Licensed Practical or Vocational Nurse - Ambulatory Care

Full Job Description

The Licensed Practical Nurse (LPN) - Primary Care reports to Nursing, Ambulatory Care Service at the G.V. (Sonny) Montgomery VA Medical Center in Jackson, MS.

This position provides safe, routine care to Veterans within inpatient and outpatient units.

The primary responsibility of the LPN is to provide practical nursing care to patients with a variety of physical and/or behavioral problems.

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: 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: (1) 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.

(2) 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. (3) 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.

Grade Determinations: The experience and Knowledge, Skill, Abilities (KSAs) required below must be evident in your resume.

GS-03 LPN (Entry Level) Experience/Education: None beyond the basic requirements described above.

GS-04 LPN (Developmental Level) Experience/Education: a) Six months of qualifying experience as an LPN or LVN; OR, b) Graduation from an approved school (which may be waived as noted in policy) 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, c) Graduation from an approved school of at least 24 months duration.

GS-05 LPN (Developmental Level) a) Experience: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.

In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities (KSAs): b) 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.

c) 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.

d) 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.

e) 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.

f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

g) 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 LPN (Full Performance Level) a) Experience: 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.

In addition, the candidate must demonstrate the following Demonstrated Knowledge, Skills, and Abilities (KSAs): b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.

c) 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.

d) 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.

e) 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.

f) 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.

g) 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.

h) Establishes constructive relationships with individual 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 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.

i) 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.

(Qualifications Section Continued in Education Section) Major Duties:

Total Rewards of a Allied Health Professional The LPN - Primary Care will initiate appropriate actions based upon his/her observations of the patient's condition in collaboration with the Registered Nurse (RN).

The duties of the LPN-Primary Care may include, but are not limited to: Recognizes the need for emergency measures when indicated, promptly seek the assistance of the RN or PROVIDER.

Collects data relevant to patient's learning needs, learning preference and readiness to learn. Prevents urgent care and/or unplanned visits based on patient centered care.

Articulates Patient Aligned Care Team (PACT) programs and how it is utilized. Assists in monitoring for any evidence of abuse/neglect and demonstrates knowledge of the abuse reporting process.

Encourages patient to verbalize concerns and fears regarding end-of-life issues and losses. Implements interventions to maintain skin integrity and prevent skin breakdown.

Adapts the environment to promote comfort and maximal functioning, self-care and independence.

Maintains safe and therapeutic environment by providing one-on-one observation for behavioral health patients as directed by the Provider.

Administers prescribed therapies using appropriate judgment and in and in accordance with medical center and Ambulatory Care policies and procedures, under close supervision: o Provides care to patients with various prosthetic devices o Performs phlebotomy procedures o Performs medication reconciliation o Bladder scan-pre and post void residuals Responds to verbal and non-verbal communication skills.

Communicates effectively and appropriately when transferring patients to different levels of care - ISBAR handoffs.

Serves as a mediator for patient, families and colleagues to improve the quality of communication and interactions in selected care settings. Supports interdisciplinary teamwork to resolve issues.

Communicates information to Nurse Manager/designee in a timely manner regarding assigned patients throughout tour of duty.

Documents actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, skin tests and inhalation medications as permitted by approved local facility policies and procedures.

Collects and documents preventive indexes and clinic practice guidelines. Documents interfaculty consult transfers to main facility, contacts transportation with direction from Provider.

Recognizes and reports to supervisor breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

Monitors and restocks exam rooms with medical/clerical supplies. Follows reusable medical equipment (RME) guidelines to ensure appropriate cleaning and disinfecting of durable medical equipment.

Work Schedule: Monday - Friday: 7:30am - 4:00pm, or 8:00am - 8:00am - 4:30pm; subject to change based on the needs of the facility.

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: Not Available Virtual: This is not a virtual position.

Functional Statement #: 586-01278F, 586-01279F, 586-01280F, 586-01281F Permanent Change of Station (PCS): Not Authorized