Registered Nurse, Virtual Hospital Care at Home

Summary

The primary purpose of the License Vocational Nurse 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 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

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

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 granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN

English Language Proficiency

In accordance with 38 U.S.C. 7402(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English

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: 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 paragraphs (a) through (c) below:(a) Six months of qualifying experience as an LPN or LVN

or(b) 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(c) Graduation from an approved school of at least 24 months duration

GS-5. (a)Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(b) 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.(c) 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.(d) 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.(e) 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.(f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies - promptly reporting to appropriate personnel for corrective action

GS-6. (a) 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.(b) Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations.(c) 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.(d) 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.(e) 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.(f) 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.(g) 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.(h) 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.(i) 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.(j) 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: Two years LVN experience Experience with surgery scheduling Experience working in a surgery clinic Familiarity and ability to use Microsoft office - and multiple other administrative computer software programs Reference: VA Handbook 5005 - Appendix G-13

The 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: See VA Directive 5019.

Duties

Major Duties include but not limited to: Provides direct nursing care to patients for the Medical/Surgical Specialty Clinic

Performs various duties such as: measures vital signs and collects data - enters data into Electronic Health Record (EHR) - giving Subcutaneous Injections - Skin Testing - PFT Testing - IM Injections - and educating the patient on various topics related to their allergy May perform EKGs - setting up and placing patients in Holter monitors - and assist with cardiac stress tests

Sets up and assists with minor procedures utilizing sterile technique and is competency verified to set create and maintain a sterile field

Competency verified for sterile gloving - gowning - precleaning RME and performing and participating in time outs to verify right site surgery per policy

Ensures all sterile surgical supplies including reusable medical equipment are stored and maintained at the proper safe parameters for temperature and humidity

Assists the ENT surgeon and monitors patients undergoing specialized treatments

Routinely orders supply and maintains cleanliness/stocking of provider rooms at the end of each clinic day - including sterile instrumentation

Assists with clinic procedures such as toenail clipping - wound debridement - wound care - wound graphs - bone biopsy - measurement for compression stockings - staple removal and any other procedures that may be deemed necessary by the Provider with their scope of practice

Sets up and assists with clinic procedures such as Cystoscopies - Circumcisions and Vasectomies - prostate/bladder biopsies - and Urodynamic Procedures

Assists with clinic laser procedures - takes vital signs - performs Ankle Brachial Index (ABI) exams - and wound care

Work Schedule: Monday - Friday 0730-1600 Telework: Not Available Virtual: This is not a virtual position

Functional Statement #: 07919F Relocation/Recruitment Incentives: Not authorized

Create a Job Match for Similar Jobs 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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