The Licensed Practical Nurse serves as a member of the multidisciplinary health care team with selected patients and provides care to them on a regular and recurring basis. The LPN completes assigned duties and responsibilities, which involve performing standard and specialized practical nursing activities and which require broad work experience.

Duties

The LPN is an essential member of the Multidisciplinary Team. The LPN administers medication and vaccines, performs Point of Care testing, obtains vital signs & EKG's, reinforces teaching and provides a warm hand off to the next level of care as appropriate; all of which are essential to the health and well-being of the Veteran. To include: Direct patient care giver who proactively gathers information and identifying data regarding the Veteran and collaborates with the clinic team members to coordinate the Veteran's plan of care Scrub List; Scrub patient list two- three weeks prior to the appointment - differentiate who the Veteran needs an appointment with a (Provider, Nurse, Telephone visit, Pharm-D, Mental Health, etc.) Sends Letters (no show, A1C, HTN) Collaborates with RN in completing ED Post Discharge Calls Patient intake process/check in process- Greeting, vital signs, documentation and managing the team's flow. CPRS - Nursing Documentation; uses the AECCC nursing template/personalizes Veteran's plan of care, documents and follows up on the Veteran's goals Addresses Clinical Reminders with each visit (clinical reminders may also be addressed on a telephone visit) Performs 12 Lead EKG, phlebotomy for lab draws, specimen collecting, ear irrigation, Staple/Suture removal, wound care, Performs Point of Care Testing to include: Glucometer, A1C, UhCg Closes Encounters daily after each visit and before COB Prepares & administers prescribed medications (Omnicell) Gives "Did You Know" form at every visit/Ask the Veteran their healthcare goals Secure Messaging (answering/assigning) Microsoft Teams must be daily while working Attend daily clinic huddles Attend PACT huddles Assist the RN with Triple Threats, HTN, DM, LDL colorectal/mammogram/cervical screening, etc.) Inform Veterans about delays/Round in reception area Completes monthly chart audits as assigned Performs weekly EOC rounding and quarterly Annual competency, assigned TMS training Direct patient care giver who proactively gathers information and identifying data regarding the Veteran and collaborates with the clinic team members to coordinate the Veteran's plan of care Scrub List; Scrub patient list two- three weeks prior to the appointment - differentiate who the Veteran needs an appointment with a (Provider, Nurse, Telephone visit, Pharm-D, Mental Health, etc.) Sends Letters (no show, A1C, HTN) Collaborates with RN in completing ED Post Discharge Calls Patient intake process/check in process- Greeting, vital signs, documentation and managing the team's flow. CPRS - Nursing Documentation; uses the AECCC nursing template/personalizes Veteran's plan of care, documents and follows up on the Veteran's goals Addresses Clinical Reminders with each visit (clinical reminders may also be addressed on a telephone visit) Performs 12 Lead EKG, phlebotomy for lab draws, specimen collecting, ear irrigation, Staple/Suture removal, wound care, Performs Point of Care Testing to include: Glucometer, A1C, UhCg Closes Encounters daily after each visit and before COB Prepares & administers prescribed medications (Omnicell) Gives "Did You Know" form at every visit/Ask the Veteran their healthcare goals Secure Messaging (answering/assigning) Microsoft Teams must be daily while working Attend daily clinic huddles Attend PACT huddles Assist the RN with Triple Threats, HTN, DM, LDL colorectal/mammogram/cervical screening, etc.) Inform Veterans about delays/Round in reception area Completes monthly chart audits as assigned Performs weekly EOC rounding and quarterly fresh eyes Annual competency, assigned TMS training Location: Pocomoke City VA CBOC - Pocomoke City VA Clinic | VA Maryland Health Care | Veterans Affairs Work Schedule: Monday - Friday, 8am-4:30pm; other shifts may be required based on the needs of the Service. Compressed/Flexible:Available Telework: Not Available Virtual: This is not a virtual position Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. (NOTE: This applies to the past, current, and upcoming VA Health Professional Trainees (HPT) only. HPT is an individual appointed to temporary positions in one or more VHA medical facilities performing clinical or research training experiences to satisfy program or degree requirements or receiving VA Health Professional Scholarship Program. HPTs can be either VA-paid or Without Compensation (WOC).) 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: 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 (NLNAC)/Accreditation Commission for Education in Nursing (ACEN). NOTE: 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. (Transcripts/documentation required with your application). License/Registration: 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. (Copy of your license/registration is required with your application). 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-3: No requirements beyond the above listed basic requirements. GS-4: Six (6) months of qualifying experience as an LPN or LVN; or 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 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) 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) 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 one (1) 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) 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) Prepare and administer 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 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: 2 years Primary Care or Ambulatory Care experience (within the past 5 years); highly desired References: VA Handbook 5005/3, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard, dated April 10, 2003. The full performance level of this vacancy is 06. The actual grade at which an applicant may be selected for this vacancy is in the range 03 to 06.

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.

Contacts

• Address VA Maryland Health Care System 10 North Greene Street Baltimore, MD 21201 US
• Name: Deana Maranto-Dorsey
• Phone: 443-421-6518
• Email: [email protected]