The Licensed Practical Nurse is technically proficient in initiating, performing, and completing assigned duties in providing care to clients. Serves as a member of a team with an assigned patient load of selected patients. He/she has the ability to appropriately carry out assigned patient care based on patients' conditions, using judgment in selecting appropriate order and sequence of procedures and treatments.

Duties

The Licensed Practical Nurse (LPN) in this position is responsible for but not limited to the following: Interviews the patient, obtains vital signs, and prepares the patient for visits with specialty care, primary care and nurse clinics. Provides nursing care face-to-face, via telephone, or through VA approved video platform. Administers immunizations as needed and documents procedure(s). Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate. Provides immediate nursing intervention in emergency situations. Makes observations and thoroughly documents care and the patient's response. Appropriately seeks assistance and guidance by informing Registered Nurse (RN) or medical provider of changes in the patient's condition requiring higherlevel intervention. Completes nursing clinical reminders for all nexus specialty care clinics and all nursing clinical reminders applicable for primary care appearing on the Computerized Patient Record System (CPRS) cover page. Completes Diabetic and AtRisk Foot examinations. Responds to CPRS alerts/messages timely as appropriate to the scope of practice. Responds to secure messages within 2 business days. Adheres to Nursing Documentation guidelines per Medical Center Policy. Documents patient care into the Computerized Patient Care System (CPRS) utilizing the appropriate note title for specialty care, primary care and nursing encounters according to policy and standard operating procedures. Performs EKGs, Phlebotomy, immunizations, and others as indicated (i.e. ZIO application, pulse oximetry, Accuchek). Provides primary coverage of Community Based Outpatient Clinic (CBOC) lab serivces performing phlebotomy on an as needed basis. As assigned by the Primary Care Nurse Manager, utilizes the iFOBT Kit Not Returned Report to make follow up calls to patients, issue/mail new kits and document using the correct note title and health factor. Makes follow up calls to patients on the HgBA1C, hypertension, PAP and Mammogram outlier reports and documents using the correct note title. Maintains competency for all clinically appropriate procedures. Demonstrates understanding of age and population specific characteristics that affect the health care needs of the Veteran. Based on the patient's goals, provides patient and family health education, to include self management, prevention and wellness. Checks daily for outdated medication & supplies that include, but are not limited to: Accuchek controls, Omnicell discrepancies, AED and crash cart check (if applicable) list. Interacts and communicates appropriately with patients, family members and internal customers. Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills. Adheres to principles of infection control, safety, and universal precautions. Assists in the orientation and competency validation of nursing peers as needed. Completes Environment of Care (EOC) checklist for the assigned clinic area and/or as directed by the Nurse Manager. Is responsible for ordering/maintaining/stocking supplies in the clinical area. Monitors and records temperatures for refrigerators if appropriate and reports out of range temperatures. Maintains confidentiality of electronic, written, and/or verbal patient information. Serves as a resource and advocate in the protection of patient and family rights. Completes all required/mandatory training timely. This includes Talent management System (TMS) training. Initiates/participates in quality improvement opportunities to improve patient care facility wide and at the program level. Woks as a team player in providing care to Veteran's as directed by the Nurse Manager this includes covering nursing/lab technician planned/unplanned leave. Demonstrates responsibility to the position by reporting on time for scheduled tour of duty and takes into consideration the workload of the unit when requesting leave. Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills. This position may entail other duties as assigned and travel duties as assigned and travel to the community level clinics. Work Schedule: Monday to Friday 7:30am - 4:00pm Compressed/Flexible:No Telework: No Virtual: This is not a virtual position. Functional Statement #:0000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): 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. 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. English Language Proficiency: Written and Spoken Physical Standards: All applicants must meet the physical standards for the position. A physical examination prior to employment may be required. 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. 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. 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. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Preferred Experience: One year of outpatient experience in Primary Care, Home care, urgent care, specialty care preferred. Grade Determinations: In addition to the basic requirements stated in section A, 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 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 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 5005/27, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 10, 2003.

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 Wilkes-Barre VA Medical Center 1111 East End Boulevard Wilkes-Barre, PA 18711 US
• Name: Shaunella Kennedy
• Phone: 412-822-3562
• Email: [email protected]