The incumbent is located at the North Bend, OR CBOC-one of the sites of care for the Roseburg VA Health Care System (RVAHCS). The incumbent assists and prepares Veterans for ambulatory care visits, communicates with other members of the healthcare team regarding patient concerns and personal observations, may provide cross coverage for other areas as assigned by manager. Travel may also be required within the Health Care System. Demonstrates the ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Under the guidance of the RN or Licensed Independent Practitioner (LIP), orients, trains, and mentors less experienced Licensed Practical/Vocational Nurses (LPN), nursing assistant (NA), or health technician (HT) personnel relative to care delivery within their scope. Demonstrates the ability to provide effective education to Veterans, family, and other internal and external stakeholders regarding common disease processes, medications, and treatment plans as developed by the RN or LIP. Duties will include, but will not be limited to: - Remains current on licensure requirements, basic life support, all TMS related mandatory education which provides an opportunity for the LPN to demonstrate core LPN competencies. May participate in educating other LPN, NA, or HT personnel. . - Demonstrates nursing functions within scope of practice. First line supervisor may be a non RN or be an on-site or remote RN. Demonstrates understanding of the effects and/or reactions caused by medications, treatments, and procedures. Records and reports these observations in CPRS. - Demonstrates knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications in accordance with 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 LIP. Takes appropriate initial action to address adverse reactions. Records and reports observations and discussions in CPRS. - Demonstrates the ability to recognize and report abnormalities, take initial corrective action, and report to the RN and/or LIP to ensure prioritization of overall patient care needs is accomplished and plans for care delivery are carried out per orders and the plan of care. - Able to identify actual and potential psychological triggers to escalation and mitigate them through interpersonal interaction, identify when the Veteran has begun escalation and take appropriate action to de-escalate and ensure safety of Veteran, visitors, and staff, and communicate observations and interventions to the RN or LIP so appropriate follow up can be arranged. - Collects information about the whole person including the physical, psychological, social, cultural, and spiritual aspects of the person and identifies further avenues of inquiry based on patient responses to acquire a comprehensive review of pertinent information. - Actively intervenes to maintain comfort, support human functions and responses, and advocates for patient. - Initiates patient and family teaching including teaching patients with complex learning needs. May use established protocols, general principles, and prior experience. Participates in motivational interviewing of Veterans, family, and significant others. - Able to demonstrate competency with new equipment as technology changes within the field of healthcare related to role in ambulatory care. Work Schedule: Mon-Fri, 8:00am-4:30pm Telework: No available Virtual: This is not a virtual position. Financial 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.