This position is located at the VA Southern Oregon Rehabilitation Center and Clinics (VA SORCC), which consists of a main White City Campus and two Community-Based Outpatient Clinics {CBOC's), Grants Pass and Klamath Falls. The facility focus is Behavioral Health/Mental Health Residential Rehabilitation Treatment Program, Mental Health Service Line, Primary Care, and Geriatrics and Extended Care; there is no hospital at this campus.

Duties

The VA SORCC serves the needs of Veterans in Josephine, Jackson, Klamath, and Lake counties in southern Oregon. Physical Medicine and Rehabilitation (PM&R) has three distinct types of Podiatry clinics to serve Veterans: 1) White City Podiatry Clinic, 2) Grants Pass Podiatry clinic every Monday, and 3) White City, Nurse Podiatry Nail and Wound Care Clinic. The podiatry nail and wound care LPN/LVN (wound care certificate) is a GS 7 LPN/LVN responsible for the day- to day- operations of the LPN podiatry nail and wound care clinic, supporting Veterans face to face within all three clinics. The incumbent provides a wide range of clinical support that demonstrates complex judgement under limited supervision of the Chief of PM&R and Licensed Independent Providers for Podiatric care. The complexities of duties include collaboration with the Podiatrist, Physiatrist, Orthopedic PA, PT, OT, Orthotist, OPC PCP, Prosthetics, and SPS (sterile processing services). Function/Scope of Assigned Duties Overview This clinic involves the independent performance for a full range of functions using a variety of established techniques, independent thought, and actions. The work serves a variety of VA SORCC Veterans of diverse cultural, spiritual, and educational background, and directly affects their overall wellbeing. - The LPN/LVN is responsible for the day to day operation of the podiatry nail/ wound care program, which involves collaboration with other team members in the execution of the program. - Manages the daily operations of the podiatry nail and wound care clinic. - Demonstrates the ability to plan and organize workload independently. - Works directly with PM&R staff to manage the continued surveillance for Veterans with ongoing podiatric or wound care needs. - Demonstrates a technical proficiency in initiating, performing, and completing assigned duties and providing care in variable patient populations, ability to appropriately carry out assigned patient care based on the Veterans conditions, to use judgment in selecting appropriate order and sequence of procedures and treatments, and to accurately recognize, report, and record relevant patient information - Knowledge and skill to promptly recognize potentially urgent or emergent care situations (in clinic and on the telephone) seek assistance from PM&R staff for appropriate team intervention, and effectively intervene to assure the continuation of optimal, safe, and therapeutic patient care delivery. Ensures emergency procedures are clearly communicated to other staff members and are incorporated into the facility wide emergency plan. - Serves as the primary coordinator for the wound care program; serves as the onsite point of care/consultant by phone during situations that need immediate attention for the three clinics. Incumbent will follow these patients to ensure appropriate appointments are met with all necessary follow up care. Incumbent will collaborate with PM&R staff for all updated patient progress from initial appointment to resolution of the nail or wound care issue. Work Schedule: Monday Telework: Available, Ad-Hock pending Supervisor's approval 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

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. 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. 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 the NLNAC Website. 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. See paragraph 4, section C.] Licensure. Full, active, current and unrestricted licensure as a [ ] licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. An LPN[/LVN] who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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 in section A, 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-7: The GS-7 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. (a) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all of the performance requirements for the GS-6 LPN/LVN. (b) Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans. (c) Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations. (d) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels. (e) Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate. (f) Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient 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. This includes the ability to effectively deal with the above types of patients under very general supervision. (g) Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice. Preferred Experience: The incumbent for this position shall possess the following specialized knowledge, skills and abilities: - Minimum of one half-year of Podiatry LPN experience within the past 2 years; - Must possess a valid, active wound care certification; - Recent wound-care management experience (within past 2 years); - Demonstrates evidence-based practice that aligns with current industry standards; and, - Experience working in a large, multi-discipline clinic. References: PART II APPENDIX G13 EFFECTIVE DATE: APRIL 10, 2003 The full performance level of this vacancy is GS-7. Physical Requirements: See VA Directive and 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 White City VA Medical Center 8495 Crater Lake Highway White City, OR 97503 US
• Name: Caleb Stone
• Phone: 208-422-1315
• Email: [email protected]