This Licensed Practical Nurse position is located in the Primary Care Service at the Conway Community Based Outpatient Clinic location. This position is a full-time at 40 hours per week. 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 proficient in written and spoken English. (Licensed Practical or Vocational Nurses appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7404(d).) Must possess a full, active, current and unrestricted licensure as a Licensed Practical or Vocational Nurse in a State, Territory of Commonwealth (i.e., Puerto Rico) of the United States, or in the District of Columbia. Must be a 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. (Health care education 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. 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. 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 (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. (d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level. 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 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 year of 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. (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. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This positions requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. ["This Licensed Practical Nurse, under the direct supervision of the RN, MD, DO, NP, or PA, is held accountable for delivering direct patient care to adult through geriatric aged patients. He/she recognizes the age-related needs and demonstrates knowledge and care appropriate to that age group. He/she considers the cognitive, physical, emotional, and chronological maturation needs of the patients, demonstrates competence, and correctly provides appropriate care for that age group or groups. Duties include, but are not limited to: Prepares and administers medication; oral, topical, rectal, vaginal, subcutaneous, intramuscular, intradermal, and per inhaler. Documents medication administration accurately, noting changes and reporting any deviations from normal to RN or MD/DO. Has the pharmacological knowledge to observe for desired actions, dosage, and adversities. Uses a variety of strategies to monitor for and provide pain control. Evaluates and documents effectiveness of medication. Monitors, reports, and documents IV fluid levels and site condition. Performs treatments according to established policies/procedures. Assisting in the implementation of the patient driven holistic care plan. Works effectively with others; patients, family members, professional staff, supportive personnel, members of other services and community partners. Is sensitive to the individual patient's needs and responses so that a therapeutic relationship is established. Safeguards sensitive patient information. Protects written, verbal, electronic information, and access codes from unauthorized release. Respects patient's rights, e.g., maintains privacy, confidentiality, and self-determination. Provides support for the Patient Aligned Care Team in the Primary Care Clinics following established nursing and primary care policies and procedures. Ensures that all outpatient clinic appointments are scheduled in accordance with the business rules in VHA Directive Outpatient Scheduling Processes and Procedures. Collects data and collaborates in the assessment of the health status of a patient. Implements aspects of the plan of care as delegated. Participates in health screening, clinical reminders, telephone calls and treatments as assigned. Participates in the evaluation of patient responses to interventions. Recognizes, reports, and records promptly change in physical condition and behavior of patients. Completes routine documentation of results of care and treatment according to policy, guidelines, instructions, (e.g. flow sheets) utilizing the electronic record and information network. Uses proper channels to resolve ethical issues. Differentiates between emergent and non-emergent conditions. Reports promptly and accurately records critical/emergency situations. Ability to draw, centrifuge and package lab samples when indicated. Demonstrates knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Demonstrates a broad working knowledge of practical nursing procedures under the general supervision of an RN or provider. Work Schedule: Monday - Friday;7:30am and 4:00pm\nCompressed/Flexible: Not Authorized\nTelework/Virtual/Remote Work: Not Authorized\nFunctional Statement #: PDF03690, PDF03691, PDF03692, and PDF03693\nRecruitment Incentives: Authorized\nFinancial Disclosure Report: Not required\nPromotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.\nNotifications: This is an NAGE Bargaining Unit position. This position is covered by a special rate. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. This position is in the Excepted Service. Veterans' preference does not apply for other current permanent Federal agency employees. Occasional travel to other Community Based Outpatient Clinics (CBOCs) is required. Preferred Experience: Phlebotomy, Primary Care, and POC testing experience preferred. THIS VACANCY ANNOUNCEMENT IS POSTED UNDER THE AUTHORITY OF 38 U.S.C.7412, AS MANDATED BY THE VETERANS ACCESS CHOICE AND ACCOUNTABILITY ACT OF 2014 (VACAA), PUBLIC LAW 113-146, SECTION 301(a), WAIVES THE REQUIREMENT TO APPLY VETERANS PREFERENCE. *****This position is on the list of critical shortage positions authorized by the Secretary of the Veterans Administration to be hired for without consideration of Veterans Preference*****"]
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.