Licensed Practical Nurse-Patient Aligned Care Team

Job Title

Duties include but not limited to:

• Successfully and consistently demonstrates the exercise of independent technical judgment (without the need for readily available supervision) as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures.
• May also serve as leaders or co-leaders in a nursing unit or for a specifically identified group of Veterans.
• Demonstrates ability to assist RN and/or Provider to appropriately prioritize overall Veteran care needs and adjust plans for care delivery.
• Completed work should only need very limited review by a registered nurse (RN) or Provider for appropriateness and conformity with established standards of practice, policies, and procedures.
• Demonstrates the ability to proactively assist the RN and/or Provider in addressing Veteran's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and Veteran's response to medications/treatments received.
• This may include restricted medication locally authorized for administration by employees at this grade level.
• Appropriately seeks assistance and guidance by informing RN and/or Provider of more subtle physical and emotional changes in Veteran's condition requiring higher-level intervention and demonstrate taking appropriate action based on those observations.
• Demonstrates a broad knowledge of the Veteran treatment process and exercises judgment that demonstrates the ability to effectively intervene when appropriate.
• At this grade level, the LPN is expected to participate to a greater degree in prioritizing and as appropriate, modifying patient care treatment.
• Possesses knowledge and demonstrates skills to promptly recognize potential urgent or emergent Veteran care situations, seeks assistance of the RN and/or Provider for appropriate team intervention, and effectively intervenes as directed, to assure the continuation of optimal, safe, and therapeutic Veteran care delivery.
• Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly informs the RN and/or Provider of observed changes in Veteran's condition and initiates appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels.
• Makes astute observations of subtle, less obvious changes, both physical and emotional, in Veteran's condition, and accurately and thoroughly documents care delivered and Veteran's response to care that could require immediate modification of the Veteran's care plan.
• Assists individuals or groups of Veterans, families, and/or caregivers to take an active role in promoting healthy lifestyles for more positive Veteran outcomes.
• Exercises skill in influencing and communicating with unusually difficult to care for or communicate with Veterans, families, and/or caregivers who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions.
• Exhibits skill, creativity, and initiative in contributing to the improvement of overall care delivery and Veteran, family, and/or caregiver satisfaction levels through active participation in committees/task forces, research projects, or in developing educational materials/media.
• Promotes the incorporation of current Veteran care data in actively contributing to the development and modification of the Veteran's overall health/treatment plan and in carrying out assigned nursing interventions.
• Actively seeks out educational opportunities to enhance nursing knowledge and skills and provides leadership in assisting other staff to improve and advance their nursing practice.
• Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas.
• Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized Veteran care.
• Supports the RN and/or Provider in monitoring the practice of unlicensed nursing or non-medical staff in Veteran care delivery. Promptly reports any deviations from normal practice patterns to the RN and/or Provider.
• In addition to responsibilities at the lower grade level, the LPN is responsible for monitoring the practice of non-licensed nursing and medical staff.