This position is located at the Veterans Affairs, VHA, Lebanon VA Medical Center, Surgical Specialty Clinic.

Duties

The Surgical Specialty Clinic Licensed Practical Nurse is responsible for the evidence-based care of a group of patients as follows: The duties and assignments of this position include interviewing patients, performing a general systems' appraisal of the patient's condition, and collecting objective and subjective data. Duties also include collaboration with the RN in developing, selecting the appropriate sequence of procedures, and implementing a plan of care, individualized, to carry out the nursing needs of the patient. Contributes to the interdisciplinary team (IDT) in the development, implementation, and evaluation of the patient's outpatient treatment and discharge plan. Collaborates with members of other services regarding changes in patient's condition, laboratory results, responses to treatment plan, and other pertinent parameters of care. Modifies the patient's plan of care in accordance with recognized nursing standards and prescribed treatment. Meets patients' needs by direct physical care and psychosocial intervention and by assuming responsibility for nursing management of complex patients. Promoting positive patient/family/staff relationship by utilizing appropriate communication skills. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular, and/ or intravenous) and performs treatments according to established policies/ procedures. Observes patient for physical and/or emotional changes in patient's condition, documenting changes and reporting deviations to the RN or MD/DO, recognizing side effects and contraindications. Provides patient instruction regarding medications. Performs support duties for complex diagnostic test and/or specialized practices or procedures, which include preparing the patient; assisting in the diagnostic examination; preparing specimens; tracking pathologies; managing the operating room (OR) calendar; preparing and passing instruments; and monitoring the patient's condition before, during, and after the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs/ licensed vocations nurses (LVNs) or Nursing Assistants (NAs) or Health Technicians (HTs), related to support duties for these more complex, specialized tests/ procedures. Anticipates and recognizes emergency situations, responding promptly, notifying the RN or MD/DO and instituting appropriate actions according to policy and procedures. Supports the patient and/or family members/significant other in the integration of the patient plan of care toward achievement of discharge objectives. Educates patients and significant others in their medical condition on prescribed medications, equipment, treatments, and activity level. Documents patient education and patient's response. Safeguards the patient's right to privacy by protecting information of a confidential nature. Congruent to Health Insurance Portability and Accountability Act of 1966, maintains information security management. Leads patient groups to improve their knowledge of disease processes, strengthen their self-efficacy, educate them on procedures, or to help patients share feelings, interacting and functioning in accordance with the patient's plan of care. Provides one-to-one interactions to explore feelings and behavior and promote interpersonal relationships, communication, and socialization skills in accordance with the patient's plan of care. Enhances nursing knowledge and skills through education opportunities and participates in presentation of unit educational conferences. Participates in unit quality management programs. Follows established safety practices and reporting to the supervisor or RN, unsafe conditions, unsafe practices, or any occupational illness or injury. Adheres to all safety and health standards, regulations, and work practices. Additional duties as assigned. Work Schedule: 7:30 a.m. - 4:00 p.m., Monday through Friday Financial Disclosure Report: Not required. Education Debt Reduction Program (EDRP): This position is eligible for the 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 your start date. 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. Learn more. Physical Requirements: The population of male and female Veterans served ranges from the adult, age 18 to the elderly adult, age 65 and over. Lebanon VA Medical Center is a major interdisciplinary teaching facility, serving medical and surgical inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others.

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. 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: 2 years med specialty clinic outpatient experience 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. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6.

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 Lebanon VA Medical Center 1700 South Lincoln Avenue Lebanon, PA 17042 US
• Name: Tessy Wigfield
• Phone: 570-550-2889
• Email: [email protected]