This position is located in the West Annex Clinic (Northern Tier Float), 1 Science Court, Madison, WI 53711 with the Madison VA. The incumbent provides direct patient care activities under the supervision of the Registered Nurse, Licensed Practical Nurse, and Providers within the clinics.

Duties

Major Duties: Provides direct patient care to complex Veterans as assigned including all aspects of personal care and grooming. Assists the RN, LPN, and other members of the interdisciplinary team with providing input in the development of the care plan, based on the Veteran's care needs. Performs support duties for diagnostic procedures, which include preparing the Veteran and monitoring the Veteran's condition. Makes observations of changes in patient's condition, i.e., escalating behaviors, mood, skin integrity, vital signs, appetite, skin coloration, bowel and bladder control, hydration, etc. and reports to charge nurse. Performs procedures and complex medical nursing care treatments under the direction and supervision of the RN according to policies and standard procedures to care for the Veteran for such procedures but not limited to: skin care including massage and dressings, application of braces, splints, and prosthetic devices, monitoring of intake and output, bathing and showering, insertion of indwelling catheters, bladder scanning, 12 lead EKGs, Sterile tracheostomy suctioning, administration of oxygen via cannula, specimen collection. Promotes Veteran participation in the therapeutic community by fostering self-reliance and independence. Participates in maintaining a clean and safe environment Removes defective equipment and reports safety hazards immediately Utilizes lift equipment appropriately and safely to promote patient transfers; uses proper body mechanics. Maintains aseptic technique when performing specified procedures. Promotes the values of cultural transformation and Veteran-centered care to nursing staff in CLC. Actively seeks Veteran preferences in care plan participation and goal development. Offers suggestions to improve the Veteran's Activities of Daily Living (ADL) functions and quality of life. This would include suggestions for restorative or rehabilitative care. Supports and enhances Veteran self-determination; treats the Veteran with dignity and respect. Consistently follows policies, SOPS, and procedures applicable to reusable medical equipment (RME) and infection control. Reports required information for hand-off communication to charge nurse and co-workers, including to other members of the interdisciplinary team and other applicable staff and departments, and completes the necessary documentation for these duties. Communicates effectively with others involved in the Veteran's care. Under the direction of the RN, the NA educates Veterans on their care needs as appropriate to NA skill level. Communicates professionally and courteously with families and significant others, as appropriate. Completes all assigned routine documentation in CPRS, Care Tracker, and other areas as required. Monitors Veterans for risk behaviors including, but not limited to, elopement, wandering, suicide, fall, behavior, and skin conditions; acting, when indicated, to include communicating to appropriate personnel when further intervention is needed and completing necessary documentation. Exercises skill in influencing and communicating with unusually difficult to care for Veterans and communicates appropriately with family members. This includes the ability to effectively deal with the unit Veterans with various medical, cognitive, and psychiatric conditions. Responds during emergencies, assists during fire drills, and responds to any safety issues as they arise. Demonstrates self-direction in applying knowledge of fire, safety, and disaster regulations' practices and procedures, and communicates expectations to staff. Communicates supply needs to appropriate staff, when indicated. Uses proper body mechanics and safe lifting equipment, including personal protective equipment(PPE)that promotes a safe workplace. Encourages other staff compliance with safety policies. Attends interdisciplinary team meetings and contributes to the interdisciplinary team in the development, implementation, and evaluation of the Veteran's treatment plan. Participates on committees/task forces, research projects, or in developing educational materials/media when requested. Participates in quality improvement activities. Under the direction of the RN, the NA assists with discharge planning needs of Veterans, as well as the transfer of Veterans to more appropriate levels of care. Actively seeks educational opportunities to enhance nursing knowledge and skills. Completes mandatory education BLS requirements in a timely manner Participates in therapeutic group activities with the patient(s). Position Title: Licensed Practical Nurse Work Schedule: M-F: 0730-1600 and 0800-1630 may include some evenings weekends and holidays. 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. To qualify for this position, applicants must meet all requirements within 15 days of the closing date of this announcement. Basic Requirements: United States Citizenship: Must be a citizen of the United States. 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 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. (TRANSCRIPTS REQUIRED) English Language Proficiency: Must be proficient in both spoken and written English. 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). Licensure: 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. This is required in order to hold a position as a Licensed Practical Nurse with the Federal Government. (COPY OF LICENSE REQUIRED) 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). In addition to meeting the basic requirements, you must meet the following Grade Determinations: GS-3 None beyond the basic requirements. GS-4 Must have completed 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. (TRANSCRIPTS REQUIRED) GS-5 Must have one (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 Must have 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. 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. References: VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office.

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 William S Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705 US
• Name: Cindra Johnson
• Phone: 6086221070
• Email: [email protected]