The Licensed Vocation Nurse provides high-quality, evidence-based care for a culturally diverse Veteran population; emphasizing patient centered care to veteran's ages 18 to 75 and above in the outpatient care setting. The LVN will work under the direction of the Surgical Specialty Clinic Providers to screen Veterans for chronic specialty diseases and to provide access to newly diagnosed Veterans with Surgical Specialty conditions and/or chronic diseases.

Duties

The Licensed Vocational Nurse (LVN) performs nursing assignments in the Surgical Specialty Clinics and for patients as a member of the Bariatric, Ear, Nose & Throat (ENT), General, Gynecological, Neurosurgery, Oncology, Ophthalmology, Orthopedics, Plastic, Podiatry, Pre-operative, Urology, Vascular, Thoracic Clinic Teams. Under the direction of the Physician, Physician's Assistant, or Nurse Practitioner, she/he is responsible for providing direct and/or indirect patient care to the Bariatric, Ear, Nose & Throat (ENT), General, Gynecological, Neurosurgery, Oncology, Ophthalmology, Orthopedics, Plastic, Podiatry, Pre-operative, Urology, Vascular, Thoracic Clinic patients. She/he will have the knowledge, skill, and experience to carry out assignments including but not limited to data gathering, setting up/breaking down and assisting with diagnostic procedures and treatments. This LVN will take an active role in process improvement and quality monitoring. The LVN ensures Surgical Specialty Clinic providers are adequately supported during clinics and procedures and will serve as liaison between support services and Surgical Specialty Clinics. Conducts clinical reminders as appropriate for scheduled and unscheduled patients. Perform vitals including height and weight on all veterans with appointments. Notifies Attending/Resident/Case Manager of any abnormal findings. Use HYPERTENSION NON-PACT OUTPATIENT CLINIC GUIDELINES for any abnormal BP reading. Perform EKGs for emergent/urgent patients or pre-operative patients. Completes clinical documentation in the electronic medical record. Assist in the data collection (including physical, psychosocial, emotional, spiritual, cultural, and educational) for patients about to be and currently undergoing Surgical Specialty Clinic treatments. The LVN assists in screening of telephone calls and alerting providers of lab results and diagnostic tests for further review. Prepares and administers prescribed medications (oral, topical, subcutaneous, and/or, intramuscular) and performs treatments according to established policies/procedures; Observes for physical and/or emotional changes in patient's health condition, including responses to prescribed medications/treatments, and promptly and accurately documents identified changes, and reporting deviations from normal to the team RN, NP, or MD. Accurately and consistently identifies, documents, and reports subtle changes to veteran changes in condition. Uses treatment modalities and implements appropriate practices and procedures with complex patients. Utilizes skills to influence and communicate with difficult and challenging veterans and families. Demonstrates the ability to work to the capacity of his/her scope of practice and communicates effectively with the veteran, families, caregivers, professionals, and other supportive staff. Maintain, order and refresh stock and supplies required for ALL Surgical Specialty Clinics. Participates in the provision of care in the Surgical Specialty Clinics at the Loma Linda VA Medical Center, and Ambulatory Care Center, as appropriate and within the LVN Scope of Practice. Collaborate with Pharmacy services for medication supply. Screen patients in clinic and via telephone calls. Enters Encounter nurse clinic visits. Recognizes potential urgent or emergent patient care situations, and able to rapidly call a "Rapid Response Treatment (RRT)" or "Code Blue" emergency. Demonstrates ability to use "Safe Patient Handling" equipment and techniques, able to transport, turn and move patients using proper equipment. Recognizes and appropriately responds to breakage/malfunction of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. Provides Situation, Background, Assessment and Recommendation (SBAR) report to team member. Clean exam and procedure rooms in between and after patient usage. Check for expired supplies and medications. Work Schedule: Monday-Friday day shift, 8 hours. Hours may change due to the needs of the facility. 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. Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia. Grade Determinations: GS-3: None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher-level review depending upon the complexity of the duties involved. GS-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:· 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 NAs/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 1 year of 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. 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: - Clinic experience preferred (1 year) - BLS References: VA HANDBOOK 5005/3 PART II APPENDIX G13 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. Physical Requirements: Heavy Lifting (45 lbs and over); Moderate Carrying (15-44 lbs); Pushing; Straight pulling; Pulling hand over hand; Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 6 hours); Standing (up to 6 hours); Kneeling (Intermittent);Repeated bending (up to 6 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 an to 20/40 in the other; Ability to distinguish shades of colors; Hearing (aid permitted);

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 Jerry L Pettis Memorial Veterans Hospital 11201 Benton Street Loma Linda, CA 92357 US
• Name: Michele Howard
• Phone: 909-871-7413
• Email: [email protected]