Licensed Practical Nurse-Float-Primary Care Specialty Services

Summary

The Licensed Practical Nurse positions are located at the Lebanon VA Medical Center within Nursing Services - Primary Care Specialty Services. The primary purpose of this position is to perform a very wide range of patient personal care - support diagnostic services - and chart activities on a regular and continual basis on a surgical - medical - rehabilitation - psychiatric - or long-term care ward or clinic.

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
• 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 chapter 3 - section B - paragraph 16 of this part
• 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:Employees may be appointed at or advanced to GS-4 if they meet any of the criteria 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 - 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: At least 2 years experience and at least 1 year outpatient experience
• Reference: For more information on this qualification standard - please visit 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: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - pushing - lifting 45 pounds or more - reaching above the shoulder - frequent pushing medication carts
• and use finger and both and hand and legs
• Transferring patients and objects may be required.

Duties

• Under the supervision of a licensed registered nurse (RN) - the licensed practical nurse (LPN) functions as a member of the nursing team and assists the RN in the care of patients in acute - sub-acute - or chronic states of illness
• The LPN delivers fundamental - knowledge-based care to assigned patients while developing technical competencies
• Major duties include - but are not limited to: Receives patients scheduled for the various clinics or arriving for other ambulatory care
• Assists patients with getting on and off examination tables
• Escorts ambulatory patients and transports patients via litter or wheelchair when required
• Ensures all specimens are labeled according to hospital policy
• Sets up examination room by providing necessary instruments and supplies - ensuring clinic area and equipment is aseptically clean and in order - and assures patient charts and necessary information is available
• Assists providers and nurses by supplying needed equipment - providing information such as - vital signs - weight - observations - and information obtained from patient
• Assures smooth clinic operations by directing the patient to the appropriate area
• Inventories - orders - and restocks needed linens and supplies
• Reports defective equipment
• Detects and reports unsafe work conditions
• Uses correct protective personal equipment (PPE) and standard precautions in all areas of patient care
• Maintains order and cleanliness in storage and work areas
• Performs electrocardiograms (EKGs) - places patient on a life pack and completes glucometer checks on patient
• Administers prescribed medications per policy
• Provides intravenous (IV) therapy under the supervision of the registered nurse - per policy
• Applies infection control measures appropriately in delivering care
• Communicates with team members regarding patient care
• Adheres to ethical and principles and standards in delivering care
• Enters information into patients' records/charts
• Applies knowledge and skill core competencies of the assigned unit to patient care
• Uses effective communication skills with co-workers to achieve desired patient outcomes
• Identifies patient and family learning needs - educates the patient/family member(s) according to the patient education record - and documents the evaluation of learning
• Instructs the patient and family on his/her role in various procedures performed
• Explains how equipment will be used
• Reinforces information previously supplied by the physician or nurse
• Informs nurse care manager of obstacles to learning that will require enhancement
• Demonstrates mandatory and clinical competencies of the position
• Administers life support measures - cardiopulmonary resuscitation (CPR) when required
• Performs messenger duties for Primary Care/Primary Care Specialty Services - as needed - to obtain STAT meds - equipment - specimens - etc
• Documents procedures performed and results
• Checks to see that patients are present for appointment
• Prepares patient for treatment and examination and positions them properly on examination table or chair
• Assures privacy when exposure is necessary for observation/treatment by the provider
• Observes patient for any immediate needs and gives prompt attention or seeks help - as necessary
• Participates in nursing in-service educational programs
• Performs other duties as assigned
• VA Careers - Licensed Practical Nurse: Total Rewards of a Allied Health Professional Work Schedule: 7:45am-4:15pm - Monday-Friday 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) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• 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) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 05635F Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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