Practical Nurse

Summary Location for this position is at the OGDEN - Utah - Community-Based Outpatient Clinic (CBOC). Licensed Practical Nurses (LPN) perform assigned duties in a manner that promotes quality health care, positive customer service, and the maintenance of an environment committed to serving the Veteran. They accurately collect, report, and record patient care data. An LPN serves as a member of the interdisciplinary team in following the patient plan of care. Qualifications 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 OR 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 VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98‑160 - enacted November 21, 1983 - and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99‑576 - enacted October 28, 1986 and for their future personnel actions under this authority The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions OR Individuals granted a license by a jurisdiction that does not require graduation from an approved school 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 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 The candidate's qualifications must clearly demonstrate the level of competence required for the grade GS‑3. None beyond the basic requirements GS‑4. Experience/Education Six months of qualifying experience as an LPN or LVN or Graduation from an approved school 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, sterile techniques, and procedures or Graduation from an approved school of at least 24 months duration GS‑5 Experience Completion of at least 1 year of qualifying experience at the GS‑4 level or equivalent Demonstrated Knowledge – Skills & Abilities (KSAs) In addition to the experience or education above – the candidate must demonstrate the following KSAs: 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 Experience 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 Demonstrated Knowledge – Skills and Abilities (KSAs) In addition to the experience or education above – the candidate must demonstrate the following KSAs: 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 patient’s conditions Use judgment in selecting the appropriate order and sequence of procedures and treatments Accurately recognize, report and record relevant patient information Completed work should require 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 – including 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. Duties Maintain knowledge and skill to care for a wide range of patients – including those with chronic and acute illness. Measure, record, and report vital signs, neurological signs, weight, and blood glucose levels. Appropriately triage and prioritize patient needs as routine, urgent, or emergent in the clinic setting and modify patient care/treatment as needed. Check patients into the clinic – interview patient and/or significant other – and document intake data as per policy. Promptly recognize and effectively intervene in potentially urgent or emergent situations. Demonstrate the ability to independently adjust or modify care being delivered to meet the changing needs of the patient with notification to the RN or provider for concurrence. Provide high‑quality nursing care using traditional and non‑traditional modalities – including triage prior to provider face‑to‑face visits, nurse health maintenance visits, telephone triage, and secure messaging. Serve as a resource for complex/specialized procedures (e.g., non‑complex suture/staple removal, non‑complex wound care, blood draws, and clinic‑specific procedures such as ear irrigation). Perform venipuncture for blood draws – prepare specimens for transport and processing (centrifuge and serum separation) – transcribe orders, accession labels, and provide patient education about lab tests. Assist with diagnostic procedures that include preparing the patient, setting up sterile field and instrumentation, and monitoring the patient’s condition. Provide education to patients/families about preparation for procedures and/or diagnostic tests. Take an active role in health promotion and disease prevention to improve patient outcomes. Provide one‑on‑one or group teaching as appropriate. Teach patients and families principles of health – self‑care – and treatments related to wellness and health promotion. Communicate calmly, courteously, and professionally with all patients, personnel, and visitors while maintaining confidentiality in accordance with HIPAA regulations and Medical Center policies. Use advanced skills to communicate with verbally or physically abusive patients or visitors using Prevention & Management of Disruptive Behavior (PMDB) principles and policy guidelines. Collaborate with the PACT team and other interdisciplinary services in the development, implementation, and evaluation of patient care. Exercise independent technical judgement and possess a comprehensive working knowledge of the principles and science of practical nursing. Serve in a management role within the PACT team to promote holistic care and optimize clinic efficiency. Assist other staff to improve and advance their practical nursing practice – prepare, administer, and document medications and immunizations as directed without error that may cause hardship to patients. Demonstrate practical and theoretical knowledge about medication side effects, purposes, therapeutic dosage ranges, and toxic effects with skill sufficient to administer a wide range of medications. Actively seek out educational opportunities to enhance nursing knowledge and skills. Provide in‑services or other learning opportunities for coworkers to share knowledge gained to improve and advance nursing practice. Adhere to all safety procedures to avoid preventable injury or harm to patients, family members, visitors, and/or government property. Work Schedule: To be determined upon hire and based on the needs of the clinic. Recruitment Incentive (Sign‑on Bonus): Not authorized. Permanent Change of Station (Relocation Assistance): Not authorized. Pay: Competitive salary; 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 401(k) with up to 5% 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 #: 52470-A / 52471-A / 52472-A / 52473-A. #J-18808-Ljbffr