Licensed Practical Nurse

Full Job Description

The Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) assigned to the VAPORHCS Patient Aligned Care Team (PACT) Primary Care Clinic functions as the Clinical Associate team member under the guidance of the Registered Nurse, but must be able to function, according to established policies, procedures and practices.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

English Language Proficiency: 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).

Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by 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.

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.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. GS-03: None beyond the basic requirements.

GS-04: Six months of qualifying experience as 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.

LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques.

GS-05: 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.

AND, Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.

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 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-06: 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.

AND, 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.

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.

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.

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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Major Duties:

The duties of this position include, but are not limited to: Responsible for providing clinical assistive care and administrative support.

Demonstrate the ability to observe, identify and respond to the Veteran's needs for nursing, medication, point-of-care testing, and equipment-assisted care and to recognize deviations from normal.

Responsible for Veteran and Family/Caregiver assessment for health literacy and educational needs, including health coaching and provision of education.

Completes the Health Promotion/clinical reminders as appropriate; documents accordingly.

Performs care that is demographically and environmentally appropriate; and uses techniques to de-escalate disruptive patients appropriately.

Responsible for ongoing, continuous care of assigned panel(s) of Veterans.

Uses all available tools, such as registries, to enable effective and efficient identification and intervention of individual Veterans and cohorts.

Functions at the full extent of the LPN/LVN's relevant, scopes of practice, elements of practice, certification, and other VHA or local facility documentation of competency.

Participates in team performance improvements and sustainment activities to optimize team efficiency care delivery with Veterans.

Implements primary care operations management processes, as appropriate.

Manages communications and facilitates safe transitions of Veterans between the PACT's site of care and other health care settings, using informal and formal communication methods.

Manages clinic workflow; ensuring Veterans are placed in examination rooms in a timely manner, and providing direction with Veterans as they move through the clinic environment.

To provide VA Video Connect (VVC), Clinical Video Technology (CVT), or Telemedicine the LPN/LVN is responsible for maintaining knowledge of and skill in applying an intensive body of rules, procedures, and operations in telehealth related technologies and a variety of computer hardware/ software used in technology, data entry ,retrieval, record maintenance, document, and report generation.

Reports any perceived violations of law or official wrongdoing.

May be required to perform specimen collection of (urine, sputum, blood, or stool) ensuring to utilize proper labeling, packaging, and transport instructions from the Primary Care Community Based Clinics or assigned areas to the main facility laboratory.

Adheres to applicable infection control guidelines of hand hygiene before and after venipuncture of all patients. Performs other related duties as assigned.

Total Rewards: Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Work Schedule: Monday-Friday, 7:00am-5:30pm PST (Varying tours) Additional details discussed during the interview process.

Recruitment Incentive (Sign-on Bonus): Not Authorized.

Pay: Competitive salary and regular salary increases Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available.

Virtual: This is not a virtual position. Education Deduction Repayment Program (EDRP): Former EDRP participants ineligible to apply for incentive.

Contact VHA.ELRSProgramSupport@va.gov , the EDRP Coordinator for questions/assistance. Learn more Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized