Licensed Practical Nurse - Home Based Primary Care
Veterans Affairs, Veterans Health Administration
Location: Vancouver, Washington
Internal Number: 678930200
The Home Based Primary Care (HBPC) LPN/LVN functions as a team member under the clinical guidance of a Registered nurse. The LPN/LVN is self-directed and functions in a highly independent role within the home care setting; participates in interdisciplinary care planning. Most of the physical work is done in Portland, OR 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. 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 as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: In addition to the basic requirements, the following qualification criteria must be met for each grade. GS-3. None beyond the basic requirements. GS-4 (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. 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-related 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. Preferred Experience: 1. Must have valid driver's license and proof of insurance; does NOT transport patients 2. One year of VA Home-Based Primary Care experience preferred 3. One year of successful clinical nursing experience preferred (e.g. Med/Surg, ER/ICU/Urgent Care, adult primary care) 4. Experience working in an intensive interdisciplinary team preferred 5. AHA BLS certified 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-03 to GS-06. Physical Requirements: Moderate lifting and carrying (15-44 pounds), Straight pulling and pushing (.5 hours), Reaching above shoulder, Use of fingers, Both hands required, Walking (3 hours), Standing (4-6 hours), Kneeling (2 hours), Repeated bending, climbing, Both legs required, Operation of motor vehicle, at least 20/40 in each eye, Both eyes required, depth perception, Ability to distinguish shades of colors, Hearing (aid may be permitted), Mental and emotional stability, at least 70' peripheral in horizontal meridian in each eye ["The LPN is responsible for providing clinical assistive care and administrative support. The LPN must demonstrate the ability to observe, identify and respond to the Veteran's needs for nursing, medication, point-of-care testing, and equipment-assisted care and to recognize deviations from normal. Other duties include but are not limited to the following: Responsible for Veteran and Family/Caregiver assessment for health literacy and education needs, including health coaching. Completes the Health Promotion/clinical reminders as appropriate documenting accordingly. Performs care that is demographically and environmentally appropriate. Uses techniques to de-escalate disruptive patients. Serves as a responsible member of the interdisciplinary team and interacts 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. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and prepares treatments according to established policies/procedures. Recognizes urgent or emergent patient care situations and seeks assistance of the RN and/or MD/DO. Establishes constructive relationships with individual patients and their families. Work Schedule: Monday-Friday, 7:30am-4:00pm or 8:00am-4:30pm\nPlease note: Most of the physical work is done in Portland, OR\nTelework: Available\nVirtual: This is not a virtual position.\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.