The License Practical Nurse - Women's Health LPN is assigned to the Primary Care and will be required to travel to the Community Based Outpatient Clinics (CBOCs) which include Ashtabula, Crawford, Venango, and Warren if assigned to the Women's GYN Clinic. This position reports directly to the Assistant Manager, Primary Care; however, re-assignment may be required based on patient care needs.

Duties

Erie VA Medical Center located on a 20-acre site in an exclusive residential area, overlooking the city and Presque Isle Bay. The Medical Center is a general medical and surgical facility that provides a full range of primary care services. An outpatient Behavioral Health Clinic provides individual and group counseling services, PTSD, substance abuse, suicide prevention, and chronically mental illness treatment. The Medical Center supports a Geriatrics & Extended Care program with Community Living Centers, respite, inpatient hospice, rehabilitation, home based primary care, care coordination home telehealth, geriatric and evaluation management services. Additional information can be found on our internet site https://www.erie.va.gov/. Major duties include but are not limited to: Provides a full range of care to patients, both male and female, with a variety of physical and psychological needs. Explains procedures to patients, using language which they understand and displays consideration of individual age related and gender specific patient needs. Ensures that the physical and emotional environment is consistent with the vision for patient centered care. Maintains self-control and responds consistently to the requirements of the work situation, shows flexibility. Maintains a positive attitude in accepting temporary reassignment to meet patient care needs. Responds to patients calls for assistance promptly and interacts with the patient in a tactful, courteous manner, making customer service the focus of all interactions. Communicates respectfully and works effectively with administrative staff, the Patient Aligned Care Team (PACT), patients, and visitors. Orients patients to the clinic. Escorts patients to UCC or inpatient unit per direction of Provider and/or Registered Nurse (RN). Provides emotional support to patients, and families/significant others to assist them in adjusting to changes brought about by illness or change in health status. Demonstrates knowledge and skills necessary for concentrated effort and self-direction in carrying out the most complex practical nursing assignments. Completes assigned duties and responsibilities which involve performing non standard and specialized practical nursing activities, requiring broad work experience and demonstrated skill sufficient to resolve a range of nursing problems. Demonstrates ability to accurately report and record significant patient information and uses good judgment in selecting the most appropriate application of procedures and guidelines, varying the order and sequence of assigned procedures based on the patients' condition. Prepares and administers prescribed oral, topical, subcutaneous, inhaled, injectable, and suppository medications according to policy and procedure. Correctly documents medications given or omitted in Computerized Patient Record System (CPRS) according to established policy and procedures. Documents effects of medications. Recognizes emergent or acute situations, responds appropriately, and reports to the RN or provider promptly. Reports untoward patient incidents, including medication errors, to Charge Nurse/Nursing Supervisor, and initiates incident report. Responds appropriately to emergency situations including cardiopulmonary arrest, choking, and disaster or fire drills. Demonstrates practical knowledge of human behavior, motivations and reactions to situations. Uses this knowledge in working effectively with patients, family and other staff members. Provides teaching in activities of daily living (ADL's) to patients and encourages them to participate in ADL's leading to increased independence. Provides or reinforces patient teaching related to medications, disease process, procedures, and self-care activities. Participates in more complex teaching for patient self-care, such as diabetic care, self-catheterization, etc. Performs the most complex treatments and procedures according to policy, including but not limited to: range of motion exercises, application of heat and cold, wound care changing complex sterile and clean dressings, weights, vital signs. Collects specimens such as blood, urine, sputum, and stool for laboratory analysis. Sets up for and performs treatments that require auxiliary equipment, for example: oxygen, spirometry, nebulizer treatments, and standard 12 lead EKG's (after demonstrating competence). Adheres to and appropriately utilizes the Safe Patient Handling Program standards, practices, and recommendations. Lifts and transfers, according to policy and procedure, seeking assistance when appropriate, to prevent injury to the patient and self. Prepares patients for tests, examinations, and treatments. Work Schedule: 9 hour shifts, 7:00am - 4:30pm Compressed/Flexible: Available Telework: Available Virtual: This is not a virtual position. Functional Statement #:PD000000 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. 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. (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/L VN 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. 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. Physical Standards: See VA Directive and Handbook 5019. English Language Proficiency: Written and Spoken Grade Determinations: In addition to the basic requirements, 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-3 None beyond the basic requirements. GS-4 6 months of qualifying experience as an LPN or L VN; or Graduation from an approved school and 1 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 1 year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/L VN. 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/L VN 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 LPN s/L VN s 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. References: VA HANDBOOK 5005/3 PART II APPENDIX G13, Licensed Practical or Vocational Nurse Qualification Standard, dated April 10, 2003. The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06.

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 Erie VA Medical Center 135 East 38th Street Erie, PA 16504 US
• Name: Paula Schubele
• Phone: 850-710-0150
• Email: [email protected]