Licensed Vocational Nurse (Eureka CBOC)

Location
Eureka, CA
Salary
Competitive
Posted
Jan 27, 2018
Closes
Feb 27, 2018
Specialty
LPN / LVN
Contract Type
Permanent
Hours
Full Time
Work Schedule: Monday to Friday, 8:00 AM- 4:30 PM
Fair Labor Standards Act (FLSA) Status: Nonexempt
Bargaining Unit: Covered.

LVN is an active member of the interdisciplinary team. LVN complies with Department of Nursing/Unit specific and Medical center policies, procedures standards and protocols regarding direct care of patients, including medication administration, patient care planning, monitoring and documenting patient condition and response to treatment. LVN works under distant supervision of the RN. Has frequent contact and seeks clarification of assignment. Employee establishes work priorities and completes assignments in a timely manner with little to no supervision.Provides a wide range of personal care to patients in keeping with Department of Nursing Standards and with attention to preserving personal dignity, autonomy, religious preferences, cultural values and age appropriate needs.
Contributes to/modifies the patient care plan.
Organizes/prioritizes routine and non routine nursing care activities.
*Administers medications according to the "5 Rights".
*Appropriately uses protective and restraining devices as ordered.
Performs a wide range of wound care including irrigation, dressing changes, and care of various drains.
Performs ostomy care.
Implements post-operative/procedural exercises.
Implements use of urinary drainage devices and related care, completing accurate and timely intake and output.
Performs actions targeted to the maintenance/restoration of skin integrity and records patient response.
*Properly prepares oxygen dependent patients for transport.
*Discontinues peripheral IV lines as ordered.
Initiates patient/family interactions daily which provide emotional and psychological support.
*Maintains client/patient privacy.
*Observes, recognizes and reports significant or adverse changes in patients' condition in a timely fashion.
Administers/performs a variety of pain control measures and records results.
Administers all appropriate respiratory therapies, for example:

Oxygen saturation
Incentive spirometry
Aerosolized medications
Inhalers
Chest percussion/vibration
Postural drainage
Oxygen via nasal prongs or mask
Others as assigned18. Performs oral-pharyngeal and naso-tracheal suctioning.
19. Administers tube feedings.
20. Monitors gastric and tube feedings including checking residuals and flushing as directed.
21. Prepares patients for and monitors patients post-surgery/procedures.
22. Monitors neurological signs.
23. Implements seizure precautions.
24. Utilizes Doppler to check pulses.
25. Monitors chest tubes including type and amount of drainage.
26. Responds appropriately to emergency situations.
27. Implements structured patient activities.
28. Utilizes symptoms management principles. (for example: pain, anxiety, agitation, depression, schizophrenia, substance abuse).
29. Facilitates and/or leads therapeutic groups.
30. Applies and reads skin tests.
31. Assists with diagnostic and therapeutic procedures.
32. Sets clearly defined limits within the nurse/patient relationship.
33. Performs aspects of admissions/discharge procedures as directed.
34. Conducts skin assessment using the approved scale.
35. Recognizes manipulative patient behaviors and intervenes appropriately.
36. Demonstrates skills in intervening and following the protocol for managing potentially violent and/or suicidal patients.
37. Monitors medication side effects using the approved rating scales.
38. Demonstrates clear understanding of denial of rights, types of conservatorship, legal status; is sensitive to impact on patient; is able to justify rationale clearly and document.
39. Utilizes the approved model of Nursing care delivery with general supervision.
40. Demonstrates knowledge of and correct usage of medical and psychiatric terminology/diagnoses.
41. Demonstrates knowledge of and ability to explain legal holds to patients.
42. Complies with universal precaution and all infection control policies and procedures.

Functional Statement Title: Licensed Vocational Nurse (LVN) GS 3-6.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. 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.
* English Language Proficiency. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
* Licensure. 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.
* Physical Standards. Must pass a pre-employment examination, if selected. See VA Directive and Handbook 5019.

Preferred Experience:
* A minimum of 3 years of successful clinical nursing practice as a Licensed Vocational Nurse
* Broad knowledge base with experience in a variety of patient care settings and with diverse patient population.
* Demonstrated skill in performing multiple tasks, managing assignments, and expediting oral and written communications
* Demonstrated ability to interact with others effectively and appropriately, presenting a professional image of the service and the VA.

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.

GRADE DETERMINATIONS:
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-05 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.Selected applicants will be required to complete an online onboarding process.**All applicants are required to submit the following supporting document type(s):
  1. Other - VA Form 10-2850c - Application for Associated Health Occupations is required to be considered for this position (required). http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf - Information must be current. Incomplete applications will be considered ineligible. Please complete form in its entirety. If you answer "YES" to questions item # 15B and/or item # 28 through # 37, please attach a separate sheet of paper with a brief explanation for each question to which you answered "Yes". Information must current not older than a year. Incomplete applications will be ineligible for consideration.
  2. Resume: Your resume must include the following information for each job you list:
    • Job Title
    • Duties (be as detailed and specific as possible)
    • Month & year start/end dates (e.g. June 2014 to April 2015 or 06/2014 to 04/2015)
    • Full-Time or Part-Time Status (include hours worked per week)Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail.
  3. OTHER-Copy of your CURRENT LVN/LPN Licensure-REQUIRED.
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 you are a former/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.

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