The Patient Aligned Care Team (PACT) Licensed Vocational Nurse (LVN) will work at the Oakland Community-Based Outpatient Clinic (CBOC). The LVN will complete nursing intakes and provide direct care of patients, including medication administration, patient care planning, assessment and documentation of patient condition and response to treatment. Employee establishes work priorities and completes assignments in a timely manner with minimal supervision.

Duties

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact susan.bringel.va.gov, the EDRP Coordinator for questions/assistance. Learn more Duties include but are not limited to: Provides/assists patients in keeping with Department of Nursing standards, to accomplish a full range of personal care with attention to preserving personal dignity, autonomy, religious preferences, cultural values, and age appropriate needs. Observes, recognizes and reports significant or adverse changes in patients' condition in a timely fashion and responds appropriately to emergency situations. Prepares and administers prescribed medications and performs treatments according to established policies procedures. Observes for physical and or emotional changes in patients' conditions from prescribed medications/treatments promptly and accurately documents noted changes reporting any deviations from normal to RN or MD/DO. Administers all appropriate respiratory therapies for example: oxygen saturation, aerosolized medications, inhalers, oxygen via nasal prongs or mask, and others as assigned. Assumes additional patient care responsibilities including consistent special efforts and quality in wound care, pulmonary care, skin care, and other measures to prevent complications. Assists with diagnostic and therapeutic procedures such as applying and reading skin tests, utilizing doppler to check pulses, urinary drainage devices maintenance and removal with trial voiding, ostomy maintenance and care. Observes, recognizes and reports significant or adverse changes in patients' condition in a timely fashion and responds appropriately to emergency situations. Initiates patient /family interactions daily which provide emotional and psychological support. Demonstrates knowledge and correct usage of skills in intervening and managing potentially violent and /or suicidal patients recognizing early signs of developing agitation and intervening proactively. Demonstrates knowledge of and correct usage of medical and psychiatric terminology/diagnosis. Monitors maintains and proactively helps with flow of patient traffic to ensure minimal wait times for patients and to keep providers daily schedules on time. Complies with all universal precaution and infection control policies and procedures. Completes PACT Sweeping/Scrubbing. Attends and participates in huddles, pre-visit planning and team meetings. Makes pre-visit calls for PACT. Participates in Secure Messaging. Communicates effectively with outside providers and organizations. Completes discharge calls when needed. Independently initiates, plans, schedules and completes nursing care activities and covers other teams' assignments as needed. Work Schedule: 08:00-16:30, hours vary on patient and facility needs Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: Citizenship: Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) 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: 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. Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN. Licensure: 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. 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: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. 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: Employees 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 (which may be waived as provided in paragraph 4 of Section C) 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. (d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 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: (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) 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. (c) Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. (d) 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. (e) 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. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (g) 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. GS-6: (a) 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. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (c) 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. (d) 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. (e) Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. (f) 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. (g) 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. h) Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. (i) 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. (j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Salary for this position ranges dependent upon applicant qualifications GS-03: $56,648-$73,639 annually GS-04: $63,588-$82,658 annually GS-05: $71,144-$92,482 annually GS-06: $77,418-$100,647 annually References: VA Handbook 5005/3, Part II, Licensed Practical or Vocational Nurse Qualification Standards, Appendix G13. The full performance level of this vacancy is 6. The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 6. Physical Requirements: Heavy lifting, 50 pounds and over; moderate carrying, 50 pounds and over; Straight pulling (1-2 hours), pushing (1-2 hours), walking (2-4 hours), standing (2-6 hours), reaching above shoulder; use of fingers, good dexterity (both hands required); prolonged walking / sitting, prolonged standing; repeated bending; ability for rapid mental and muscular coordination simultaneously; near & far vision correctable to 20/20; ability to distinguish basic colors; depth perception, 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address San Francisco VA Medical Center 4150 Clement Street San Francisco, CA 94121 US
• Name: Angelica Ratliff
• Phone: (925) 356-5892
• Email: [email protected]