The Patient Aligned Care Team (PACT) LPN/LVN perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veteran. Assigned tasks require basic technical competence and skill. The LPN/LVN occupation for providing practical nursing care with a variety of physical and/or behavioral problems.

Duties

The Patient Aligned Care Team (PACT) LVN/LPN will primarily provide nursing services to Veterans in the Primary Care (PC). The LVN/LPN requires flexibility in schedule and assignments at MP. They will be required to float and provide coverage in other primary care units in SFVAHCS as determined by Nursing Service needs and nurse's competencies. When assigned to MP, the incumbent typically functions as a PACT LVN at SFVAHCS. Duties include but not limited to: Performs basic nursing procedures such as vital signs, treatments, and specimen collection in accordance with nursing policies and procedures. Is an integral part of the health care team functioning under the guidance, supervision and direction of the Registered Nurse completing nursing procedures as assigned by the Registered Nurse or Nurse Manager. Uses guidelines or receives direction in selecting the most appropriate application of procedures and guidelines. Demonstrates competence in placing orders per policy. Makes observations and thoroughly documents care and the patient's response. Appropriately seeks assistance and guidance by informing RN or Provider of changes in the patient's condition requiring higher-level intervention. Performs, reports, and records assigned nursing care, including, but not limited to: Oxygen therapy, clinical reminders with appropriate consults and alerts as indicated; checks expiration dates of meds and supplies; delegated procedures and treatments. Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy. Monitors patient during the procedure. Adheres to standards of practice and safe technique in preparation and administration of medication, vaccinations, and skin tests. Appropriately documents in the medical record. Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran. Based on the patient's goals, provides patient and family health education, to include self- management, prevention, and wellness. Adheres to principles of infection control, safety, and universal precautions. Demonstrates competence utilizing special equipment needed to perform job duties. Obtains electrocardiograms on patients as assigned reporting readings to the Registered Nurse and/or Provider according to unit level procedures. Completes finger stick blood glucose testing on patients as appropriate and other point of care testing and completes mandatory competency reviews. Follows policy and procedures related to fire and disaster drills, safety, and security measures. Maintains confidentiality of electronic, written, and/or verbal patient information. Maintains a work environment that honors diversity. Protects patient and family rights. Completes clinical competency reviews and mandatory reviews as scheduled. Supports patient-driven care in a safe, efficient, and cost-effective manner. Promotes patient and personnel safety by recognizing and reporting potential risk factors in the clinical environment. Implements plan of care for patients considering physical, emotional, and social factors. Contributes to the assessment and reassessment of patients, and documents relevant information in the medical record. Reports significant changes in patient's condition to the Registered Nurse and/or Provider. Takes secure electronic messages and telephone messages, as assigned, and resolves or forwards them to the appropriate personnel. Responds directly to messages within scope and level of knowledge. Differentiates between those complex problems that require assistance of the Registered Nurse or Provider and obtain appropriate guidance. Demonstrates adherence to and competence of Nursing Standard Operating Procedures, Medical Center Memoranda, and National Directives. Must be proficient and demonstrate competency and the ability to either set up or reprocess Reusable Medical Equipment as applicable for all equipment for which They has been trained. Uses initiative in completing nursing assignments. Assists others as time permits in the completion of their duties. Uses the computer system in accordance with local, VISN and national VHA policies. Participates in VHA sponsored continuing education programs. Participates in unit-based quality improvement monitors. Establishes constructive relationships with employees and co-workers to promote interaction and communication. Contributes to the interdisciplinary team in the development, implementation, and evaluation of the patient's treatment plan. Work Schedule: 8:00-16:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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. 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. 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 (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. GS-05 Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients, family members, professional and/or other support personnel involved in the delivery of patient care. Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular and/or intravenous medications. This includes observing and documenting patient responses to medication and reporting noted changes in the patient's condition. Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest. Recognize and appropriately respond to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies. GS-06 Proficiency 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, using judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognizing, reporting, and recording relevant patient information. Ability to observe, identify, and response to a patient's needs for care including medication, equipment-assisted care, and patient/family education. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for, documents, and reports physical and/or emotional changes in the patient's condition from prescribed medications/treatments. Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed. Knowledge and understanding of human behavior, patient motivations and reactions to situations and the ability to appropriately utilize this knowledge in working effectively with patients, family members and other staff. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which includes preparing the patient and 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. Preferred Experience and Certifications 1-2 years of PACT LVN experience or out-patient experience. Salary for this position ranges dependent upon applicant qualifications Grade 3: $56,648-$73,639 annually Grade 4: $63,588-$82,658 annually Grade 5: $71,144-$92,482 annually Grade 6: $77,418-$100,647 annually Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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/.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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.

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]