Licensed Practical Nurse - Physical Medicine and Rehabilitation Service

Full Job Description

The Robley Rex VA Medical Center is currently recruiting for Licensed Practical Nurse - Physical Medicine and Rehabilitation Service.

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. English Language Proficiency.

In accordance with 38 U.S.C. 7402(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 granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.

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.

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: GS-7. The GS-7 grade level is for select, complex LPN/LVN positions, as established by each health care facility.

To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment.

NOTE: Determinations concerning placement of positions at this grade level shall take into consideration the skill mix and the availability of supervision in the work unit.

Although these positions are under the supervision of an RN and/or MD/DO, employees in such settings successfully and consistently demonstrate the exercise of independent technical judgment (without the need for readily available supervision), as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures.

Such individuals may also serve as leaders or co-leaders in a nursing unit or for a specifically identified group of patients.

(a) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all of the performance requirements for the GS-6 LPN/LVN.

(b) Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings.

(c) Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery.

Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan.

(d) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received.

(e) Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery.

At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate.

(f) Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes.

Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions.

This includes the ability to effectively deal with the above types of patients under very general supervision.

(g) Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media.

Actively promotes and effectively incorporates established customer service standards in all aspects of their practice.

(h) Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care.

(i) Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or nonmedical staff in patient care delivery.

Promptly reports any deviations from normal practice patterns to the RN or MD/DO.

In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff.

(j) Work of considerable difficulty and responsibility is performed under general supervision.

Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing.

(k) Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice.

Preferred Experience: Previous experience in outpatient office setting. Previous experience in pain management and rehab preferred. Previous experience in an acute care or long term care setting.

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-7.

Physical Requirements: The Robley Rex Veterans Affairs Medical Center (VAMC) improves the health of our veterans by providing a continuum of care through an integrated health care delivery system.

We are a tertiary care facility classified as a level 1b facility affiliated with the University of Louisville, as such integrates teaching, research, and advanced patient care, making it an attractive academic medical center.

The facility offers a full spectrum of comprehensive health care services, using state-of-the-art technology and innovative programs, as well as education and research benefits to Veterans residing in 40 counties in central and western Kentucky and in southern Indiana.

Major Duties:

VA Careers - Licensed Practical Nurse: https://www.youtube-nocookie.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The LPN/LVN is responsible for upholding the philosophy and objectives of the Physical Medicine and Rehabilitation Service.

The LPN is accountable for adhering to established policies, procedures, standards of care and standards of practice, and for maintaining competencies consistent with roles and responsibilities.

The LPN will: Provide care in a safe and cost-effective manner. He/she will follow all policies/procedures pertaining to own personal safety including the use of standard precautions.

The LPN will maintain a safe environment using appropriate equipment, devices, and safety measures for all patients with demonstrated special awareness of the needs of geriatric patients and patients with impaired mobility.

Implement care for more complex/specialized patient care duties based on broader knowledge and skills with less direct supervision.

Incorporate current patient care data by actively contributing to the development and modification of treatment plans.

Assist the registered nurse (RN) and/or provider to appropriately prioritize overall patient care needs and adjust plans of care delivery.

Demonstrate knowledge of the principles of patient teaching, effective communication techniques, conducting nursing groups, conference participation, and initiation.

He/she will take an active role in promoting healthy lifestyles to increase positive patient outcomes. He/she will provide one-on-one group teaching as appropriate.

The LPN GS 7 will communicate calmly, courteously, and tactfully with all patients, personnel, and visitors maintaining confidentiality in accordance with HIPAA regulations and medical center policies.

He/she will utilize advanced skills to communicate with verbally or physical abusive patients or visitors.

Demonstrate broad knowledge and skill with respect to medications, contraindications, actions, and recognition of the more subtle signs and symptoms of potential actual drug reactions, and demonstrate the ability to proactively assist the RN or provider in managing the patient's medications/treatments.

He/she will promptly recognize potential or actual drug reactions, promptly informing the RN or provider of observed changes in patient condition and initiating appropriate, prescribed intervention with safe and therapeutic patient care delivery.

Perform capillary glucose testing, evaluate glucose results, and act accordingly.

Interpret mental and physical changes based on theoretical and practical understanding of psychology, anatomy, and physiology.

He/she will cope quickly and decisively with emergency situations or unpredictable behavior.

Contribute to the evaluation of pain/comfort status consistently using the scale of 1-10 and implements interventions to keep discomfort below a rating of 3; if pain is not relieved seeks provider for further intervention.

Work Schedule: Monday - Friday 7:30am - 4:00pm 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: Not available Virtual: This is not a virtual position.

Pay Schedule: VA73