Licensed Vocational Nurse-PRC/CRC

Location
Palo Alto, CA
Salary
Competitive
Posted
Nov 13, 2017
Closes
Dec 13, 2017
Specialty
LPN / LVN
Contract Type
Permanent
Hours
Full Time

Work Schedule: 7:30 p.m. to 8:00 a.m. (Rotate other shifts as required for patient needs)

Position Description Title#: LVN-PRC/CRC

Incumbent provides direct nursing care to individual and groups of patients in the Polytrauma and Comprehensive Rehabilitation Center, (PRC/CRC) requiring skilled nursing care within the scope of the Licensed Vocational Nurse practice. Serves as a member of a health care team providing care on a regular and recurring basis. Performs standard and specialized practical nursing activities as assigned. The PRC/CRC programs provides care to veterans and active duty service members with cognitive and physical impairments through a comprehensive evidence-based rehabilitation program that promotes independence.

The major duties and responsibilities include, but are not limited to:

  • Demonstrates clinical knowledge, skill and self direction, in providing quality patient care to patients with complex problems, including seriously ill patients.
  • Appropriately recognizes and initiates correct action during emergency situations, such as cardiopulmonary arrest, including use of the AED where available, seizures, hemorrhage, shock, etc. Demonstrates the ability to obtain the 12-lead EKG.
  • Accurately performs a broad range of complex nursing treatments and procedures which may include: nasogastric tube and foley catheter insertion, complex post-op wound care, complex skin ulcer care, ileostomy and colostomy care. Correctly performs trach-respiratory care, suctioning, etc. based upon patient needs and including stable ventilator dependent patients.
  • Orients new patients to the ward as assigned and completes demographic data upon admission.
  • Recognizes, reports and documents physiological and psychological deviation from baseline in acutely and chronically ill patients and initiates appropriate interventions.

Basic Requirements:

*U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

*Education or Training. Graduate of a school of practical or vocational nursing approved by the appropriate State Agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN); OR Received health care education/training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualified for full LPN/LVN licensure.

*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. [NOTE: YOU MUST SUBMIT A COPY OF YOUR CURRENT LICENSURE WITH THE APPLICATION PACKAGE]

*Physical Requirements. See VA Directive and Handbook 5019.

*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).

Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates:

GS-3 Licensed Vocational Nurse:

A) Experience and Education. None beyond the basic requirements.

GS-4 Licensed Vocational Nurse:

A) Experience: Six (6) months of qualifying experience as an LPN or LVN.

OR

B) Education and Experience. 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. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.]

OR

C) Education: Graduation from an approved school of at least 24 months duration. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.]

GS-5 Licensed Vocational Nurse:

A) Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-4 LPN/LVN.

In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following:

*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.

*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.

*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.

*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.

*Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

GS-6 Licensed Vocational Nurse:

A) Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-5 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-5 LPN/LVN.

In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following:

*Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.

*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.

*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.

*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.

*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.

*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.

*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.

References: VA Handbook 5005/3, Part II, Appendix G13 Licensed Practical or Vocational Nurse Qualifications Standard, dated April 10, 2003, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf

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; 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.

Physical Requirements: This position requires walking, standing, and sitting for long periods of time. Incumbent will be climbing stairs, lifting up to 50 pounds, use dexterity of the hand and wrist and arm strength to perform dispensing of medication orders.

REASONABLE ACCOMMODATION: Federal departments and agencies are required to make reasonable accommodation for the physical or mental limitations of an applicant or employee who is a qualified person with a disability unless the accommodation would impose an undue hardship on the department or agency.

All applicants are required to submit the following supporting documents based on applicability:

  • Resume (Required for ALL applicants)
  • DD-214 (If applying as a Veteran)
  • Other Veterans Documents (If applicable - e.g. VBA Letter)
  • SF-15 (If Veteran claiming 10 point preference)
  • Non-Award SF-50 (Required for VA, other Federal Employees, and Reinstatement eligibles)
  • In addition to the above documents, applicants may also submit the following:

    Please use this checklist to ensure 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.

    Need help building your resume? Please visit USAJOBS - Support https://my.usajobs.gov/support#Account-Resumes for assistance.

    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 2010242.

    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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