Duties

Observes, reports and documents signs and symptoms of patient's general condition. Communicate and interact appropriately and courteously with internal and external customers from various patient populations. Participates in patient care conferences, exchanging information about patients' needs and condition. Provides input into the Nursing Care Plan and/or the Interdisciplinary Plan of Care. Provides direct nursing care to adult and geriatric patients according to nursing standards and Medical Center policy and procedure. Bathing, showering, oral care, shaving, toe/fingernail care, fingernail clipping, feeding, turning, positioning, and ambulating, while considering age-specific needs, e.g. the geriatric patients' need for lubrication. Collecting and labeling specimens, e.g. sputum, emesis, urine, stool. Performing enterostomal care, perineal care, administering enemas and colostomy irrigations, while considering age specific needs, e.g. the geriatric patients' need for a bedpan. Providing bowel/bladder training, applying external urinary devices, performing bladder catheterization. Providing oral, nasopharyngeal and tracheal suctioning, tracheostomy care, administering oxygen. Providing physical/emotional care to respirator dependent patients. Administering enteral feedings. Providing wound care and reporting any changes and/or progress to the RN. Performing peritoneal dialysis. Applying abdominal binders, anti-embolic stockings, ace bandages, and alternating pressure boots. Providing for lifting, moving, transferring, and/or transporting patients. Using patient lifting devices, pressure relief mattresses, hyper/hypothermia blankets, electronic scales, feeding pumps. Applying protective/supporting devices, restraints. Providing post-mortem care. Implements established care plan. Reports and documents progress or changes in patient's behavior and/or physical condition to the RN and in the medical record. Recognizes and initiates emergency measures consistent with training. Reports changes in patient's behavior and or physical condition to the registered nurse and/or physician. Performs such diagnostic procedures as cardiac monitoring (in specialty area), TPR, B/P, Pulse Oximetry, I&O, heights, weights, finger sticks, phlebotomies, and EKGs. Recognizes deviations from normal. Documents and reports result to the registered nurse and/or physician. Uses computer to meet current CPRS mandates, e-mail, leave requests, and other computer initiatives. Work Schedule: TBD at time interview Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Grade Requirements: 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: 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Physical Requirement: See VA Handbook 5019

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 VA NY Harbor Healthcare System 423 East 23rd Street New York, NY 10010 US
• Name: Collis Campbell
• Phone: 4706330826
• Email: [email protected]