Practical Nurse - Dermatology

Full Job Description

The Licensed Practical Nurse (LPN) is responsible for goals and interventions that promote veterans in attaining maximum functional potential.

This is accomplished through modalities such as collaboration and communication with the Dermatology Team (Patient, Providers, Case Managers, Operating Room and Clerical Staff) and additional members (family, internal and community) involved in providing care to the patient.

Open to all U.S citizens and internal to the agency.

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 Accreditation Commission for Education in Nursing (ACEN) at the time the program was completed by the applicant.

Verification can be obtained from the State approving agency or the Accreditation Commission for Education in Nursing.

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.

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.

The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

GS-07: The GS-07 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.

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.

The following Knowledge, Skills, and Abilities (KSAs) must be met: 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.

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

Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions.

Positions at this grade level requires broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans.

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

Make 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.

Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention.

At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing and, as appropriate, modifying patient care treatment.

They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations.

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.

(This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions.

Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels.

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.

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.

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.

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.

Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas.

Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical 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.

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.

The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision.

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

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

Physical Requirements: VA Directive and Handbook 5019 and local LPN/LVN physical standards. Major Duties:

The Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN), GS-7 performs more complex nursing assignments within their setting.

The LPN/LVN possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices.

The LPN/LVN GS-7 work is of considerable difficulty and responsibility is performed under general supervision.

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

Employees at this grade level demonstrate broader knowledge skill with respect to these responsibilities than employees at lower grades.

GS-7 LPN functions as procedure nurse for all medical specialty clinics.

Duties include but are not limited to: Serves as integral part of the Dermatology team of physician and nurses in the performance of Dermatology procedures, but also cross covers for all procedures within the medical specialty department independently.

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.

Demonstrates knowledge and ability to recognize need for and to initiate emergency measures, when indicated, in urgent or emergent patient care situations seeks assistance of the RN and/or MD and assists in resuscitation interventions as directed.

Independently responsible for the overall technical management of the Dermatology procedure room; with knowledge of basic and specialized instruments and technical expertise in operating the Dewar for Liquid Nitrogen, Electrosurgical unit (set up and calibrate), ability to perform adjustments and minor maintenance to the electrosurgical unit if needed.

Demonstrates knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which includes preparing the patient, assisting in the examination, preparing, and handling specialized Dermatology instruments and other specialized equipment that will be used in Dermatology.

Recognize and appropriately respond to breakage/ malfunction of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

Prevent injury to self and others by complying with safe patient handling and moving post procedures, using proper body mechanics and transfer techniques.

Demonstrates safe work habits, identifies, and immediately reports any unsafe conditions.

Maintain confidentiality of electronic, written, and/or verbal patient information in accordance with HIPAA regulations and medical center policies.

Prevents protected information from being disclosed to unauthorized sources.

Knowledgeable of reusable medical equipment (RME), manufacturer's guidelines and facility standard operating procedures (SOP); high-level disinfection processes for Dermatology instruments, pre-cleaning, and preventative care.

Demonstrates knowledge of items on the unit that are reprocessed and performs the initial decontamination process prior to transport of items.

Adheres to appropriate methods of transport to the reprocessing area. Maintain annual competency validation of the set up and initial reprocessing of specific reusable medical equipment.

Collaborates with SPS to ensure adequate RME is readily available to meet patient care needs. Performs other duties as assigned.

VA Careers - Licensed Practical Nurse: https://www.youtube-nocookie.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Work Schedule: 07:00 - 1600 Pay: Competitive salary 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.