Licensed Practical Nurse ( PACT)

Location
Ann Arbor, MI
Salary
Competitive
Posted
Sep 07, 2017
Closes
Oct 07, 2017
Specialty
LPN / LVN
Contract Type
Permanent
Hours
Full Time

The Primary Care Licensed Practical Nurse works under the direction of a PACT RN and reports to the Nurse Manager. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. The LPN demonstrates active collaboration and communication with Team let (Patient, Primary Care Provider, PACT RN and Clinical/Clerical Support Technician) and Larger Team (family/caregiver, internal and community based services and disciplines involved in providing care to the patient).

Provide patient and family education regarding patient's condition, procedures, and preventive health care.

Assists patients to identify and establish health goals using motivational interviewing techniques.

Makes astute observations and thoroughly documents care and the patient's response.

Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention.

Participates in prioritizing and as appropriate, modifying patient care treatment.

Performs assigned nursing care responsibilities requiring the use of advance equipment, technology, or knowledge in procedures performed.

Maintains precise adherence to basic principles of asepsis, safety and universal precautions to provide a safe environment for patients, families and employees.

Utilizes special equipment such as Doppler units, pulse oximetry, bladder scanner, EKG, point of care testing, and other instruments needed to perform the job duties.

Provides one on one nursing care to assigned outpatients whose care requires close observation during procedures.

Utilizes the computer to access patient data to verify appointments, review progress notes, and short medication profiles.

Orders labs and/or looks up test results under specific clinic profile.

Responsible for RME for all scopes and other equipment specific to their clinic assignment, and for cleaning non-reusable medical equipment between patients per standard operating procedures.

Preferred Experience: Two to five years Medical/Surgical experience.

Tour of Duty: Primarily days Monday thru Friday but may be required to work some weekends. Eight (8) to twelve (12) hour shifts that may rotate between the hours of 7:30 am and 8:00 pm.

BASIC REQUIREMENTS:

* U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens.

* Graduate of a school of practical or vocational nursing.

* 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.

* Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English.

NOTE: 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; religious; 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.

GRADE DETERMINATIONS:

NOTE: To and From dates on your resume MUST be in MM/YYYY format, MUST include number of hours worked per week, and you MUST indicate Full or Part time status. Failure to include this information will result an ineligible rating for not being able to compute specialized experience.

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. 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.

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.

g) 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:

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.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Reference: VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification

Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. AAVAHCS is a major interdisciplinary teaching facility, serving medical, surgical, neurological, and psychiatric in-patients and outpatients. Generally this position does not require the following physical demands; however there may be times the RN is required to provide direct patient care and must be able to meet the physical demands. This position requires the ability to perform the following physical standards & environmental factors: Heavy Lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 8 hours; both legs required; ability for rapid mental & muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Working closely with others; & protracted or irregular hours of work. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and is required to adhere to infection control practices. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

You must provide a complete Application Package which includes:

1. CV or Resume (required).

2. VA Form 10-2850c - Application for Associated Health Occupations (required).

3. Online Occupational Questionnaire (required). View Occupational Questionnaire

4. Copy of current, valid BLS card. (required).

5. DD-214, Member 4 Copy (if applicable - required).

6. If claiming Veterans Preference based on a disability or surviving spouse/mother preference you MUST include a SF 15, Application for 10-Point Veteran Preference and the required documentation on the back of the SF 15 (if applicable - required).

7. If you are a current federal employee please include a copy of your last Non-Award SF-50, Notification of Personnel Action. (required).

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 visit http://www.fedshirevets.gov/job/vetpref/index.aspx.

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

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.

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