The Miami VA Healthcare System is looking for a Licensed Professional Nurse (LPN) Telehealth (TCT) to work in the Connected Care service located at the Key West Outpatient clinic 1300 Douglas Circle, Building L-15, Key West, FL 33040-4536. The LPN/TCT maintains charge of the Clinical Video Telehealth and Store Forward Telehealth programs at the assigned location. Reports directly to the Virtual Care Nurse Manager (VCNM). Provides care within the scope of practice, licensure, and training.

Duties

NOTE: This is not a Virtual Position. ***PLEASE NOTE THIS ANNOUNCEMENT IS OPEN TO THE PUBLIC, CURRENT PERMANENT VA EMPLOYEES SHOULD APPLY UNDER THE ANNOUNCEMENT CBTC-12084211-23-TAB*** The Licensed Professional Nurse/TCT consistently and successfully demonstrates independent technical judgment and does not require close supervision to do so. The LPN/TCT has a comprehensive and thorough working knowledge of the most complex or difficult technical practices and procedures in both the Clinical Video Telehealth and the Store Forward Telehealth programs. The scope of the LPN/TCT role is impacted by Telehealth Program modalities and services provided at the duty location The Virtual Care Nurse Manager retains administrative responsibility for supervision and performance evaluation. The LPN/TCT provides care under the direction of a Licensed Provider during certain specific CVT encounters. The LPN/TCT meets or exceeds competency performance standards in the following: 1) Miami VAHS LPN core competencies relevant to the delivery of quality Telehealth services, 2) VISN8 TCT Position Specific Competencies, 3) the High Performance Development Model. Additionally, the LPN/TCT practices within the boundaries set for in the Assignment of Functional Categories (VA Form 10-0539). Additional duties include but are not limited to: Demonstrates nursing practice with remote direction of Provider. Guides team members in issues related to Telehealth. Provides direction for accomplishing the Telehealth work of the team at the main facility and/or within the Community Based Outpatient Clinics. Distributes and balances workload and tasks among self with CBOC daily operation in accordance with established workflow and/or job specialization and required rotations. In case there are coverage needs, the LPN/TCT will be responsible for performing the assignments and managing the workload to ensure timeliness of Veteran care, coordination, and Veteran education. Performs Telehealth imaging, including Tele-retinal screening, Tele-Dermatology and other Telehealth programming as technology becomes available, as identified, and referred by the primary care provider, other providers, and the imager. Uses video conferencing technologies and Telehealth technology to coordinate and connect staff, resources, Veterans, and providers in the manner effective to delivery of services, Veteran care, education, and training. Conducts quality control procedures on equipment and products and maintains proper records for quality control reports and workload reporting. Instructs Veterans and family members on principles of health, self-care and protocols for treatments and/or medications. Utilizes teaching materials to promote self-reliance and independence including methods to prevent complications and facilitate recover. Reinforces instruction provided by other health care professionals. Participates in accomplishing unit maintenance tasks which includes checking equipment to ensure that it is functioning safely. Will hold preceptor status to assist in training current and on-coming staff on all video conferencing technologies, Telehealth peripherals including stethoscopes, otoscopes, total exam camera and scheduling package used to coordinate, manage resources, and connect staff to resources Veterans and providers in the manner effective to delivery of services, Veteran care, education and training. Must be proficient and demonstrate competency in the set-up, the reprocessing, the procurement, the trialing, or use of Non-VA Reusable Medical Equipment as applicable for all equipment for which they have received training Work Schedule: Monday-Friday; 8:00am-4:30pm; flexibility may be required in schedule to ensure coverage for operations of the facility. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 30738F Relocation/Recruitment Incentives: May Be Authorized for highly qualified candidates Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: 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. Verification can be obtained from the State approving agency or the NLNAC, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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:GS-07: 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, including assignments in selected, more complex inpatient and/or outpatient care settings. 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 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. The LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must possess the ability to observe more subtle physical an emotional changes in patients, demonstrate taking appropriate action based on those observations. Ability to assist the RN or MD/DO address patient's needs for medication/treatments, accurately administer prescribed medications/treatments according to established policies/procedures and appropriately record administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrate 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. Knowledge and skill to promptly recognize potential 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. Must have a broader knowledge of the patient treatment process and exercise judgment demonstrating the ability to intervene when appropriate. Assists individuals or groups of patients and families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Skill in influencing and communicating with unusually difficult to care for or communicate with patients/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 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/family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes/incorporates established customer service standards their practice. Possess comprehensive practical nursing knowledge and skills in specialized procedures/practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model/mentor to other nursing staff in the application of more complex technology, guiding and directing their continuing practice. Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly report any deviations from normal practice patterns. 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/responsibility is performed under general supervision. Individuals in these positions are 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, employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. Actively seek out educational opportunities to enhance nursing knowledge and skills, providing leadership in assisting other staff improve and advance their nursing practice. May qualify based on the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Preferred Experience: 3-5 years Telehealth and/or VA PACT nursing experience Comfortable working with technology Strong computer literacy References: VA Handbook 5005/3, Part II, Appendix G13 The full performance level of this vacancy is GS 7. The actual grade at which an applicant may be selected for this vacancy is GS 7. Physical Requirements: The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. The incumbent must be able to demonstrate knowledge and ability to provide full range of complex technical nursing care to patients with a variety of physical and/or behavior problems. 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, pushing, use a keyboard, and perform CPR. Transferring patients and objects using appropriate assistive devices, push/pull an occupied gurney 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. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs, and perform all other activities of the position without restrictions.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Note: If your school has changed names, or is no longer in existence, you must provide this information in your application.

Note: If your school was accredited at the time of graduation, but is no longer listed on the ACEN, CCNE, or DAPIP website, you must provide documentation of accreditation with your application packet. (Please verify, failure to do so can result in an ineligible rating.)

Contacts

• Address Bruce W Carter Department of Veterans Affairs Medical Center 1201 Northwest 16th Street Miami, FL 33125 US
• Name: Takisha Butler
• Email: [email protected]