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Are you looking for a Practical Nurse (LPN)- Home Based Primary Care? We suggest you consider a direct vacancy at Veterans Health Administration in Albany. The page displays the terms, salary level, and employer contacts Veterans Health Administration person

Job opening: Practical Nurse (LPN)- Home Based Primary Care

Salary: $49 386 - 64 203 per year
City: Albany
Published at: Jan 07 2025
Employment Type: Full-time
The Albany VAMC is looking to fill (1) Practical Nurse, LPN position in our Home Based Primary Care service. You will be required to travel for this position. You will need a valid Driver's License for this position. Only open to current employees of the Albany VAMC to apply!

Duties

HBPC is an outpatient special population primary care setting where the LPN is required to have expert judgment, technical skills, and knowledge to work independently in the field without direct supervision or assistance from a nurse, provider, or other team members. Veterans served in HBPC are all categorized as highly complex, frail and vulnerable. The LPN must be able to achieve independent critical thinking to work in the home care setting. The LPN role within the LPN scope of practice encompasses overall management of Veterans' skilled care needs in the home to include handling emergencies in addition to, but not limited to, the management and monitoring of: medications, vitals, skin integrity monitoring and management, preventative health (immunizations), urinary tract issues, bowel, respiratory, and endocrine issues. The LPN is responsible for independently organizing and managing orders and care for an assigned home care caseload in the most efficient manner possible. The GS-7 grade (LPN 7) is for select, complex Licensed Practical Nurse (LPN) positions in specialized areas such as home care. The LPN, GS 7 serves as a responsible member of the Home Based Primary Care (HBPC) team in the Nursing Service. This position works with the HBPC teams in the Fonda and Catskill areas under the office of HBPC. The duties of the Practical Nurse in Home based Primary Care include but are not limited to- Reports abnormal lab values Performs venipuncture, EKGs, bladder scan, specimen collection Identifies potential crisis situations inclusive of psychological and physical, in the home environment and initiates appropriate preventative actions and interventions. Intervenes in potential/actual medical emergencies (initiates basic life support and activates Emergency Medical Services (EMS) by calling 911 when in the home setting. Reinserting suprapubic catheters, urinary catheters Participates as a skilled team member in a collaborative approach to planning and evaluating treatment in weekly HBPC interdisciplinary team meeting (IDT). Contributes to discharge planning. Evaluates potential for residents at risk for falls and implements appropriate preventative measures; assists residents to cope with and/or compensate for changes affecting mobility and balance. Serves as a liaison with community resources related to continuity of care and referrals. Fills pill planners in the home to assist with medication administration. Demonstrates preparation and administration of insulin and other medications, and assures successful return demonstration. Anticipates potential problems, brings these to the supervisor's attention as appropriate, and typically solves problems independently Proactively assists the provider in addressing the patients' needs for medication and treatment. Accurately administers prescribed medications/treatments according to established policies and procedures. Reports observations of deviations in the patient's condition related to medications/treatments to the provider. Makes astute observations of subtle physical and emotional changes in patients and takes appropriate action based upon these observations Accurately reports and documents care delivered and the patient's response to care. Contributes to plan revision as needed Safely and effectively uses equipment required for patient care, including: i. Procedures for cleaning, transporting, and storing of non-critical reusable medical equipment (RME). ii. Appropriate use of safe patient handling equipment iii. Adheres to infection control practices while using equipment and providing patient care. Maintains a safe, clean, clutter-free environment for patients, visitors, and co-workers. Corrects and reports safety hazards promptly to the HBPC provider and/or HBPC team. Verbalizes and demonstrates appropriate use of safety materials and apparel (e.g., MSDS, Personal Protective Equipment). Promptly reports accidents, injuries, disease or illness related to employment to the HBPC Program Director, following local reporting policies. Interacts positively with supervisors, co-workers, and patients to quickly resolve conflict, manage resistant or abusive behavior, and promote teamwork. Acknowledges customer concerns by offering assistance, inviting questions, and suggesting possible solutions Work Schedule: Monday- Friday, day shift 08:00am - 04:30pm Telework: 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. 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. 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. 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). 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: GS 7- (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. And (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. (h) 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. (i) 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. (j) 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. (k) Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice.] Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-07. The actual grade at which an applicant may be selected for this vacancy is the GS-07 Physical Requirements: Heavy Lifting (35 lbs and over); Heavy Carrying (35 lbs and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 4 hours); Standing (up to 4 hours); Kneeling (up to 2 hours); Sitting (up to 4 hours); Repeated bending (up to 4 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Hearing (aid permitted); Emotionally/mentally stable. Valid driver's license. Position involves home visits in government-provided vehicle

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 Samuel S Stratton VA Medical Center - Albany 113 Holland Ave Albany, NY 12208 US
  • Name: Holly Kraeger
  • Phone: 518-360-2036
  • Email: Holly.Kraeger@va.gov

Map

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