This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Duties

This is an open continuous announcement. Qualified applicants will be considered and referred every two weeks or as vacancies become available. First cut off date is 9/20/2023. The Licensed Practical Nurse provides safe and individualized nursing care to patients in the Ambulatory Care area which includes the Primary Care clinic, Vaccine clinic and Specialty clinic settings. He/she interacts, collaborates, and communicates effectively with the veteran, families, caregivers, professionals and other supportive staff both internal and external. He/she initiates appropriate actions based on his/her observations of the patient's condition. He/she requires a minimum of supervision and performs the functions listed below consistently with skill and effectiveness. Duties are performed under the general supervision of a RN or Healthcare Provider (HCP). In the Primary Care clinic, the LPN/LVN serves as a one of the core members of the Patient Aligned Care Team (PACT). The LPN/LVN works in collaboration with the Primary Care Provider (PCP), Care Manager Registered Nurse (RN) and the Medical Support Assistant (MSA). Together, with the patient and their caregiver support system, they work to manage the care of a panel of adult patients across the continuum. Provides appropriate information to patients and their families regarding the plan of care. Assists the patient and family in understanding and acceptance of the disease process and encourages participation in the plan for the care and rehabilitation of the patient. Identifies patient's educational needs to include equipment, medication, treatment procedures, and diagnosis. Assists with teaching patient/family as appropriate. Reinforces instructions to the patient/family that were previously presented by the nurse or physician. Demonstrates flexibility by willing and promptly accepting changes in work assignment and locations. Ability to organize work, set priorities, delegate tasks/responsibilities and follow-up for completeness in order to provide and expedite patient care. Competence in performing nursing skills and assisting Providers with procedures and diagnostic exams within the scope of licensure. Assess life threatening conditions and initiates and/or assists with CPR or other appropriate interventions including prompt notification of an RN or MD/DO to provide appropriate direction and intervention. Must maintain a current Basic Life Support Certification. Knowledge of how to apply Prevention and Management of Disruptive behavior techniques to resolve issues before they reach escalation. Responsible for the daily management of the time in the clinic according to a schedule. This is accomplished through assisting PCP with preventative care and/or chronic disease management by assisting obtaining vital signs, offering patient education, completes screening questions for a variety of preventative and/or chronic disease measures, manages immunizations injections and all other ordered medications and assists with exams/procedures (pelvic exams, joint injection, wound care, EKG's, Phlebotomy, bladder scans). Participates in daily Huddles and team meetings with PACT team members. Demonstrates, in interactions, the ability to communicate effectively and professionally with both internal and external customers. Is knowledgeable about nurse protocols and Standard Operating Procedures (SOP) to help deliver holistic care. Confers with LPN, RN Care Manager, PCP, or appropriate person to deliver care when needed. Participates in Telephone visits, VVC, follow up/ reminder calls, secure massaging, completes all view alerts. Completes daily quality control checks and equipment testing, restocks supplies and medications as needed Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards or supply deficiencies and reports to appropriate personnel for corrective action. Participates in performance/ quality improvement activities with the goal of improving patient care outcomes. Participates in Environmental Care rounds. Maintains knowledge and skill for performing support duties during complex diagnostic tests and/or specialized practices or procedures. Actively seeks out educational opportunities to enhance nursing knowledge/skills and shares knowledge with peers to advance nursing practice. Other duties as assigned. Travel to Community Based Outpatient Clincs (CBOCs) may be required Work Schedule: 8:00 am to 4:30 pm, Monday thru Friday Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 / Practical Nurse - Ambulatory Care Services Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact, the EDRP Coordinator for questions/assistance. Learn more 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. Basic Requirements: Citizenship. Citizen of the United States. (Noncitizens may 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. 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. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. 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 both spoken and written English as required by 38 U.S.C.7402(d), and 7407(d). May qualify based on being covered by 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). Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-3 None beyond the basic requirements. GS-4 Six months of qualifying experience as an LPN or LVN; OR, Graduation from an approved school (unless meeting one of the education exceptions above) 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. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. GS-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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. Demonstrated 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. 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. 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. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. 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 Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. 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 (RN) or physician (MD/DO) 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/DO. 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. 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. References: VA HANDBOOK 5005, 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.

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 Coatesville VA Medical Center 1400 Black Horse Hill Road Coatesville, PA 19320 US
• Name: Shala Johnson
• Phone: (412) 822-2186
• Email: [email protected]