LPN is responsible for providing nursing care to the veteran within the SURGERY and MEDICINE specialty clinic. 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 of the United States, or District of Columbia. English Language Proficiency: Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: In addition to the basic requirements stated above the following qualification criteria must be met for each grade.GS-3 None beyond the basic requirements listed aboveGS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below: 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 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. 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 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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 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. 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. 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. References: VA Handbook 5005/3, Part II, Appendix G-13, Licensed Practical or Vocational Nurse Qualification Standard dated April 10, 2003.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: Heavy lifting (45 lbs and over); Straight pulling; Pulling hand overhand; Reaching above shoulders; Use of fingers, both hands required; Walking; Standing; Kneeling; Repeated bending, both legs required; Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/40 in the other; Ability to distinguish basic and shades of colors; Hearing without aid; Hearing whispers; Mental and Emotional Stability. ["Responsible for triaging and maintaining the clinic's flow, assisting with minimally invasive procedures, wound care, and other specialty related procedures. Assist with clinic-based procedures, dressing changes, and sterile tray-set up for procedures Responsible for review Veteran ( patient) list and coordinate care with other nursing team members Promptly return phone calls and secure messages ( i.e., Email) Assist surgeon and other providers with patient care and surgery scheduling Responsible for following through on schedule surgery and canceled/rescheduled surgeries Provide general pre-operative education and discuss VAMC policies Demonstration of the high level of personal and professional accountability and the ability to be self-directed Excellent nursing skills and effective organizational skills Ability to problem-solve, apply critical thinking skills, and resolve conflict Manages computerized documentation, medication administration, and leadership responsibilities Ability to work independently and within a team structure, Must have excellent interpersonal skills to communicate and coordinate patient care with the interdisciplinary team and follow through on Veterans request Communicates and interacts appropriately and courteously with all internal and external customers Candidate crossed trained to provide nursing coverage to other surgical specialty clinics as and when needed - required. Provides care appropriate to the age-related needs of patients served in the assigned area of practice Maintains confidentiality of electronic, written, and verbal patient/employee information Conforms to Medical Center and Service/Service Line policies, procedures, and protocols to avoid injury and illness to self and others Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specifically to commonly prescribed oral, topical, subcutaneous, and/or intramuscular, as permitted by approved local facility policies and procedures. Observation and documentation will include the patient's response to medication administered and the reporting of any notable change in the patient's condition to RN or MD/DO. 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 LPN/LVN's related to support duties for these more complex specialized tests/procedures. Reusable Medical Equipment (RME) is any medical equipment designed by the manufacturer to be reused for multiple patients. All personnel who are involved with the reprocessing of RME are responsible for knowing what reusable instruments, equipment, medical devices, or supplies are used (inventory) in their clinical area. Serves as a responsible member of the nursing team and interacts in an appropriate manner with patients, family members, professional, and other supportive personnel involved in the delivery of patient care through the use of acceptable and established customer service standards Must maintain active BLS certification as per VHA guidance Performs additional related duties within the Department of nursing and surgery, as required. Work Schedule: 07:45 AM - 04:30PM, Monday - Friday 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.