The incumbent performs a variety of supportive, nursing and medical tasks necessary to the care of patients during diagnostic and therapeutic visits to any ECHCS VA Primary Care Clinic location. The Licensed Practical Nurse's (LPN) practice is modeled on the standards established within the VHA model for Patient Aligned Care Teams.

Duties

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY VA Careers - Prosthetics: https://youtube.com/embed/3NUvF5jjErQ VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU Provides a full range of practical nursing care to patients with a variety of physical &/or behavioral problems. Is able to perform routine evaluation of patients while in the clinic setting by obtaining current symptoms & complaints, observing the patient's condition, behavior, & response to treatments &/or medications. Documents appropriate information in the patient record & reports & significant deviations to the RN &/or provider. Provides effective education to patients &/or family members in relation to common disease processes, medication, &/or prescribed treatment regimes. Recognizes the need for & institutes cardiopulmonary resuscitation measures when indicated in accordance with established medical center policy & procedure. Independently performs coordinating duties related to the operation of the clinic such as ordering & maintaining supplies & medications & obtaining patient data. Recognizes & appropriately responds to breakage/malfunction or loss of equipment, safety hazards, & supply deficiencies, promptly reporting to appropriate personnel for corrective action. Performs other assignments designated by the RN or clinic providers which are essential to patient care & appropriate to the incumbent's level of training. Uses motivational interviewing techniques to guide patients to establish goals. Practices within their nursing scope of practice & functional level, demonstrating & promoting the mission of the VA & ICARE values. Set up or reprocess Reusable Medical Equipment as applicable for all equipment for which you have been trained. Performs all unit specific nursing interventions & procedures to include but not limited to: Understand & implement the PACT model, PACT Protocols, PACT handbook VHA 1101.10(1), implements, & documents education provided to patients & families. Delivers safe care to assigned patients, while developing technical competencies based on the ANA Standards of Nursing Practice, VHA Directives, & local policies. Safely & effectively uses patient care equipment. Reports equipment in need of repair. Correctly & safely performs nursing procedures or seeks help when needed. Recognizes overt abnormal signs & symptoms &/or changes in patients' condition & responds appropriately. Responsible for timely implementation of orders & nursing interventions. Requests assistance from co-workers when needed; knows when to ask for help. Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing Practice. Completes initial assessment of patient condition & response to treatment & initiates follow-up as needed. Develops & implements a plan to meet learning needs, instructing patients & families in basic health teaching & discharge planning. Evaluates & documents patient response to interventions & progress towards attainment of goals & expected outcomes. Revises plan of care according to evaluations of patient's responses & outcomes. Uses the Computerized Patient Record System (CPRS) & the Bar Coded Medication Administration (BCMA) software per policy. Treats all patients & families with dignity & respect. Listens to & honors patient & family perspectives & choices. Patient & family knowledge, values, beliefs, & cultural backgrounds are incorporated into the planning & delivery of care in a non-judgmental, non-discriminatory manner (Patient & Family Centered Care). Maintains professional boundaries with patients, families, & employees. Behavior as a role model is transparent & above reproach. Work Schedule: M-F 7:30-4:00 Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: 52189F 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. 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. BLS: BLS certification is required. Education: Graduate of a school of practical or vocational nursing approved by the appropriate State-accrediting agency and/or the National League for Nursing Accrediting Commission (NLNAC) http://www.nlnac.org (copy of transcripts required) OR 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. English Language Proficiency: Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in [both] spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: In addition to the Basic Requirements, candidates must meet requirements for each grade level applied for as outlined below: 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. 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. 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. 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. 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. 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. 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. 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. Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas. Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff. Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice.] 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). Preferred Experience: 1 year as a PACT LPN Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: 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 Malcom Randall Department of Veterans Affairs Medical Center 1601 Southwest Archer Road Gainesville, FL 32608 US
• Name: Marque Jenkins
• Phone: 214-857-2973
• Email: [email protected]