LVN Medical Surgical Specialty Clinics Intermittent NTE 1 year - Oakland

Location
Oakland, CA
Salary
Competitive
Posted
Sep 08, 2017
Closes
Sep 27, 2017
Specialty
Orthopedics
Contract Type
Permanent
Hours
Full Time

Major Duties:

PODIATRY CLINIC: Provides direct nursing care to the groups of patients for Podiatry Services. Works under the direction of the Chief of Podiatry but is directly responsible to the Nurse Manager, Specialty Clinics, OAK VAMC. Sets up and assists with clinic procedures such as wound care, toe nail clipping, bandage removal, bandage application and anything as deemed necessary by the physician within the LVN's scope of practice. Room patients, take vital signs and chart appropriately. Stocking rooms at the end of the day and ordering supplies. Assists the Podiatrist and monitors the patient for those undergoing specialized treatments/procedures in the office setting. Maintains cleanliness/stocking of provider rooms, including sterile instrumentation. Serves as a member of health care team, providing care on a regular and recurring basis. Utilizes knowledge and makes observations of patients' symptoms/status, including the ability to identify emergent needs, making appropriate referrals. Administers medications and collects specimens as needed and within scope of their practice. Is familiar with and performs and meets Clinical Practice Guidelines and Prevention Index within the scope of practice.

UROLOGY CLINIC: Provides direct nursing care to groups of patients for Urology Services. Works under the direction of the Chief of Urology but is directly responsible to the Nurse Manager, Specialty Clinics MVAMC. Sets up and assists with clinic procedures such as Cystoscopies, Circumcisions and Vasectomies, prostate biopsies, and Urodynamic Procedures. Has knowledge of Ultrasound for Bladder scans. Performs nursing procedures such as Catheter changes, BCG installation, SQ/IM injections, voiding trial, and Staple removal. Takes vital signs and charts appropriately. Stocking rooms and ordering supplies. Assists the Urology surgeons and monitors patients for procedures patients undergoing specialized treatments. Routinely orders supplies and maintains cleanliness/stocking of provider rooms, including sterile instrumentation. Competency verified to handle and pre-clean Cystoscopes. Enters surgical requests into CPRS and coordinates pre-operative evaluations. Serves as a member of the health care team, providing care on a regular and recurring basis. Utilizes knowledge and makes observations of patient symptom/status, including the ability to identify emergent needs, making appropriate referrals. Administers medications and collects specimens as needed and within scope of practice. Performs phlebotomy as necessary. Is familiar with and performs and meets Clinical Practice Guideline and Prevention Index standards within his/her scope of practice.

Documents patient care electronically. Assures informed consents and time outs are accomplished for procedures. Must demonstrate the ability to observe, identify and respond to patient needs for nursing, medication, finger sticks, medical interventions, readily recognizing deviations from the norm. Telephone calls to patients as needed. Other duties as assigned.

Will additionally float to: Women's Health, General Surgery, Orthopedics, Podiatry, Eye Clinic, Plastics, Cardiology (OAK), Comp & Penn, Nurse Clinic Pulmonology and Neurology.

Preferred Requirements:
1.Current proficiency in Basic Life Support (BLS) through the American Heart Association (Required prior to assuming clinical duties and must remain current -VHA Directive 11-77)
2. Knowledge and experience in setting up a sterile field.
3. Experience working in a specialty clinic including setting up and assisting with procedures.
4. One year of experience as a Licensed Practical/Vocational Nurse.
5. The incumbent must have the ability to manage programmatic development in coordination with Telehealth on a daily basis
6. Certification in IV therapy
7. Proficient in Microsoft Office to include: Excel, Word, Power Point.

Grade Determination: The following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

(1) 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.

(2) 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.

(3) 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.

(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.

(4) 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 Requirements:

Current BCLS certification through the American Heart Association

Minimum of 2 years of recent clinical experience within the last 5 years

Clinical experience in outpatient Surgical Specialty Clinical settings

Able to assist a surgeon with a sterile procedure

Certification and skill in IV insertions

Excellent interpersonal skills are required along with flexibility in a dynamic, ever changing, fast paced environment. Successful documentation of performance and competencies is required along with dependability and strict adherence to privacy and confidentiality policies

Must have a working knowledge of anatomy & physiology related to this specialty. Must have computer skills to include Microsoft Word, Excel, and the ability to navigate a computerized patient record system. Excellent interpersonal skills are required along with the ability to work independently and effectively in a diverse team environment

Physical Requirements:

Use and function of all normal motor and sensory anatomy for provision of patient care, reading, writing, listening, observing/seeing, heavy lifting, bending, pulling, pushing, stooping, squatting, walking, standing, use of fine motor muscles; visual and auditory acuity; emotional intelligence to respond to stressful and/or emergent situations and crises appropriately and calmly; self-care skills to maintain physical, psychological, and emotional health. Examples include: heavy lifting of 45 pounds and over, heavy carrying of 45 pounds and over, straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1-4, far vision correctable in one eye to 20/20 and to 20/40 in the other.

REQUIRED DOCUMENTS:

You must submit the following required documents with your application:

1. A current resume or any other written format may be submitted provided it contains all of the information in the USAJobs resume format. Provide beginning and ending dates (MM/YY) of employment, the average number of hours worked per week, and a description of the duties for each position listed on your resume. If you performed more than one position title, please indicate the percentage of time you spent performing each title's duties.

2. 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

3. Responses to the questionnaire.

4. All current or former Federal Employees - VA and non VA: "Notification of Personnel Action" (SF-50's) documenting permanent status (career or career-conditional), promotion action to the highest grade held in the federal government, and if applicable, your separation SF-50.

5. All Veterans: "Military Discharge Certificate" for each enlistment (DD-214). Please include a copy which shows the type of discharge received.

6. All 10-point preference eligible Veterans: SF-15 "Application for 10 point Veteran Preference (SF-15) and supporting documentation stated on the SF-15. This form is available at: www.opm.gov/form/pdf_fill/SF15.pdf

Preference will not be granted without proper documentation.

7. Copy of your college transcript(s). Certificates/diplomas are not acceptable. If selected for this vacancy, you may be required to submit official college transcript(s) prior to appointment (required).

8. Copy of your current registration/certification/licensure (required).

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, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.

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 2007432.

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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