Licensed Vocational Nurse (CLC)
The San Francisco VA Medical Center Community Living Center (CLC)/Geriatrics & Extended Care (GEC) is a team of health care providers caring for a diverse age range of veterans admitted to our facility at various stages of life. The goal of the CLC is to transform a hospital like environment into an innovative home that improves quality of life while enhancing both privacy and social connections. The primary focus of the CLC is Cultural Transformation making our facility a home for living rather than a place for dying. Rehabilitative, restorative and supportive nursing care is provided to prevent deterioration when possible, to achieve and maintain optimal levels of functioning, independence and comfort, maximizing the Veterans' ability to adapt and adjust to living as independently and safely as possible.
Specific duties of the LVN include but are not limited to the following:
- High volume medication administration utilizing Bar Code Medication Administration system, wound care, contributing to the plan of care.
- Documenting care in the electronic medical record, occasional direct patient care needs with use of lifting equipment.
- Must possess critical thinking skills, have highly satisfactory interpersonal and communication skills, be flexible and able to adapt to manage assignment changes and changing work priorities.
- Will need the ability to learn complex software applications, and have a dependable work record. Extended care / rehab / short stay experience is desirable.
- Provide wide range of personal care to patients in keeping with Department of Nursing Standards and with attention to preserving personal dignity, autonomy, religious preference, cultural values and age appropriate needs.
- Performs a wide range of wound care including irrigations, dressing changes, and care of various drains.
- Performs ostomy care.
- Properly prepares oxygen dependent patients for transport.
- Implements use of urinary drainage devices and related care, completing accurate and timely intake and output.
Work Schedule:Night shift midnight to 8:00 am.
Functional Statement Title/#: Licensed Vocational Nurse/00000
a. Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens.)
b. Education. Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant.
c. 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.
d. Physical Standards. See VA Directive and Handbook 5019.
e. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English.
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.
REFERENCES: VA Handbook 5005/3, Part II, Appendix G13. Licensed Practical or Vocational Nurse Qualification Standard.
Physical Requirements: Licensed?,Vocational Nurse Functional Requirements: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling; Pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking; Standing; Repeated bending; Climbing, Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 in one eye and 20/40 in the other.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(VA Form 10-2850c - Application for Associated Health Occupations)
*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 2010504.
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.