Practical Nurse - Patient Aligned Care Team

Summary

The Licensed Practical Nurse (LPN) is responsible for the delivery of care to Veterans in the primary care clinic. The LPN provides direct and indirect nursing care to patients and families within the clinic. Functions as a team member under the guidance of a Registered Nurse and is accountable for adhering to established policies - protocols - standards of care and standards of practice.

Qualifications

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
• English Language Proficiency: In accordance with 38 U.S.C. 7402(d) and 7407(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• 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
• 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
• OR Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
• OR Individual granted a license by a jurisdiction that does not require graduation from an approved school
• Licensure: Active - full - current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State - Territory - or Commonwealth (i.e. - Puerto Rico) - of the United States or the District of Columbia
• Grade Determinations: GS-7. The GS-7 grade level is for select - complex LPN/LVN positions - as established by each health care facility
• To be advanced - employees must meet all of the following standards - provided the standard is part of their assignment
• Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent - fully meeting all of the performance requirements for the GS-6 LPN/LVN
• Knowledge and skills necessary to carry out more specialized patient care duties
• Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions
• Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans
• Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery
• Makes astute observations of subtle - less obvious changes - both physical and emotional - in patient's condition - and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan
• Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention
• At this grade level - the LPN/LVN is expected to participate to a greater degree in prioritizing - and - as appropriate - modifying patient care treatment
• They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations
• Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments - accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received
• (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions - promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate - prescribed interventions
• Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels
• Knowledge and skill to promptly recognize potential urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene - as directed - to assure the continuation of optimal - safe and therapeutic patient care delivery
• At this grade level - the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate
• Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes
• Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control - resistant or abusive behaviors - or impediments in their ability to understand or follow instructions
• This includes the ability to effectively deal with the above types of patients under very general supervision
• Exhibits skill - creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces - research projects or in developing educational materials/media
• Actively promotes and effectively incorporates established customer service standards in all aspects of their practice
• Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care
• Serves as a role model and mentor to other nursing staff in the application of more complex technology - effectively guiding and directing their continuing practice in these areas
• Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery
• Promptly reports any deviations from normal practice patterns to the RN or MD/DO
• In addition to responsibilities at the lower grade level - the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff
• Work of considerable difficulty and responsibility is performed under general supervision
• Individuals in these positions are - to a considerable extent - expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles - art and science of practical nursing
• The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision
• Actively seeks out educational opportunities to enhance nursing knowledge and skills - and providing leadership in assisting other staff improve and advance their nursing practice
• Preferred Experience: Min
• of 4 years' experience Basic Life Support (BLS) Previous experience in an Ambulatory Care and/or community-based clinic setting working with chronic disease management Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-7. Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• See VA Handbook 5019 and local LPN/LVN physical standards.

Duties

• VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The LPN uses a systematic problem-solving process in the care of patients with chronic health care needs to provide individualized - goal-directed nursing care
• The LPN may contribute to the plan of care by collaborating with interdisciplinary team members - the patient and the patient's family
• The LPN collects data and information - recognizes changes in conditions and reports this to the RN or Provider
• The LPN assists in the identification of problems and formulation of goals - outcomes - and patient-centered plans of care that are developed in collaboration with patients - their families - and the interprofessional team
• The LPN can participate in implementing established teaching plans and providing education to patients and their family
• Duties include but not limited to: Tracks - prepares - and administers medications
• Places orders and consults per clinical reminders and PACT Nurse Protocols working to the top of education and competency
• Collaborates with PACT staff to develop comprehensive health care plans for patients assigned to patient panels
• Participates in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients
• Provides effective education to patients and/or family member in relation to disease processes - medication and/or prescribed treatment regimens in collaboration with the interprofessional team
• Recognizes urgent or emergent patient care situations - seeks assistance of the RN and/or provider - and initiates appropriate emergency interventions as directed
• Performs other duties as assigned
• Work Schedule: Monday - Friday - 0800-1630 Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Ad-hoc Only Virtual: This is not a virtual position
• Functional Statement #: 51827F Permanent Change of Station (PCS): Not Authorized