Same Day Surgery, Licensed Practical Nurse

Location
Indianapolis, IN
Salary
Competitive
Posted
May 17, 2018
Closes
Jun 16, 2018
Contract Type
Permanent
Hours
Full Time
The Licensed Practical Nurse works under the direction of a RN and reports to the unit manager of SDS/PAT. The LPN is responsible for observing, recording and reporting changes in the patient's condition. The LPN is a member of the larger team of SDS staff. The LPN will provide support to PAT as needed. The LPN requires a general review of their work by a RN for appropriateness and conformity with license, policies and procedures. The LPN demonstrates active collaboration and communication with all staff involved in providing care to the patient. This LPN works in SDS/PAT at the Richard L. Roudebush VA Medical Center.

Duties include but are not limited to:

  • 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 LPN performs, reports, and records assigned nursing care in SDS/PAT including, but not limited to:
  • Vital signs including temperature, pulse, respiratory rate, blood pressure, pulse oximetry, height, and weight
  • Check expiration dates of meds and supplies
  • Delegated procedures and treatments, including but not limited to:venipuncture, EKG, IV starts, bladder scan, ear irrigations, wound care, medication administration, oxygen
    administration, accudata, doppler, pulse oximetry, foley catheterization, weights, and other procedures requested by provider within the LPN scope of practice
  • RMS training, scheduling, travel pay, making charts, ordering supplies.
  • Electronic record documentation, including documentation of procedures, medication administration and effectiveness, clinical information obtained during patient calls/visits, vital signs, clinical reminders, and other pertinent clinical information
  • Completion of tasks designated by policies/procedures/protocols and/or assigned by supervisor
  • Places patients in rooms patients in a timely and efficient manner using correct patient identifiers
  • Keeps exam rooms stocked with appropriate equipment/supplies needed for patient care
  • Maintains BLS certification
  • Performs both pre-op and post-op calls with adherence to scripting.Documents calls accordingly in the electronic documentation record.Appropriately refers all questions and concerns to specific services involved with SDS procedure.
  • Basic Requirements:
    • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
    • Proficient in spoken and written English.
    • Graduate of a school of practical Nursing, approved by the appropriate State Accredited agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant.
    • Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth of the United States, or District of Columbia.

    Preferred Experience:

    Grade Determinations: GS-03- None beyond the basic requirements
    GS-04-Must have completed at least six (6) months experience of experience as an LPN/LVN; or must have one (1) 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 must have graduated from an approved school of a least twenty four (24) months duration.
    GS-05-Must have completed at least one (1) year of qualifying experience at the GS-04 level or equivalent that has included:
    • Demonstrates knowledge and ability to provide a full range of practical nursing care to patient with a variety of physical and/or behavior problems. Works with the RN and/or MD to appropriately orient/train less experienced LPNs/LVNs and /or Nursing Assistants, Health Technicians in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patient and/or family members in relation to common disease processes, medication, and/or prescribed treatment regimes.
    • Demonstrates 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 changes in patient's condition to the RN or MD.
    • Knowledge and ability to recognize the needs for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD, 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. 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-06-Must have completed at least one (1) year of additional qualifying experience at the GS-05 level or equivalent and fully meets all performance requirements for the GS-05 LPN and demonstrates the following:
    • 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' condition; 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) for appropriateness and conformity with established policies and 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 and 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.
    • Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD, 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 individuals 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's 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 orientating, education, 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 appendix G13

    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-03 to GS-06.

    Physical Requirements:
    This position involves considerable amount of standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused clients, repositioning patients, assisting with transfers from wheel chairs/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 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. The position also requires ability to work on computers for extended periods of time.None

    To apply for this position, you must provide a complete Application Package which includes:
    • Resume

    SF-50 required for all current employees of VA for internal consideration.
    Required for external applicants- VA Form 10-2850c Application for Associated Health Occupations can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

    Failure to provide one of the documents listed above (SF-50 or VA Form 10-2850a) will result in ineligibility.

    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
    • DD-214
    • OF-306
    • VA Form 10-2850c, Application for Associated Health Occupations
    • Other Veterans Document
    • Resume
    • SF-15
    • SF-50
    • Transcript

    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.

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