LICENSED PRACTICAL NURSE (LPN) - Telerehabilitation Enterprise Wide Initiative (TREWI) Program
The LPN Telehealth ClinicalTechnician (TCT) is a member of the Telerehabilitation Enterprise Wide Initiative (TREWI) healthcare team that serves in a generalist role to support a wide range of clinical Telehealth programs and directly reports to the TREWI Program Manager. The LPN TCT independently provides day to day operations of a full range of functions under general, remote supervision to ensure Telehealth services are delivered seamlessly to the Veteran at VA Puget Sound Health Care System, partnering medical centers and CBOCs, or in the Veteran's home or other location while providing a wide range of clinical and technical judgment.
Duties include but are not limited to:
- serving as the facilitator for real time Clinical Video Telehealth (CVT) encounters
- assisting Home Telehealth (HT)
- training clinicians on Telehealth equipment, peripherals and scheduling software and practices
- assisting clinicians in facilitating the use of various equipment and software in clinical care
- educating patients, families, and clinicians and interacting with clinical and administrative leadership at VA Puget Sound Health Care System, other facilities, and at the VISN level to assist with establishing or troubleshooting virtual administrative or clinical programs
- serves as video teleconferencing system expert with in-depth knowledge of a wide array of Telehealth equipment and peripherals and assists OIT with v-tel equipment installations for clinical use as well as functioning as a consultative resource for patients and other nurses and clinical staff in the selection of Telehealth equipment and its feasibility for the desired clinical use including enhancing access to care, care coordination and proactive disease management
- covers all CVT clinics scheduled for the day
- assists provider with setting up room, escorts patients to the individual or group room, ensures connectivity with providers
- makes reminder phone calls or sends reminder letters to the Veteran
- verifies follow-up appointments
- functions as Tele-presenter in the clinic - skills that may be necessary for practice include but are not limited to: oxygen saturation ambulation exam; audiology (hearing or hearing aid testing); dynamometer to evaluate strength and grip; assembly and troubleshooting for PT/OT/SLP equipment like walkers, canes, crutches, augmentative and alternative communication systems and TENS units; assist PT/OT with evaluation for mobility equipment, such as wheelchair measurements and fitting; evaluates Veteran at check in including checking vital signs or other specialty service specific assessments
- uses clinical skills to perform physical evaluations during CVT visit for physician, nurse practitioner, physician assistant, psychologist, audiologist, speech pathologist, therapist, RN, and/or other provider located at distant sites
- performs specialized procedures for CVT specialties and sub-specialties as needed for assessment and/or treatment of Veterans for which training has been completed including utilization of peripheral devices such as total exam cameras or equipment for testing hearing aids
- administers medications and vaccines and performs treatments according to established policies/procedures and appropriately records administration and patient's response to medications/treatments received
- responsible for completing appropriate clinical and administrative documentation in medical record for CVT visits; records significant observations and actions in a clear, thorough and timely manner
Work Schedule: Monday-Friday 0730-1600, may require travel to American Lake campus
Financial Disclosure Report: not required
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the Accreditation Commission for Education in Nursing at the time the program was completed by the applicant. Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment.
- Full, active current and unrestricted LPN licensure in a State, Territory or Commonwealth (i.e. Puerto Rico) of the United States, or in the District of Columbia.
- Proficiency in spoken and written English (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).
- previous telehealth experience using v-tel equipment and peripheral devices (total exam cameras, hearing aid testing equipment, etc.)
*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. Part II, Chapter 3, Appendix G13, dated April 10, 2003
The full performance level of this vacancy is GS 6.Physical Requirements: This position involves considerable amount of standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning. It requires repositioning patients, assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting in excess of 45 pounds and going up and down flights of stairs. The position requires visual (corrected to 20/30 or better with color discrimination) 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. The nurse may occasionally be exposed to patients who are combative secondary to delirium, dementia or psychiatric disorders. The nurse many be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent must possess sound and logical clinical judgment. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The position also requires ability to work on computers for extended periods of time.
Selected applicants will be required to complete an online onboarding process.
To apply for this position, you must provide a complete Application Package which includes:
- VA Form 10/2850c Application for Associated Health Occupations
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).
- Cover Letter
- VA Form 10/2850c Application for Associated Health Occupations
- Other Veterans Document