Licensed Practical Nurse, (Primary Care Float CBOC Lab)
Incumbent provides clinical care including lab services as an Licensed Practical Nurse (LPN) at a Community Based Outpatient Clinic (CBOC) under the Aleda E. Lutz VA Medical Center, Saginaw, Michigan. The LPN/LVN and provides a wide range of clinical services to the Veteran that demonstrates complex technical judgment under direct supervision of a registered nurse or MD. The LPN utilizes basic nursing skills and techniques, of varying degrees of complexity, in a general care setting, to provide personal and general nursing care to adult patients, aged 18-85 and older, who require treatment for common medical conditions. The Primary Care LPN is assigned to a CBOC lab at multiple CBOC locations and completes specimen collections and processing. In addition, the Primary Care LPN may be assigned to primary care duties and may utilize Clinical Video Telehealth equipment to facilitate primary care remote visits.
The LPN participates in data collection, implementation, and evaluation of care for all ages of patients treated. In care of the elderly, planning and implementation is aimed at providing care to support and reduce the effects of the aging process, health maintenance and promotion, minimizing adverse effects of drugs, and maintenance of optimal psychosocial functioning, including assisting with the management of confusion and disorientation. The Primary Care LPN will not be assigned to a specific Patient Aligned Care Team (PACT) and will cover primary care and lab duties at the CBOCs requiring the incumbent to drive in a government vehicle.
Work schedule: 8:00 AM to 12:00 PM (Monday through Friday)
Compressed/Flexible Schedule: Not Available
Telework: Not Available
Virtual: This not a virtual position.
Functional Statement Title: Licensed Practical Nurse (Primary Care Float CBOC Lab) GS 620
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not Required
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, (02/21/2018)
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Education. 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), previously known as the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Exceptions include:
- 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.
- VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions.
- Individuals granted a license by a jurisdiction that does not require graduation from an approved school.
- 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.
- English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English.
Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met
Experience. Completion of at least one year of qualifying experience at the GS-4 level or equivalent and fully meeting all performance requirements for the GS-4 LPN/LVN.
You will be rated on the following Knowledge, Skills, and Abilities based on your application for this position: Please make sure that each is addressed in detail in the body of your resume.
1. 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.
2. 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.
3. 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.
4. 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.
5. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.
Experience. Completion of at least one year of qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN/LVN. You will be rated on the following Knowledge, Skills, and Abilities based on your application for this position: Please make sure that each is addressed in detail in the body of your resume.
1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
Qualifying experience is successful nursing practice as an LPN/LVN, maintaining acceptable standards within a health care setting under the direction of a registered nurse (RN) or physician (MD/DO).This may include experience as a GPN or GVN (graduate practical or vocational nurse) provided the candidate was utilized as a practical or vocational nurse and passed the State licensure examination on the first attempt.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard.
The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-06 to GS-06.Physical Requirements: Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about to accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies.
This position requires exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects.
Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted.
Selected applicants may be required to complete an online onboarding process.
To apply for this position, you must provide a complete Application Package which includes (You must see the checklist below to determine if you are required to submit other documents required to determine your eligibility/qualifications for the position):
- Cover Letter
- Other Veterans Document