Licensed Practical Nurse- Long Term Care (CLC)

Full Job Description

Delivers fundamental, knowledge-based care to assigned patients while developing technical competencies.

The LPN demonstrates unit/department specific competencies, and competency in caring for adult and geriatric residents.

Patients receiving care in the long term care setting, and are being treated for any number of medical and psychological conditions.

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. English Language Proficiency.

In accordance with 38 U.S.C. 7402(d) and 7407(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.

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.

OR Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C.

7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986.

OR Individual granted a license by a jurisdiction that does not require graduation from an approved school.

Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia.

Grade Determinations: In addition to the basic requirements stated above, 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-03 - 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-04 - 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-05 - 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.

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.

GS-06 - 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 a 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.

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.

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: The physical requirements of this position include lifting, prolonged standing and sitting, frequent bending, walking (distance), climbing, reaching (overhead, extensive/repetitive), pulling, pushing, repetitive motion and stooping.

The mental/sensory requirements include recall, reasoning, problem-solving, hearing, speaking clearly, writing legibly, keyboarding, reading and logical thinking, depth perception, hearing (aide permitted); near/far vision correctable to meet Driver's License requirements.

The environment's pace can vary from steady to a sometimes-fast pace requiring handling of multiple priorities, frequent, sometimes intense customer interactions, and the ability to adapt to frequent changes in a sometimes-noisy environment.

There may be the need to use personal protective equipment to prevent exposure to disease, illness and hazardous materials.

Work requires extensive walking, standing, stretching and bending in caring for patients. Major Duties:

Lists the major duties and responsibilities of the position: Explains procedures to residents, using language which they understand and displaying consideration of individual resident needs.

Ensures that the physical and emotional environment is consistent with the vision for resident-centered care. Maintains self-control and responds consistently to the requirements of the work situation.

Maintains a positive attitude in accepting temporary reassignment to meet patient care needs.

Responds to residents calls for assistance promptly and interacts with the resident in a tactful, courteous manner, making customer service the focus of all interactions.

Communicates respectfully and works effectively with administrative staff, the health care team, unit staff, residents, and visitors.

Provides emotional support to residents, and families/significant others to assist them in adjusting to changes brought about by illness or change in health status.

Establishes constructive relationship with individual residents to elicit feelings and attitudes and to promote positive relationships, communication and socialization skills.

Hospice/Palliative care needs are supported as needed based on resident self-determination.

Fosters an environment of respect for individual resident and family/significant other rights to privacy and dignity in all aspects of care delivery.

Serves as Veteran's/family/significant others' advocate.

Effectively incorporates knowledge and understanding of established customer service standards in all interactions with residents, family members/significant others and/or internal/external customers.

Demonstrates knowledge and skills necessary for concentrated effort and self-direction in carrying out the most complex practical nursing assignments, including assignments for, long-term, short-term rehabilitation, respite, hospice/palliative care, and psychiatric residents requiring skilled nursing care.

Demonstrates ability to use judgment in selecting the most appropriate application of procedures and guidelines, varying the order and sequence of assigned procedures based on the resident's condition.

Completed work needs only a general review by a RN for technical soundness, appropriateness and conformity with policy and nursing assignments.

Prepares and administers prescribed oral, topical, subcutaneous, inhaled medications, controlled substances, and suppositories according to policy and procedure.

Correctly documents medications given or omitted in Bar Code Medication Administration (BCMA) according to established policy and procedures. Documents effects of medications.

Observes and documents resident changes in condition; examples such as bleeding, vomiting, fainting, skin changes, behavioral concerns, etc. to the Charge Nurse or RN.

Promptly reports untoward patient incidents; examples medication errors, falls, etc. to Charge Nurse/Nursing Supervisor, and initiates incident report.

Appropriately initiates emergency response teams: Rapid Response Team (RRT), Code Blue, Stroke-Cardiac alerts and responds to emergency situations including cardiopulmonary arrest, choking, and disaster or fire drills.

Demonstrates practical knowledge of human behavior, motivations and reactions to situations. Uses this knowledge in working effectively with patients, family and other staff members.

As an interdisciplinary team member, provides input into the care planning process, assists and provides teaching in activities of daily living (ADLs) to residents and encourages them to participate in ADLs leading to increase independence.

Provides or reinforces resident/family/significant other teaching related to medications, disease process, procedures, and self-care activities.

Considers physical, emotional, cultural, spiritual, socio-economic and age-related factors.

Participates in more complex teaching for resident self-care, such as diabetic care, self-catheterization, etc. in anticipation of discharge.

Participates in a restorative program based on the needs of resident.

Performs a wide range of treatments and procedures utilizing established nursing care plans and auxiliary equipment according to policy, including but not limited to: application of heat and cold, wound care, changing complex sterile and clean dressings, administering suppositories, cleansing and retention enemas, tube feedings, weights, vital signs, glucose finger sticks, specimen collection, intake and output, colostomy irrigation, oxygen, orthopedic traction, spirometry, nebulizer treatments, and standard 12 lead EKGs, and care of well-established tracheostomies and laryngectomies.

Performs oropharyngeal, tracheostomy, and tracheal suctioning, and tracheostomy and laryngectomy care. Work Schedule: Evening/Nights, 8-hour shifts and 12-hour shifts.

Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized