Practical Nurse- Dermatology Clinic

Full Job Description

James A Haley Veterans Hospital and Clinics is recruiting an experienced Practical nurse for our Dermatology Clinic.

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: Citizenship. Citizen of the United States.

(Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part. 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.

Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006.

Additional information may also be obtained from the NLNAC Website. 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.

An LPN[/LVN] who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part.

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 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.

Grade Determinations: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.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 care out more specialized patient care duties, including assignments in more complex inpatient and/or outpatient care settings.

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.

Ability to proactively assist the RN or MD/OD in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments and appropriately recording patient's response to medications/treatments received.

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.

Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive 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.

Exhibits skill, creativity, and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels.

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.

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

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

This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects will be required.

Mechanical inpatient lifts are provided and should be utilized.

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations.

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

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

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

LPNs in this setting are expected to gain competence completing assigned nursing tasks in the support of biopsies, excisions, excimers, MOHS, phototherapy, biopatch testing, laser, photography and nursing intervention clinics.

This is a procedural based clinic where nursing staff is engaged in direct hands-on support of Dermatology surgeries and procedures.

LPNs are expected to display proficiency in all areas as assigned duties are rotated.

Major duties include, but are not limited to: Demonstrates the exercise of independent technical judgment as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures.

Demonstrates ability to assist RN and/or Provider to appropriately prioritize overall Veteran care needs and adjust plans for care delivery.

Seeks assistance and guidance by informing RN and/or Provider of more subtle physical and emotional changes in Veteran's condition requiring higher-level intervention and demonstrate taking appropriate action based on those observations.

Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly informs the RN and/or Provider of observed changes in Veteran's condition and initiates appropriate, prescribed interventions.

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

Assists individuals or groups of Veterans, families, and/or caregivers to take an active role in promoting healthy lifestyles for more positive Veteran outcomes.

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

Demonstrates the ability to proactively assist the RN and/or Provider in addressing Veteran's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and Veteran's response to medications/treatments received.

This may include restricted medication locally authorized for administration by employees at this grade level.

Promotes the incorporation of current Veteran care data in actively contributing to the development and modification of the Veteran's overall health/treatment plan and in carrying out assigned nursing interventions.

Seeks out educational opportunities to enhance nursing knowledge and skills and provides leadership in assisting other staff to improve and advance their nursing practice.

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.

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).

Work Schedule: Monday to Friday 9:00am -5:30pm Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 70828F, 70829F, 70830F, 70832F, 72033F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized