Licensed Practical Nurse - Patient Aligned Care Team
Major Duties:
Assist with triage/intake Triage phone calls for appointments and patient needs Phone calls, messages are to be reviewed every 4 hours or less Identify additional services needed by the Veteran/Family.Daily huddles Practice safe body mechanics for protection of patients and personnel Follow appropriate policy and procedures for patient safety in the work environment Assist during emergency situations including initiating and/or assisting with cardiopulmonary resuscitation and obtain equipment and supplies as requested by the RN or physician. Utilize Standard Precautions for all contact with body substances Practice appropriate hand washing techniques Perform nursing care activities listed below, which are representative, but not inclusive of tasks performed, requiring a like skill level for which the LPN is properly trained Observe safety, sanitary, and fire rules/regulations Be responsive to any hazard and assess the need to initiate measures to eliminate hazard and prevent injury Perform assigned clinic cleaning duties, maintaining a neat, safe, and clean patient environment Perform daily equipment/supply checks Keep exam rooms stocked, checking for expired supplies daily, including the provider's exam room(s) Demonstrate skill in the use of therapeutic communication to reinforce patient compliance with treatment goals using TEACH and Motivational Interviewing Assist the RN with patient teaching.Participate in the orientation of new employees to the clinic. Provide emotional support to patients using therapeutic communication skills, easily anticipating and providing for patient's emotional needs.Utilize warm hand-off communication to providers for positive PTSD, depression, and alcohol screens Utilize mental health integrated support for Veterans with suicidal ideation, homicidal ideation, depression, PTSD, and alcohol screens Utilize social services to meet the Veteran's psychosocial needs Treats customers in a courteous and helpful manner that indicates dignity and respect Practices the ICARE principles. Assist providers with exams/procedures Perform treatments (EKGs, VS, CBGs, etc) as applicable Administer medications, wound care Complete clinical reminders Triage and reply to secure messages Track/administer required immunizations Preferred
Experience:
One year experience in a clinic setting; Proficient in computerized charting and documentation. Work Schedule:
Full Time; Monday - Friday; 7:
30 am - 4:
00 pm Bargaining Unit:
This is a bargaining unit position. Telework Status:
This is not a telework position. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/31/2019. 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 spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred
Experience:
One year of Clinic Practice Experience Grade Determinations:
To qualify at the GS-6, you must have one year documented experience in the following areas:
Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. (Work with RN to appropriately orient/train less experienced LPNs, Nursing Assistants, and/or Health Technicians 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 deisease processes, medication, and/or Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel involved in the delivery of patient care. 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. and documented experience the following Knowledge, Skills, and Abilities:
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 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. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD, 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. References:
VA Handbook 5005-3, Part II, Appendix G13 The full performance level of this vacancy is GS-6. Physical Requirements:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required up to 50 pounds. Use of ceiling lifts /mobile lifts is required. The incumbent may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. In addition, the incumbent must be emotionally stable and adjust to different types of personalities, demonstrating cheerfulness, compassion, courtesy and concern. He/she must be quick and dependable in taking emergency action as directed and use initiative in preventing accidents.
Estimated Salary: $20 to $28 per hour based on qualifications.
Assist with triage/intake Triage phone calls for appointments and patient needs Phone calls, messages are to be reviewed every 4 hours or less Identify additional services needed by the Veteran/Family.Daily huddles Practice safe body mechanics for protection of patients and personnel Follow appropriate policy and procedures for patient safety in the work environment Assist during emergency situations including initiating and/or assisting with cardiopulmonary resuscitation and obtain equipment and supplies as requested by the RN or physician. Utilize Standard Precautions for all contact with body substances Practice appropriate hand washing techniques Perform nursing care activities listed below, which are representative, but not inclusive of tasks performed, requiring a like skill level for which the LPN is properly trained Observe safety, sanitary, and fire rules/regulations Be responsive to any hazard and assess the need to initiate measures to eliminate hazard and prevent injury Perform assigned clinic cleaning duties, maintaining a neat, safe, and clean patient environment Perform daily equipment/supply checks Keep exam rooms stocked, checking for expired supplies daily, including the provider's exam room(s) Demonstrate skill in the use of therapeutic communication to reinforce patient compliance with treatment goals using TEACH and Motivational Interviewing Assist the RN with patient teaching.Participate in the orientation of new employees to the clinic. Provide emotional support to patients using therapeutic communication skills, easily anticipating and providing for patient's emotional needs.Utilize warm hand-off communication to providers for positive PTSD, depression, and alcohol screens Utilize mental health integrated support for Veterans with suicidal ideation, homicidal ideation, depression, PTSD, and alcohol screens Utilize social services to meet the Veteran's psychosocial needs Treats customers in a courteous and helpful manner that indicates dignity and respect Practices the ICARE principles. Assist providers with exams/procedures Perform treatments (EKGs, VS, CBGs, etc) as applicable Administer medications, wound care Complete clinical reminders Triage and reply to secure messages Track/administer required immunizations Preferred
Experience:
One year experience in a clinic setting; Proficient in computerized charting and documentation. Work Schedule:
Full Time; Monday - Friday; 7:
30 am - 4:
00 pm Bargaining Unit:
This is a bargaining unit position. Telework Status:
This is not a telework position. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/31/2019. 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 spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred
Experience:
One year of Clinic Practice Experience Grade Determinations:
To qualify at the GS-6, you must have one year documented experience in the following areas:
Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. (Work with RN to appropriately orient/train less experienced LPNs, Nursing Assistants, and/or Health Technicians 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 deisease processes, medication, and/or Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel involved in the delivery of patient care. 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. and documented experience the following Knowledge, Skills, and Abilities:
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 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. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD, 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. References:
VA Handbook 5005-3, Part II, Appendix G13 The full performance level of this vacancy is GS-6. Physical Requirements:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required up to 50 pounds. Use of ceiling lifts /mobile lifts is required. The incumbent may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. In addition, the incumbent must be emotionally stable and adjust to different types of personalities, demonstrating cheerfulness, compassion, courtesy and concern. He/she must be quick and dependable in taking emergency action as directed and use initiative in preventing accidents.
- Department:
0620 Practical Nurse - Salary Range:
$43,014 to $52,689 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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