The LPN is responsible for observing, recording and reporting changes in the patient's condition, assisting in the development and revision of the patient-driven holistic care plan for life; requires a general review of their work by an RN for appropriateness and conformity with license, policies and procedures; makes observations and thoroughly documents care and the patient's response. 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: ·U.S. citizenship. Non-citizens may 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. · Must pass a pre-employment examination if selected. GRADE DETERMINATIONS:GS-6: Completion of at least 1 year of 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, 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. Physical Requirements: Light lifting, under 15 pounds, Light carrying, under 15 pounds, Pushing ( 1-2 hours), Use of fingers, Both hands required, Walking (4 hours), Standing (4 hours), Repeated bending (2 hours), Near vision correctable at 13" to 16" to Jaeger 1 to 4, Both eyes required, Depth perception, Ability to distinguish basic colors, Hearing (aid permitted), Other (specify below), Mental & emotional stability required. References: VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office. ["The LPN performs, reports, and records the assigned nursing care in the Martinsville Community Based Outpatient Clinic (CBOC) including but not limited to: Vital Signs including pulse, blood pressure, respirations, temperature, pain level, and obtaining pulse oximetry Administers influenza, pneumococcal and tetanus vaccinations Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening Glucometer measurements Neurological vital signs Recognizes urgent/emergent patient care situations and initiates assistance effectively intervening as appropriate Provides patient/family education reinforces health teaching and takes an active role in promoting healthy lifestyles Maintains precise adherence to basic principles of asepsis, safety, and universal precautions to provide a safe environment for patients, families, and employees Incumbent possesses knowledge of proper handling of instruments including the cleaning of reusable medical equipment Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer Provides 1:1 nursing care to assigned outpatients whose care requires close observation during procedures Follows policy and procedures related to fire and disaster drills, safety and security measures Interprets Medical Center Regulations and policies to other staff, patients, relatives, and visitors Proactively assists the medical provider and/or nurse with therapeutic or diagnostic procedures, including biopsies and minor surgeries Preferred Experience:· A minimum of 3 years of successful clinical nursing practice as a Licensed Vocational Nurse· Broad knowledge base with experience in a variety of patient care settings and with diverse patient population.· Demonstrated skill in performing multiple tasks, managing assignments, and expediting oral and written communications· Demonstrated ability to interact with others effectively and appropriately, presenting a professional image of the service and the VA. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Work Schedule: Monday-Friday 0730-1600\nCompressed/Flexible: Not Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May be authorized for highly qualified candidate. 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.