected results; analyzing and correcting problems using scientific principles with immediate supervision. Accessions/acknowledges the specimens using laboratory computer systems or designated backup systems and established guidelines. Processes specimens and selects appropriate procedures based on knowledge of the type of specimens, patient information, and resources available in the laboratory. Controls physical conditions and responds to time factors to insure that the physiological state of the specimen is maintained. Reports all critical values according to established guidelines. Enters results into hospital computer system, verifying accuracy, completeness and validity in the process. The incumbent performs tests that are new and involve very fine distinctions. Typically, many extremely delicate and exacting steps are required and the instrumentation is elaborate and complex. Prepares reagents, assembles equipment and verifies correct instrument operation. Maintains validity of assay system by appropriate testing of reagents prior to use. Evaluates the validity of data in relation to the test system assay procedures. Correlates and integrates information and performs additional testing to confirm abnormal results. Answering inquiries regarding test results, methodology, test specificity, test sensitivity, and specific factors, which influence test results with immediate or general supervision. In collaboration with senior technologists interprets results. Observes and reports changes in patients' physical and emotional conditions utilizing elements of the nursing process of signs and symptoms identification, observation, perception, clinical measurements, screening protocols, and prescribed history taking. Performs health history screenings per pre-formatted documentation. Screens, intervenes, and follows through for acute/chronic medical and emotional conditions for adult through geriatric populations with minimal supervision of a registered nurse/provider. Effectively demonstrates ability to gather data and observations, assist in planning, implementing, documenting and evaluating the care of patients seen in the outpatient care setting. Distinguishes between normal changes that accompany the aging process vs. pathological changes. Recognizes priorities and adjusts patient care accordingly. Recognizes and intervenes appropriately for urgent and emergency patient needs. Demonstrates ongoing improvement as an experienced LPN in recognizing, assessing, and intervening in both acute and chronic medical conditions, and minor surgical. Confers with other providers and Services to meet patients' needs beyond LPN scope of practice and experience. Reinforces instructions accurately as previously provided to patient by RN or provider for further VA or community follow-up. Demonstrates clinical competence in performing core and practice specific procedures according to the Competency Checklist. All other duties as assigned. Assist with LPN PACT/Specialty Team duties as needed. Work Schedule: Full Time M-F; 7:45am - 4:15pm 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.