Licensed Vocational Nurse (Primary Care) Waco
THIS IS A BARGAINING UNIT POSITION
******Amended Tour of Duty*********
Tour of Duty: 7:30 am - 4:00 pm, 8:00 am - 4:30 pm OR 9:00 am - 5:30 pm. Flexible schedule - to include on a rotation basis in primary care - about once a quarter - schedule that works one week - Wed 2:30 pm - 6:30 pm and Saturday 8:00 am - 12:00 pm.
DUTIES: The LVN performs patient care duties under the direct supervision of the RN. He/she provides patient care which is appropriate to the cognitive, emotional, spiritual, chronological, recreational, and diversion needs of the adult (ages 17-59) or geriatric (ages 60+) patient. The LVN demonstrates knowledge of changes associated with aging and provides care based upon age related factors as specified in his/her competencies. Contributes to the interdisciplinary team in developing, implementing, and evaluating the patient's treatment plan. Promotes patient participation in the therapeutic community by fostering self-reliance and independence. This is a clinical role and functions will include providing assistance to medical, nursing and ancillary personnel with patient care and diagnostic or therapeutic tests and procedures. Performance of phlebotomy, lab specimen preparation and storage, obtaining and recording vital signs, body measurements, medication administration including vaccinations, narcotics and skin testing and monitoring of supplies. Responsible for providing care for patients with porta-caths, central lines, PICC lines, dressing changes, etc. The incumbent must demonstrate the ability to observe, identify and respond to the patient's needs for nursing care and to recognize deviations from normal. Performs assigned duties, treatments, or procedures in acceptable timeframes, following established policies and practices. The position requires an individual who is motivated and an excellent team player, with flexibility to assume other functions related to patient care on an as-needed basis within the clinic environment. Possesses excellent communication skills and is able to interview and effectively interact with Veteran's and their families. Demonstrates time management and organizational skills in the work day.
* Must be aUS Citizen
* Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant
* Must be proficient in spoken and written English
* Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia
* Must pass a pre-employment examination if selected
* A minimum of 3 years of successful clinical nursing practice as a LVN
* 2 years experience in theacute care/medical medical-surgical setting
* Demonstrated skill in performing multiple tasks, managing assignments, and expediting oral and written communications
* Demonstrated ability to interact with others effectively and appropriately, presenting a professional image of the service and the VA
* Skill in utilizing VistA, BCMA, CPRS, Outlook, fax machines, copiers, etc
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
GS-3: 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-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:
* 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 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.
* 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 NAs/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 1 year of 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 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.
References: VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office.
Physical Requirements: This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.
All applicants are required to submit the following supporting document type(s):
*Other(VA Form 10-2850c Application for Associated Health Occupations )
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:*Cover Letter
*Other Veterans Document
VA Form 10-2850c - Application for Associated Health Occupations (required). Available at the VA Forms website: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search
Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2001940.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.