Licensed Practical Nurse (Ambulatory Care)

Summary The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) is to 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. The LPN/LVN also performs assigned duties in a manner that promotes quality health care - outstanding customer service - and the maintenance of an environment committed to serving the veteran. 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 Citizenship: Citizen of the United States (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 Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission - 61 Broadway - 33rd Floor - New York - NY 10006 Additional information may also be obtained from the NLNAC Website 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: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in 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 Applicants at this level must also be able to demonstrate the following KSA's: 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 Applicants at this level must also be able to demonstrate the following KSA's: 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 - cultural - spiritual - 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 - please visit Duties The Licensed Practical Nurse provides safe and individualized nursing care to patients in the Ambulatory Care area which includes Primary Care - Specialty Care - and Vaccine clinic settings He/she interacts - collaborates - and communicates effectively with the veteran - families - caregivers - professionals and other supportive staff both internal and external He/she initiates appropriate actions based on his/her observations of the patient's condition He/she requires minimum of supervision and performs the functions listed below consistently with skill and effectiveness Duties are performed under the general supervision of a RN or Healthcare Provider (HCP) Individuals at this grade are expected to have broad working knowledge of practice nursing procedures - however - completion of more complex practices or procedures may be subject to closer high-level review In the Primary Care clinic - the LPN/LVN serves as a one of the core members of the Patient Aligned Care Team (PACT) The LPN/LVN works in collaboration with the Primary Care Provider (PCP) - Care Manager Registered Nurse (RN) and the Medical Support Assistant (MSA) Together - with the patient and their caregiver support system they work to manage the care of a panel of adult patients across the continuum Additional duties include - but are not limited to: Demonstrates proficiency in initiating - performing and completing assigned duties while providing care to diverse patient populations Maintains knowledge and ability to carry out patient care determined by the patient's condition utilizing judgement in selecting appropriate orders - procedures - and treatments and recognizing - reporting - and recording relevant patient information to include urgent and emergent situations Observes - identifies - and responds to patient needs for medication - medical equipment - and patient/ family education while considering emotional - cultural - spiritual - socio-economic and age-related factors Maintains knowledge and skill to prepare - safely 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 Identifies patient's educational needs to include equipment - medication - treatment - procedures - and diagnosis Assists with teaching patient/family as appropriate Demonstrates flexibility by willing and promptly accepting changes in work assignment and locations Communicates effectively and professionally with both internal and external customers Ability to organize work - set priorities - delegate tasks/responsibilities and follow-up for completeness in order to provide and expedite patient care May need to travel to main campus for trainings or meetings Total Rewards of a Allied Health Professional Work Schedule: Monday - Friday - 8:00am-4:30pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases 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 Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr Direct Jobs