Practical Nurse- Orthopedic Clinic

Full Job Description

James A Haley Veterans Hospital and Clinics is recruiting an experienced Practical nurse for our Orthopedics Specialty 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. 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.

English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English.

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. 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) 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 4 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.

However, completion of more complex practices or procedures may be subject to closer higher-level review.

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 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, 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 5 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.

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.

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.

Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.

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-06.

The actual grade at which an applicant may be selected for this vacancy is in the range of GS 3 to GS 6. Major Duties:

An LPN vacancy exists in the Specialty Clinics. This busy service provides clinical support to our outpatients.

In Specialty Clinics, the clerks will schedule patients, Registered Nurses, Advance Registered Nurse Practitioners, Physician Assistants and/or Physicians will evaluate patients,.

The treatment plans are initiated and addressed.

The LPN is expected to perform/ assist with the following duties listed but 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 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-Friday 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 70828F, 70829F, 70830F, 70831F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized