Licensed Practical Nurse (Tele-Health Clinical Technician)

Richmond, VA
Sep 07, 2017
Sep 27, 2017
Contract Type
Full Time

Note: 1st Area of Consideration - current permanent employees of the Hunter Holmes McGuire VAMC or one of its CBOC locations; 2nd Area of Consideration - current permanent VA Nationwide employees; 3rd Area of Consideration - current permanent employees of otherFederal Agencies; 4th Area of Consideration - U.S. Citizens..


Duties: GS-0620-7 LPN Tele-Health Clinical Technician (TCT)is a member of the healthcare team that serves in a generalist role to support a wide range of clinical Tele-Health programs and directly reports to the Facility Tele-Health Coordinator (FTC).The LPN TCT in the GS-7 grade functions under the supervision of a RN and/or MD, but must successfully and consistently demonstrates the exercise of independent clinical and technical judgment without the need for readily available supervision. The LPN TCT in the GS-7 grade demonstrates complex judgment and a comprehensive working knowledge of the principles, art, and science of practical nursing. The LPN TCT must have a thorough working knowledge of the most complex or difficult practices and procedures and may serve as a leader or co-leader performing a variety of nursing skills specific to the clinical needs of a wide-range of patients on the assigned work unit or for a specifically identified group of patients. A position at this grade requires broader knowledge and skills to include multitasking, planning, resolving problems, and expediting workflow because supervision is more general; this employee is expected to be involved to a greater degree in the development, implementation, and modification of treatment plans.

The LPN TCT independently provides day to day operations of a full range of functions under general, remote supervision to ensure Tele-Health services are delivered seamlessly to the Veteran at the Richmond VAMC and CBOC's, partnering medical centers and CBOC's, or in the Veteran's home or other location (Vet Center, DoD site, etc.) while providing a wide range of clinical and technical services to the Veteran that require complex clinical/technical judgment. The complexity of duties includes but are not limited to: serving as the site imager for Store and Forward Tele-Health (SFT) applications, facilitator for real time Clinical Video Tele-health (CVT) encounter, assisting Home Tele-Health (HT), assisting to facilitate VA-ECHO (Extension for Community Healthcare Outcomes) clinical programs, training clinicians on Tele-Health equipment, peripherals and scheduling software and practices, assisting the clinicians facilitating the use of various equipment and software in clinical care, educating patients, their family members, clinicians, and interacting with clinical/administrative leadership at the Richmond VAMC, its CBOC's, other facilities, and at the VISN level to assist with establishing or troubleshooting virtual administrative/clinical programs. The LPN TCT is the video teleconferencing system expert at his/her location with in-depth knowledge of a wide array of Tele-Health equipment and assists OIT with v-tel equipment installations for clinical use as well as functioning as a consultative resource for patients, nurses, and clinical staff in the selection of Tele-Health equipment and its feasibility for the desired clinical use including enhancing access to care, care coordination, and proactive disease management.

Work schedule:Normal work schedule will be the day tour of duty, Monday-Friday. Alternate toursmaybe required as dictated by patient care needs, as well as the possible need to provide weekend coverage. (Management reserves the right to determine and/or change tour of duty).

Fair Labor Standards Act (FLSA) Status: Exempt

Supervisory Position: No

Bargaining Unit Position: Yes

Recruitment/relocation incentives: Recruitment/Relocation incentives are not authorized for this position.

Relocation Expenses: Relocation expenses are not authorized for this position.

Probationary Period: May be required.


Citizenship: Citizen of the United States.

Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by theAccreditation Commission for Education in Nursing (ACEN) 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; 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).

Preferred Experience:A minimum of four (4) years of LPN experience. Primary Care experience. Tele-Health experience.


GRADE REQUIREMENTS: Grade Determination. In addition to the basic requirements stated above, the following qualification criteria must be met for the GS-7. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.


(a) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all performance requirements for the GS-6 LPN/LVN.

(b)Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions.

(c) Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations.

(d) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.)

(e)Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the abilityto effectively intervene when appropriate.

(f)Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive patient outcomes.

(g)Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer standards in all aspects of their practice.

(h)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 patient care. 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.

(i)Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff.

(j)Work of considerable difficulty and responsibility is performed under general supervision.Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix issuch that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision.

(k) Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice.

To be creditable, practical nursing experience (as an LPN or LVN) must be documented on the application and verified in an employment reference or through other [independent] means.

Part-time experience is credited according to the relationship it bears to the full-time workweek (e.g., an LPN/LVN who worked 20 hours per week, i.e., half-time, would receive 1 full-time workweek of credit for each 2 weeks of such service).

BLS/ACLS REQUIREMENTS : Current certification in BLS is required for all staff providing direct patient care, and police. If you are selected for a position which requires BLS/ACLS certification, you will be required to have proof of certification prior to being boarded for appointment with VA. If selected, obtain such certification in order to avoid any delays in the hiring process.

REFERENCE: VA Handbook 5005, Part II, Appendix G2, Licensed Practical or Vocational Nurse Qualification Standard QUALIFICATION STANDARD , dated April 2003, and OPM Group Coverage Qualification Standard for Professional and Scientific Positions at

PHYSICAL REQUIREMENTS: The physical requirements of this position include lifting, prolonged standing and sitting, frequent bending, walking (distance), climbing (steps, ladder, etc, reaching (overhead, extensive/repetitive), repetitive motion and stooping. The mental/sensory requirements include recall, reasoning, problem-solving, hearing, speaking clearly, writing legibly, keyboarding, reading and logical thinking. The environment's pace can vary from steady to a sometimes fast pace requiring handling of multiple priorities, frequent, sometimes intense customer interactions, and the ability to adapt to frequent changes in a sometimes noisy environment. There may be the need to use personal protective equipment to prevent exposure to disease, illness and hazardous materials. Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing, or speech may be required. However, in most cases, a specific physical condition or impairment will not automatically disqualify an applicant for appointment. The loss or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.

Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the applicationchecklist or visit

You must provide a complete Application Package which includes:

* CV or Resume.

* VA Form 10-2850c - Application for Associated Health Occupations (Available at )

* OF 306- Declaration for Federal Employment ( )

* If prior military service, include all copies of your DD Forms 214 or proof of service (required). Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at ).

* If currently employed in the VA system, include latest SF-50 - Notification of Personnel Action. (required). (except current Richmond VAMC employees)

* Candidatesshould submit a copy of their most recent performance appraisal.

* Copies ofcollege transcript(s) (Official copy will be required for appointment)

* Copies of all licensures and certifications.

* Any other documentation of education/awards/training, etc. which would enhance your qualifications for this position.

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.

NOTE: If you applied online and your application is complete,do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.

If you completed the occupational questionnaire online and are unable to upload supporting document(s):

1. To fax your documents, you must use the following cover page and provide the required information. The Vacancy ID is 2007057.

2. Fax your documents to 1-478-757-3144.

If you cannot complete the Application Package online, you may fax all of your materials. The complete application package must be submitted by 11:59 PM (EST) onFriday, September 15, 2017 to receive consideration. Keep a copy of your fax confirmation in the event verification is needed.

To complete the occupational questionnaire and submit via fax:

1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.

2. Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items

3. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144. Your 1203FX will serve as a cover page for your fax transmission.

Note: Mailed/e-mailed application packages will not be accepted. Paper application packages may befaxed in Human Resources at the McGuire VA Medical Center in room 2K-121 from current VA bargaining unit employees ONLY.Manual submissions must be received by 4:00 PM on the closing date of the vacancy announcement.

INCOMPLETE APPLICATION: Incomplete application packages will receive a rating of IFM (ineligible due to missing forms). Requests for reconsideration will not be considered for applicants who fail to submit a complete application package. We cannot be held responsible for incompatible software, fax transmissions, delays in mail service, etc.

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