Practical Nurse (LPN)
The Licensed Practical Nurse (LPN) assigned to the VAPORHCS Patient Aligned Care Team (PACT) Primary Care Clinic functions as the Clinical Associate team member under the guidance of the Registered Nurse, but must be able to function independently and autonomously, according to established policies, procedures and practices. The incumbent is responsible for providing clinical assistive care and administrative support. The incumbent must demonstrate the ability to observe, identify and respond to the Veteran's needs for nursing, medication, point-of-care testing, and equipment-assisted care and to recognize deviations from normal. The incumbent is also responsible for Veteran and Family/Caregiver assessment for health literacy and educational needs, including health coaching and provision of education; and is self-directed. The incumbent completes the Health Promotion/clinical reminders as appropriate and documents accordingly. Performs care that is demographically and environmentally appropriate; and uses techniques to de-escalate disruptive patients appropriately.
The PACT LPN is responsible for: 1) ongoing, continuous care of one or more assigned panel(s) of Veterans; 2) using all available tools, such as registries, to enable effective and efficient identification and intervention of individual Veterans and cohorts; 3) ensuring appropriate evaluation and access is provided with Veterans assigned to the Veteran panel; 4) functioning at the full extent of the LPN's relevant clinical privileges, credentials, scopes of practice, elements of practice, certification, and other VHA or local facility documentation of competency; 5) participating in team performance improvements and sustainment activities to optimize team efficiency care delivery with Veterans; 6) implementing primary care operations management processes, as appropriate; 7) managing communications and facilitating safe transitions of Veterans between the PACT's site of care and other health care settings, using informal and formal communication methods, as appropriate; 8) providing health education and health coaching on wellness, disease prevention, chronic disease management, and self-management skills with Veterans, Family and Caregivers, 9) engaging Veterans in using health care, encouraging Veterans to engage family and caregivers, receiving input from Veterans and caregivers regarding VA care; 10) using formal and informal communications that are respectful, effective, timely, and bidirectional with all team members, including the Veteran and Family/Caregivers, to convey significant, clinically relevant information for the care of the Veteran; 11) collaborating with informatics technology staff to develop and implement systematized, electronically supported, standardized tools to support PACT care delivery processes (e.g., pre-visit reminder calls, post-hospitalization follow-up calls. Recall scheduling procedures; new Veteran orientation, disease registries and primary care protocols for chronic disease management); 12) collaborating with PACT staff to develop comprehensive, proactive and personalized health care plans with assigned Veterans; and 13) managing clinic workflow; ensuring Veterans are placed in examination rooms in a timely manner, and providing direction with Veterans as they move through the clinic environment.
The LPN is accountable for measureable, high-quality, timely and cost-effective results related to the PACT and other assigned Primary Care activities. S/he determines objectives and sets priorities. S/he accepts responsibility for mistakes; and complies with established control systems and rules (e.g. proper use and handling of government equipment; protection of confidential or personally identifiable information). S/he comports professionally by exhibiting VA's core values of Integrity, Commitment, Advocacy, Respect and Excellence (ICARE). S/he reports any perceived violations of law or official wrongdoing (e.g., fraud, abuse, waste, or abuse of authority and violations of VA core values [ICARE]).
Work Schedule: Monday - Saturday, Varying Tours
Functional Statement Title: Licensed Vocational Nurse (LVN) GS 3-6.
* U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
* Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant.
* Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
* Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia.
* Must pass a pre-employment examination if selected.
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: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:
* Six months of qualifying experience as an LPN or LVN; or 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 Graduation from an approved school of at least 24 months duration.
GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.
* 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 NAs/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. 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.
* 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.
* 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 1 year of qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN:
* 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. 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.
* 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
* 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
* 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
* 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.
* 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 G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office.Physical Requirements: Moderate lifting (15-44lbs); moderate carrying (15-44lbs); straight pulling (.5hrs); pushing (.5hrs); reaching above shoulders; use of fingers; both hands required; walking (4hrs); standing (4hrs); kneeling (.5hrs); ability for rapid mental and muscular coordinating simultaneously; depth perception; ability to distinguish basic colors; hearing (aide permitted); mental & emotional stability
To apply for this position, you must provide a complete Application Package which includes:
All applicants are required to submit the following supporting document type(s):
1) VA Form 10-2850c - Application for Associated Health Occupations (required). http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf - Information must be current not older than a year. Outdated and/or incomplete applications will be considered ineligible.
2) Resume: Your resume must include the following information for each job you list: Job title; Complete Work Place Addresses ; Duties (be as detailed as possible); Month and year start/end dates (e.g. June 2007 to April 2008); Full-time or part-time status, PRN (include hours worked per week) Information must be current not older than a year.
If you fail to submit the required documents, you will be considered ineligible for consideration.
Applicants may also submit the following supporting document type(s), which may not be required for all applicants (if applicable):
*DD-214 - If claiming Veteran's Preference
*Other Veterans Document - VA Rating Letter
*SF-50 - If current Federal Employee
*Cover Letter - Optional
*OF-306 - Optional
*SF-15 - Optional
*Transcript - optional
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.