LPN - Licensed Practical Nurse (Goose Creek Outpatient Clinic)
The Licensed Practical Nurse (LPN) works under the direction of an RN and reports to the Primary Care 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 Patient Aligned Care Team (PACT) which includes the Patient, Primary Care Provider, RN Care Coordinator and Clinical Support Technician and Larger Team consisting of family/caregiver, internal and community based services and disciplines involved in providing care to the patient. This position will be required to work with all PACT teams.
Completed work is under the general supervision of an RN or MD/DO. Individuals are expected to have a broad working knowledge of practical nursing procedures. However, completion of a more complex practice or procedures may be subject to closer higher-level review.
The LPN follows procedures for the set-up, proper use, reprocessing and maintenance of reusable medical equipment (RME) based on the manufacturer's instructions. Completes training before use if RME and demonstrates initial/ongoing competency as applicable to position.
The LPN possesses the ability to carry out varied and complex nursing skills, while maintaining a safe environment. The LPN contributes to the interdisciplinary team in the development, implementation, and evaluation of the patient through the review of data using the VHA support Service Center (VSSC), Business Intelligence Request, and other data warehouses. The LPN will assist in shared medical appointments to support behavior changes or to improve aspects of care for patients for various diagnoses. The LPN administers prescribed medications and performs more complex treatments. The LPN performs diagnostic procedures, which includes preparing the patients, assisting in the diagnostic examination, phlebotomy and processing labs, preparing and passing instruments. The incumbent will perform other directly related duties as assigned.
Work Schedule: Monday-Friday, between the hours of 8:00am-4:30pm. Overtime, including evenings, weekends and Federal Holidays may be required.
Functional Statement Title/#: Licensed Practical Nurse/534-000000
Citizenship: Eligible candidates must be a US Citizen. Non-citizens may be appointed when it is not possible to recruit qualified citizens, in accordance with VA Policy.
Licensure: Eligible candidate must possess current, full, active, and unrestricted registration as a LPN/LVN in a US State, Commonwealth, Territory, or the District of Columbia.
Education/Experience: Please refer to the information below.
Physical Requirements: Eligible candidates must complete a physical examination (as determined by the Employee Health Unit) and maintain the required physical standards required for the position.
Language Proficiency: Eligible candidates must be proficient in English (both spoken and written) in accordance to VA Policy.
Primary Care, Emergency Room or Medical Office experience with 2 years of experience in these areas and a minimum of at least 3 years experience
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: Candidates may be appointed at or advanced to GS-4 if they meet any of the following criteria:
(a) Six months of qualifying experience as an LPN or LVN; or
(b) 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
(c) Graduation from an approved school of at least 24 months duration.
(d) 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 AND
(a) 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.
(b) 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.
(c) 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.
(d) 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.
(e) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.
(f) 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 AND
(a) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.
(b) 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.
(c) 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.
(d) 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 reports any deviations from normal to RN or MD/DO.
(e) 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.
(f) 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.
(g) 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.
(h) 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.
(i) 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, Part II, Appendix G13 - Licensed Practical Nurse or Vocational Nurse Qualification Standard, dated 04/10/2003.
Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. 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. 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.
Subject to a 1-year probationary period.
All applicants are required to submit the following supporting document type(s):
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
* 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
* Resume, including a list of professional references (required)
* Proof of Veterans Status - If you are claiming Veterans' Preference, you must provide a copy of your DD214 (Member Copy) and copy of the VA Disability rating letter (if applicable)
****All required documents must be received by the closing of the announcement or youwillbe considered ineligible for this position****
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 2008012.
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.