LPN uses practical nursing knowledge and skills to provide care according to the patient's condition and treatment plan; to provide care in a manner that is therapeutic, supportive, and individualized; and to provide patient/family/care giver education sufficient to allow the patient/family/care giver to not only be compliant with the plan of care but to also promote health and wellness. ****THIS VACANCY IS LOCATED WITHIN THE ENDOSCOPY/GI LAB**** 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. 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 VA Policy. English Language Proficiency: must be proficient in both 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: IN ADDITION TO THE BASIC REQUIREMENTS LISTED ABOVE - THE FOLLOWING MUST ALSO BE MET TO QUALIFY AT GRADE LEVELS INDICATED: (1) GS-3. None beyond the basic requirements. (2) GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:(a) Six months of qualifying experience as an LPN or LVN; or(b) Graduation from an approved school (which may be waived as provided in regulation) 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(c) Graduation from an approved school of at least 24 months duration. (3) GS-5(a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(b) 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.(c) 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.(d) 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.(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/or 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. (4) 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 (RN) or physician (MD/DO) 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 RN or 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. Preferred Experience: Minimum 3 years of clinical LPN experience that has included medical/surgical nursing. Endoscopy/GI Lab experience preferred Nursing practice characterized by proficiency in 1) Medical/surgical nursing skills and interventions 2) Ability to quickly identify medical urgencies and emergencies 3) Clinical problem-solving 4) Patient/family education appropriate for age and learning barriers. Work history characterized by dependability, accountability, self-directedness and initiative. Current BLS. References: VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard, dated April 2003. ["Columbia offers small-town friendliness with big city features and a high quality of life for people of all ages and interests. Though the city was founded on education, its location also makes it an attractive spot for businesses and travelers. Located on Interstate 70 and U.S. Highway 63, Columbia is right in the middle of the state and the nation. Just a couple hours drive from St. Louis and Kansas City, Columbia is Boone County's largest population center and has received numerous national awards and recognitions. If you want to raise a family, continue your education, retire or start a new business, Columbia is the place to be! This LPN position will work primarily in the Endoscopy Lab. The Endoscopy Licensed Practical Nurse provides safe and individualized nursing care to patients in the Endoscopy setting. He/she interacts and collaborates effectively with patients, families, other health care and supportive personnel. He/she initiates appropriate actions based on his/her observations of the patient's condition. The LPN possesses comprehensive practical nursing knowledge and specialized skills in gastroenterology procedures and practices including extensive knowledge of cleaning and usage of Reusable Medical Equipment (RME). The LPN's work is under the general review and supervision of an RN or MD and the scope of practice is defined by the specialized competencies and training developed for the LPN. The LPN is a vital component of the Gastroenterology (GI) team. The Endoscopy/GI LPN performs assigned duties including but not limited to: Direct assistance of providers with diagnostic and therapeutic procedures (Colonoscopy, Esophagogastroduodenoscopy (EGD), Sigmoidoscopy, Percutaneous Endoscopic Gastrostomy (PEG) tube placement) including setting up equipment, assisting with biopsy procurement, snare polypectomy, dilations, bandings, injections and/or electrocautery. Care and maintenance of equipment including Reusable Medical Equipment Handling and appropriate labeling of specimens Setting up procedure room including entering patient information into endoscopic software program. Work Schedule: Monday thru Friday 7:00 am to 3:30 pm (Rotating 24/7 call rotation includes weekends and off-tours), must be able to report within 60 minutes when on call. 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.