Licensed Practical Nurse

Full Job Description

This announcement is for a Licensed Practical Nurse located at the Oscoda Community Based Clinic affiliated with the Aleda E. Lutz VA Medical Center.

NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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.

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. 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.

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 as required by 38 U.S.C.

7402(d), and 7407(d).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 in section A, the following qualification criteria must be met for each grade.

The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-3: None beyond the basic requirements.

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 (which may be waived as provided in paragraph 4 of Section C) 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 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.

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.

GS-6: Completion of at least one (1) year of additional qualifying experience at the GS-5 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, socio-economic, and age related factors.

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.

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.

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

Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity.

This position requires the nurse to read printed material and distinguish colors, such as reading doctor's orders and visualizing the hue of a patient's skin, wounds, etc., and conduct visual inspections during patient assessment, including the ability to accurately perceive depth so as to move around workspace safely and to appropriately make contact with Veterans.

This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing.

Transferring patients and objects may be required, exerting up to 35 pounds of force occasionally and/or up to 15 pounds of force to frequently move objects. Mechanical inpatient lifts are provided.

The nurse may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings.

The nurse may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

The nurse must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

This includes but is not limited to the ability to work independently, ability to recognize situations beyond function/knowledge/training and request appropriate assistance.

Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

The nurse who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. Major Duties:

Total Rewards of a Allied Health Professional The LPN is the Patient Care Aligned Team (PACT) teamlet member who provides clinical support for the delivery of primary care services and operations management to a PACT.

The LPN also is responsible for providing evaluation and care consistent with licensure, certification, and functional elements of practice, to patient assigned PACTS's.

The LPN collaborates with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient plans.

The LPN manages clinic workflow by ensuring patients are placed in examination rooms in a timely manner and providing direction to patients as they move through the clinic environment.

Duties include but not limited to: Assist with triage as appropriate. Assist with exams/procedures. Assist with group visits as directed. Set up supplies, prep room for procedures.

Perform treatments (VS, EKG, FSBG, ear lavage, toenail care) f. Administer meds, performs wound care. Complete pertinent clinical reminders Assist with medication reconciliation.

Assist with post discharge calls as directed. Track and administer required immunizations. Run injection clinics. Assist PACT in sorting secure telephone calls and resolves call as appropriate.

Coordinate group visits Identify additional services needed by Veteran/Family/Care Giver Assist provider in non-formulary process. Participate in daily huddles. Participate in team meetings.

New patient orientation Assist with patient education/reinforce plan of care. Daily equipment/supply checks Keep exam rooms stocked, monitor sharps containers and outdated supplies in exam rooms.

Work Schedule: Monday-Friday, 7:30am-4:00pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases.

When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).

Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.

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.

Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.

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: Available on an as needed (Ad-Hoc) basis as determined by the supervisor Virtual: This is not a virtual position.

Functional Statement #: PD92607A, PD92608A, PD92609A, and PD92610A Permanent Change of Station (PCS): Not Authorized