This position is in Home-Based Primary Care of the Geriatrics & Extended Care Service Line located at the Fayetteville NC VA Coastal Healthcare System within the VISN 6 Mid-Atlantic Healthcare Network. The incumbent serves as a LPN/LVN and provides comprehensive practical nursing knowledge and skills in specialized procedures and practices. Individuals in these positions are to a considerable extent, expected to exercise independent technical judgments.

Duties

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf These duties include but are not limited to: Makes independent home visits to Veterans with complex medical and psychosocial conditions. Makes astute observations, thoroughly documenting care, patient education, and the patient's response(s). Seeks assistance and guidance when needed to inform the Registered Nurse or Medical Provider of changes in the patient's condition that potentially could require a higher level of intervention. Makes at least 4 home visits per day with frequently driving up to distances of over 100 miles per day. Actively seeks out educational opportunities to enhance nursing knowledge and skills, and sharing new knowledge gained with other staff to improve and advance nursing practice. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. Prepares and administers prescribed medications (oral, topical, subcutaneous, and/or intramuscular) and performs treatments according to established policies/procedures. Observes, identifies and responds 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. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. Appropriately carries out assigned patient care based on the patients' conditions; using judgment in selecting the appropriate order and sequence of procedures and treatments; and accurately recognizing, reporting and recording relevant patient information. Recognizes urgent or emergent patient care situations, seeking assistance of the RN, MD/DO, and/or EMS, and initiating appropriate emergency interventions as directed. Appropriately utilizes knowledge and understanding of human behavior, patient motivations, and reactions to situations in working effectively with patients, family members, and other staff. Works with an Interdisciplinary Treatment Team. Work Schedule: Monday through Friday from 8:00 AM to 4:30 PM (EST) Compressed/Flexible: Not Authorized Telework: This position may be telework eligible on an ad-hoc basis (ad-hoc is performed on an occasional, one-time, or irregular basis) as determined by agency policy, the discretion of the supervisor and the needs of the service line. Virtual/Remote: This is not a virtual remote position. Position Title/Functional Statement #: Licensed Practical Nurse/PD000000 Relocation/Recruitment Incentive: 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: Applicants must be United States Citizen as required by 38. U.S.C. 7402 [NOTE: When it is not possible to recruit qualified United States Citizens, necessary personnel may be appointed on a temporary basis under authority of 38 U.S.C. 7405 without regard to the United States Citizenship requirements of 38 U.S.C. 7402 or any other law prohibiting the employment of or payment of compensation to a person who is not a citizen of the United States. Candidates must meet all other requirements for the grade and position concerned.]. English Language Proficiency: In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: Applicants must be a 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. [NOTE: Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from http://www.nlnac.org/.] (Exceptions include: (1) 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. (2) VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. (3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school.] Licensure: Applicant must possess an active, full, current, and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia. Physical Requirements: Applicants must complete a pre-employment physical and other medical-related requirements in accordance with VA Directive and VA Handbook 5019. Grade Requirements: In addition to the basic requirements stated above, applicants must meet the grade requirements stated below. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-07 Grade Level (Advanced): The GS-07 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment. NOTE: Determinations concerning placement of positions at this grade level shall take into consideration the skill mix and the availability of supervision in the work unit. Although these positions are under the supervision of an RN and/or MD/DO, employees in such settings successfully and consistently demonstrate the exercise of independent technical judgment (without the need for readily available supervision), as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures. Such individuals may also serve as leaders or co-leaders in a nursing unit or for a specifically identified group of patients. Completion of at least one (1) year of additional qualifying experience at the GS-06 level or equivalent, fully meeting all of the performance requirements for the GS-06 LPN/LVN. Knowledge and skills necessary to care out more specialized patient care duties, including assignments in more complex inpatient and/or outpatient care settings. Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery making astute observations of subtle, less obvious changes (both physical and emotional) in patient's conditions and taking the appropriate action. Ability to proactively assist the RN or MD/OD in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments and appropriately recording patient's response to medications/treatments received. Knowledge and skill to promptly recognize potential urgent or emergent patient care situations. Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. Skill, creativity, and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels. Comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Ability to support the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Preferred Experience: Applicants that have Primary Care (PACT) and/or homecare experience are preferred. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office. NOTE: Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who were converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986 are considered to have met the Education requirement. The waiver does not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. However, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Fayetteville NC VA Medical Center 2300 Ramsey Street Fayetteville, NC 28301 US
• Name: Rochelle Gellineau
• Email: [email protected]