LICENSED PRACTICAL NURSE- COMMUNITY BASED OUTREACH CLINICS (CBOC) Crawford
Veterans Affairs, Veterans Health Administration
Location: Erie, Pennsylvania
Internal Number: 654089900
This position will report directly to the Manager, CBOC, Crawford. LPNs at this grade level are expected to provide direct patient care and perform all duties within the scope of their license (e.g., medication administration). Completed work is under the general supervision of a Registered Nurse (RN) or Physician (MD/DO). 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. Additional information may also be obtained from the NLNAC Website. 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. 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: In addition to the basic requirements, 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-3. 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-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:(a) Six months of qualifying experience as an LPN or LVN; or (b) Graduation from an approved school 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. (d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. GS-5. (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(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-6. (a) 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. (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-relate] 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.(j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References: VA HANDBOOK 5005/3 PART II APPENDIX G13 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. SEE BELOW FOR ADDITIONAL INFORMATION. ["Duties include but not limited to the following: 1. Explains procedures to patients using language which they understand and displays consideration of individual age related and gender specific patient needs.\n2. Ensures that the physical and emotional environment is consistent with the vision for patient centered care.\n3. Maintains self-control and responds consistently to the requirements of the work situation, shows flexibility.\n4. Maintains a positive attitude in accepting temporary reassignment to meet patient care needs.\n5. Responds to patients calls for assistance promptly and interacts with the patient in a tactful, courteous manner, making customer service the focus of all interactions.\n6. Communicates respectfully and works effectively with administrative staff, the Patient Aligned Care Team (PACT), patients, and visitors. Orients patients to the clinic.\n7. Provides emotional support to patients, and families/significant others to assist them in adjusting to changes brought about by illness or change in health status.\n8. 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 internal/external customers.\n9. Prepares patients for tests, examinations, and treatments technique. These procedures include, but not limited to: insertion of chest tubes, thoracentesis, paracentesis, lumbar puncture, and liver biopsies. 18. Applies assistive/protective devices such as, splints, binders, or prosthetic appliances\n10. Prepares and administers prescribed oral, topical, subcutaneous, inhaled, and injectable medications, and suppositories according to policy and procedure. Correctly documents medications given or omitted in Computerized Patient Record System (CPRS) according to established policy and procedures. Documents effects of medications.\n11. Recognizes emergent or acute situations, responds appropriately, and reports to the RN or provider promptly. Reports untoward patient incidents, including medication errors, to Charge Nurse/Nursing Supervisor, and initiates incident report. Responds appropriately to emergency situations including cardiopulmonary arrest, choking, and disaster or fire drills.\n12. Observes, reports to the RN, and documents in the patient's medical record subjective and objective changes in the patient's physical or emotional condition, both obvious and subtle, which have relevance in determining the health status of the patient.\n13. Provides teaching in activities of daily living (ADL's) to patients and encourages them to participate in ADL's leading to increase independence. Provides or reinforces patient teaching related to medications, disease process, procedures, and self-care activities. Participates in more complex teaching for patient self-care, such as diabetic care, self catheterization, etc.\n14. Performs a wide range of treatments and procedures utilizing established nursing care plan according to policy, including but not limited to: range of motion exercises, application of heat and cold, wound care, changing complex sterile and clean dressings, weights, vital signs. Collects specimens such as urine, sputum, and stool for laboratory analysis.\n15. Sets up for and performs treatments that require auxiliary equipment, for example: oxygen, spirometry, and nebulizer treatments.\n16. Adheres to and appropriately utilizes the Safe Patient Handling Program standards, practices, and recommendations. Lifts and transfers, according to policy and procedure, seeking assistance when appropriate, to prevent injury to the patient and self. Work Schedule: 8:00 a.m. to 4:30 p.m.\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.