Intermittent LVN - Primary Care - LVN
The Licensed Vocational Nurse works in collaboration with the PACT team and reports to the primary care Nurse Manager. The LVN is responsible for observing, recording and reporting changes in the patient's condition and as assisting in the flow of the clinic. The LVN is a member of the Patient Aligned Care team. The LVN requires a general review of their work by an RN for appropriateness and conformity with license, policies and procedures. The LVN demonstrates active collaboration and communication with PACT (Patient, Primary Care Provider, RN Care Manager and Patient Support Technician) and Expanded Team (family/caregiver, internal and community based services involved in providing care to the patient).
WORKING CONDITIONS AND PHYSICAL DEMANDS
- Makes observations and thoroughly documents care and the patient's response.Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention.
- The LVN performs, reports, and records assigned nursing care in the Primary Care Clinics, including, but not limited to:
- Oxygen therapy
- Medication administration to include IV medication if certified
- Clinical reminders with appropriate consults and alerts as indicated
- Check expiration dates of meds and supplies
- Delegated procedures and treatments
- Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy.Monitors patient during the procedure.
- Responsible for patient and clinic flow. This includes but is not limited to: organizing and attending team huddle, pt check in (vital signs, clinical reminders and medication review), informing patients if PCP running late and clinic check out if necessary.
- Adheres to standards of practice and safe technique in preparation and administration of medication.
- Reviews daily care schedule for patient care needs and pre-visit planning
- Completes appropriate clinical reminders
- Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran.
- Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate.
- Aid in patient education
- Based on the patient's goals, provides patient and family health education, to include self-management, prevention and wellness.
- Interacts and communicates appropriately with patients and family members.
- Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills.
- Adheres to principles of infection control, safety, and universal precautions.
- Incumbent possesses knowledge of proper handling and pre-cleaning of reusable medical equipment.
- Demonstrates competence utilizing special equipment needed to perform job duties.
- Follows policy and procedures related to fire and disaster drills, safety and security measures.
- Demonstrates initiative in assisting the core and expanded teams.
- Assists in the orientation and competency validation of students, peers and clerical staff.
- Maintains confidentiality of electronic, written, and/or verbal patient information.
- Maintains a work environment that honors diversity.
- Serves as a resource and advocate in the protection of patient and family rights.
- Completes mandatory reviews, including motivational interviewing and health coaching, in order to promote patient self-management.
- Supports patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.
- Promotes patient and personnel safety.
Financial Disclosure Report: Not RequiredBasic Requirements:
- Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
- Condition of Employment: An LVN will have a current, full, active and unrestricted registration as an LVN in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The LVN must maintain a current, full, active and unrestricted registration to continue employment with VA.
- Physical Standards: See VA Directive and Handbook 5019.
- English Language Proficiency: LVNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
- 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)
- Knowledge and experience in setting up a sterile field.
- Experience working in a specialty clinic including setting up and assisting with procedures.
- One year of experience as a Licensed Practical/Vocational Nurse.
- The incumbent must have the ability to manage programmatic development in coordination with Telehealth on a daily basis
- Certification in IV therapy
- Must have computer skills to include Microsoft Word, Excel, and the ability to navigate a computerized patient record system.
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.
(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.
(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.
The full performance level of this vacancy is GS 6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS 3 to GS 6.Physical Requirements:
- Involves considerable amount of standing, walking, stooping, bending, reaching, lifting, and turning.
- Requires carrying or lifting of objects weighing up to 50 lbs., but occasionally may require work that involves pushing or lifting in excess of 50 pounds and going up and down flights of stairs.
- The position requires visual and auditory acuity at a level to provide safe and effective nursing care.
- The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position and the ability to physically control or defend against emotionally ill clients.
- Requires use of hands for actions such as typing, simple grasping, fine manipulation, and repetitive actions.
- Requires the ability to frequently respond to multiple demands and priorities.
- Has potential for exposure to infectious diseases, hazardous waste and chemicals.
- Emotional and mental stability - ability to effectively perform the essential functions of the position and respond appropriately in emergency situations.
To apply for this position, you must provide a complete Application Package which includes:
- VA FORM 10-2850c
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, documentation to support Veterans Preference or ICTAP/CTAP documentation (for displaced Federal employees).
- VA FORM 10-2850c