Licensed Practical Nurse (Ambulatory Care)

Summary The Battle Creek VA Medical Center is hiring a Licensed Practical Nurse (LPN) for the Lansing VA Clinic. The LPN will be assigned to a primary care team. This position is part of the Ambulatory Care Nursing Service - and reports directly to the Nurse Manager of the Lansing clinic. Qualifications 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) and 7407(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 Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986 OR Individual granted a license by a jurisdiction that does not require graduation from an approved school 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 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 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 .GS-05 - 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-06 - 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 a 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 Reference: For more information on this qualification standard Duties The Licensed Practical Nurse is a direct caregiver who has the knowledge and skills necessary for concentrated effort and self-direction in carrying out the most complex nursing care assignments and who completes duties and responsibilities which involve performing nonstandard and specialized practical nursing activities requiring demonstrated skill sufficient to resolve a range of nursing problems Work is reviewed daily by the RN however - the LPN works independently at this level and requires little supervision by the RN Duties include but are not limited to: Demonstrates independent technical judgment - without the need for readily available supervision of their work Possesses a detailed working knowledge of complex practical nursing skills and procedures Functions as a leader or co-leader for a specifically identified group of patients Functions as Charge Nurse - where appropriate Serves as a member of the healthcare team by participating in planning - implementation and evaluation of nursing care using a focused assessment Functions as preceptor when appropriate Administers medications via all routes - excluding intravenous Educates patients and/or family for understanding of orders as documented in CPRS and carries out complex treatments as ordered - monitors patients' response to medication and treatments Reports changes to providers and RNs and documents effectiveness Work Schedule: Monday-Friday - 0730-1600 Telework: Not eligible Functional Statement #: 93117-A - 93118-A - 93119-A - 93120-A #J-18808-Ljbffr