The Licensed Vocational Nurse (LVN/LPN) performs nursing assignments on 3 North East Medical Specialty Clinics patients as a member of the Allergy, Dermatology, Infectious Disease, Nephrology, Neurology, and Pulmonary Clinic Teams. Under the direction of the Physician or Nurse Practitioner, she/he is responsible for providing direct and/or indirect patient care to Dermatology, Infectious Disease, Nephrology, Neurology, and Pulmonary Clinic patients. 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. Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Must have a full, current, active and unrestricted license as a graduate 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: 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:· Six months of qualifying experience as an LPN or LVN; or 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 Graduation from an approved school of at least 24 months duration GS-5: 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 NAs/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 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. GS-6: Completion of at least 1 year of qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for theGS-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, cultural, spiritual, 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 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. Preferred Experience: 1 year experience in outpatient clinic, 1 year experience LVN References: VA HANDBOOK 5005/3 PART II APPENDIX G13The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: Heavy Lifting (45 lbs and over); Moderate Carrying (15-44 lbs); Pushing; Straight pulling; Pulling hand over hand; Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 6 hours); Standing (up to 6 hours); Kneeling (Intermittent);Repeated bending (up to 6 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 an to 20/40 in the other; Ability to distinguish shades of colors; Hearing (aid permitted); Emotional and Mental Stability.**If 10 hours shifts hours of moving, bending, standing, walking will be 10 hours. ["Participates in orientation of new patients to 3 North East Medical Specialty Clinics and contributes to the development of and updates to their plan of care in consideration of patient status and policy changes. Perform vitals and clinical reminders as appropriate for scheduled and unscheduled patients Perform EKGs for emergent/urgent patients or pre-operative patients Completes clinical documentation in the electronic medical record Assist in the data collection (including physical, psychosocial, emotional, spiritual, cultural and educational) for patients about to be and currently undergoing 3 North East Medical Specialty Clinic treatments. Notifies the clinic manager of problems and assists in problem resolution efforts as requested. Participates in the education of patients regarding telehealth opportunities and facilitates that process for those patients interested in telehealth including but not limited to VA Video Connect (VVC). Prepares and administers prescribed medications (oral, topical, subcutaneous, and/or, intramuscular) and performs treatments according to established policies/procedures; Observes for physical and/or emotional changes in patient's health condition, including responses to prescribed medications/treatments, and promptly and accurately documents identified changes, and reporting deviations from normal to the team RN, NP or MD. Has basic understandings of encouraging and communicating with common challenging psychological and physical behaviors to promote optimal functioning. Demonstrates the ability to work to the capacity of his/her scope of practice and communicates effectively with the veteran, families, caregivers, professionals and other supportive staff. Maintain, order and refresh stock and supplies required for 3 North East Medical Specialty Clinics. Participates in the provision of care in the 3 North East Medical Specialty Clinics at the Loma Linda VA Medical Center, and Ambulatory Care Center, as appropriate and within the LVN/LPN Scope of Practice. Collaborate with Pharmacy services for medication supply. Screen patients in clinic and via telephone calls. Ability in accurately performing Accu-cheks Encounter nurse clinic visits. Recognizes potential urgent or emergent patient care situations, and able to rapidly call a \"Rapid Response Treatment (RRT)\" or \"Code Blue\" emergency. Recognizes signs of potential or active disruptive behavior and quickly intervenes with appropriate therapeutic interventions, including notifying a provider to rapidly call the BHIP provider on-call via pager. Demonstrates ability to use \"Safe Patient Handling\" equipment and techniques, able to transport, turn and move patients using proper equipment. Recognizes and appropriately responds to breakage/malfunction of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. Provides Situation, Background, Assessment and Recommendation (SBAR) report to team member Clean exam and procedure rooms in between and after patient usage. Check for expired supplies and medications All Clinics daily opening duties: Ensure rooms are open and verify clean status of rooms Accu-chek controls Medication Fridge temperature check (note this is checked twice per day) Code Cart check Safe Patient Handing Equipment check: HoverJack HoverMatt Ceiling lift EKG machine check Clean and Dirty Utility Rom checks All clinic daily closing duties Clean exam rooms for use in the AM, prepare exam tables by placing in lowered position Stocking rooms with supplies Medication Fridge temperature check (note this is checked twice per day) Verify inpatients are remaining in clinic Lock all exams rooms and many more. Work Schedule: 8:00 - 16:30, or depending on hospital needs. 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.
