Summary

There is are two positions that are primarily located at the Richard L. Roudebush VAMC outpatient clinic in Shelbyville & Brownsburg - IN. The Shelbyville location will have an expectation to cover at the Wakeman outpatient clinic located in Edinburgh - IN. The functions under the direct supervision of the Chief Health Informatics Officer - RN within the Health Informatics Service who is responsible for the coordination of patient care.

Qualifications

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
• English Language Proficiency
• In accordance with 38 U.S.C. 7402(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• 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
• Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN
• Licensure - Active - full - current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State - Territory - or Commonwealth (i.e. - Puerto Rico) - of the United States or the District of Columbia
• 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 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-03 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-04 Six months of qualifying experience as an LPN or LVN
• or (b) 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 (c) Graduation from an approved school of at least 24 months duration
• GS-05 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent
• Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems
• Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients - family members - professional and/or other support personnel involved in the delivery of patient care
• Knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribed oral - topical - subcutaneous - intramuscular and/or intravenous medications
• This includes observing and documenting patient responses to medication and reporting noted changes in the patient's condition
• Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest
• Recognize and appropriately respond to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies
• GS-06 Completion of at least 1 year of qualifying experience at the GS-5 level or equivalent
• Proficiency 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 - using judgment in selecting the appropriate order and sequence of procedures and treatments - and accurately recognizing - reporting - and recording relevant patient information
• Ability to observe - identify - and response to a patient's needs for care including medication - equipment-assisted care - and patient/family education
• Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular and/or intravenous) and performs treatments according to established policies/procedures
• Observes for - documents - and reports physical and/or emotional changes in the patient's condition from prescribed medications/treatments
• Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed
• Knowledge and understanding of human behavior - patient motivations and reactions to situations and the 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 includes preparing the patient and 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
• Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS6
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS3 to GS6
• Physical Requirements: The incumbent will be required to move throughout the clinic to interrelate with staff - patients - physicians - other medical center providers - and administrative staff
• This position involves considerable amount of standing - walking - stooping - bending - reaching - lifting - and turning
• It requires some repositioning patients - assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities
• Mechanical devices are available and are required to be used for heavy or difficult to lift clients
• The work may involve pushing or lifting more than 50 pounds and going up and down flights of stairs
• The incumbent is expected to use proper [preventive ergonomic techniques to perform all duties
• The position requires visual and auditory acuity at a level to provide safe and effective nursing care
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• The position also requires ability to work on computers for extended periods of time
• The incumbent must be able to use the computer without limitations
• The incumbent may be exposed to infected patients and contaminated materials any may be required to don protective clothing during episodes of care.

Duties

• The incumbent serves as a member of the health care team with selected patients and provides care to them on a regular and recurring basis
• The LPN 6 completes assigned duties and responsibilities which require a broad work experience
• Recurring duties are carried out independently
• The LPN recognizes the need for and seeks guidance when necessary to ensure quality patient care
• In organizing the delivery of care - the LPN recognizes and considers emotional - cultural - spiritual - and age related factors
• The LPN actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• The Veterans Health Administration (VHA) expands the provision of patient care to various institutional and non-institutional settings - such as the Department of Veterans Affairs Medical Centers (VAMCs) - Community-Based Outpatient Clinics (CBOCs) - and other affiliated organizations by utilizing innovative telecommunication technologies to enhance care coordination - access to care - and to routinely and proactively manage diseases to prevent healthcare crises
• These programs may include - but are not limited to - Clinical Video Telehealth (CVT) - Home Telehealth (HT) - and Store and Forward (SF)
• The Telehealth position is one that 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 to the veteran that demonstrates complex technical judgment under general supervision of a registered nurse or MD
• The complexity of duties includes serving as the site imager for Telehealth store and forward applications - facilitator for real time Clinical Video Telehealth (CVT) encounters - including patient education activities - Primary Care as well as specialty care remote visits - and providing equipment for the e Telehealth (HT) program
• Additional provides technical and scheduling support - and other program support duties - as assigned
• Work Schedule: Mon - Fri 7:30- 4:00pm Compressed/Flexible: May be available Recruitment Incentive (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)Functional Statement #: 92166A - 92180A - 92179A - 92181A Permanent Change of Station (PCS): Not Authorized VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional