Job opening: Licensed Practical Nurse - Ambulatory Health Care
Salary: $44 455 - 69 785 per year
Published at: Mar 25 2024
Employment Type: Full-time
The LPN functions as a member of the team as assigned. Observes for and reports physiological and/or psychological deviations in the acutely or chronically ill patients. Demonstrates basic knowledge in nursing care procedures and basic care of the acutely ill and chronic patients in all areas of the VHSO's health system.
Duties
The LPN charts pertinent data regarding the patient's condition such as progress of patient's condition, procedures performed, and medications given. Interviews patients to obtain information and/or communicate data regarding the patient. Initiates patient teaching regarding procedures, tests, medications, specimen collection, ambulatory aides, or care to be delivered in the hospital or at home. Identifies educational needs of patients and reinforces education that the patient has received. Recognizes medical and/or surgical emergencies and initiates appropriate response. Administers medications and observes for and records effectiveness of medications given.
Duties include but are not limited to:
I. Knowledge of Skills:
Screens all recipient's pre-vaccine for potential concerns as identified by facility guidelines
Educates recipient and administers vaccine as indicated.
Documents vaccine administration using appropriate medical record system.
Monitors pre and post vaccination for potential side effects and refers for e. additional assessment/care as indicated.
Current BLS certification is required for this position
Collaborates effectively with all disciplines and levels of care regarding
Patient care.
Compliance with various Isolation Precautions and Infection Control
Guidelines
Skills in time management, priority setting, assessment and urgent
Intervention are required for this position m. Other duties as assigned by Supervisor
2. Participates in teaching and rehabilitation. Initiates appropriate nursing intervention based on sound judgement and principles.
3. Provides continuity of resident care by adhering to established work schedule.
4. Count narcotics at change of tour with RN.
5. Contribute to team planning and development of individualized, interdisciplinary plan of care to facilitate safe, efficient care and transport. Contribute to resident condition report for the tour.
6. Assist during emergency situations including initiating and/or assisting with cardiopulmonary resuscitation and obtain equipment and supplies as requested by the registered nurse or provider.
7. Provide postmortem care.
8. Participate in hourly rounding.
9. Serve as direct care provider as needed.
Work Schedule: Monday-Friday; 7:30am - 4:00pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 502-00247-F / 502-00248-F / 504-00249-F / 502-00250-F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
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: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
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.
License: 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.
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).
Grade Determinations:
GS-03:
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-04:
Candidates may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below:(a) Six months of qualifying experience as an LPN or LVN; OR (b) 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 (c) Graduation from an approved school of at least 24 months duration. OR (d) LPNs at the GS-04 grade level perform all duties expected of employees at the GS-03 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques.
GS-05:
Completion of at least one year of qualifying experience at the GS-04 level or equivalent. Applicants must also meet the following Knowledge, Skills & Abilities (KSAs):
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. (KSAs must be clearly reflected in resume under description of duties in order to be found qualified for this position/grade level).
GS-06:Completion of at least one year of qualifying experience at the GS-05 level or equivalent, fully meeting all performance requirements for the GS-05LPN/LVN: Applicants must also meet the following Knowledge, Skills & Abilities:
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. (KSAs must be clearly reflected in resume under description of duties in order to be found qualified for this position/grade level).
Education
Preferred Experience:
- 1-2 years Clinical Practice
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: May require standing, lifting, carrying, sitting, stooping, bending, pulling, and pushing.
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 Alexandria VA Medical Center
2495 Shreveport Highway
Pineville, LA 71360
US
- Name: Teri Bankhead
- Phone: 2057719942
- Email: [email protected]
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