Summary

The LVN/LPN is responsible for providing care coordination to the medical specialty clinics - supporting services and clinics throughout the VA San Diego Healthcare System. This position is located at Kearny Mesa

Qualifications

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
• Physical Standards
• See VA Directive and Handbook 501 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 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 Experience: At least (6) six months of qualifying experience as an LPN or LVN
• OR Graduation from an approved school and have (1) 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 Graduation from an approved school of at least 24 months duration
• GS-05 Experience: Completion of at least one year at the GS-4 level or equivalent of qualifying experience as an LPN and can demonstrate the following: 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
• Recognize and appropriately responds to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies - promptly reporting to appropriate personnel for corrective action
• GS-06 Experience: Completion of at least one year at the GS 5 level or equivalent of qualifying experience as an LPN or LVN - fully meeting all performance requirements for the GS 5 LPN and am technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations
• Completed work needs only a general review by a registered nurse (RN) or physician (ND/DO) for appropriateness and conformity with established policies/procedures
• Physical Requirements: Moderate lifting (up to 44 pounds)
• Moderate carrying (up to 44 pounds)
• Straight pulling and pushing
• reaching above shoulder
• use of fingers
• both hands required
• walking - kneeling and standing up to 1.5 hours
• repeated bending
• both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13" to 16" to 1 to 4
• Far vision correctable in one eye to 20/20 and to 20/40 in the other
• both eyes required
• depth perception
• ability to distinguish basic colors
• ability to distinguish shades of colors
• Hearing (aid permitted).

Duties

• Provides direct patient care to ambulatory surgical and procedural patients in accordance with hospital policies and practice standards and guidelines
• Executes interventions in accordance with treatment plans
• Responds to emergent patient conditions in a safe and effective manner - i.e. - effectively recognizes life- threatening situations and takes immediate action
• Administers medications and treatments to patients as required for pre- and post-surgical/procedural care
• Provide direct patient care and support for the ambulatory surgery clinics - assisting nurse practitioners and/or registered nurses as needed
• Provides in-services related to team building or specialty care as needed
• Coordinate care - including patients from procedure areas
• Assure patients have diagnostic tests prior to surgery
• Alert surgeons - NPs - or RNs of test results - change in patient conditions - abnormal vitals - symptoms - or complaints to expedite care
• Educates patients on pre-operative instructions and/or discharge instructions related to their disease process - treatment plan - and documents accordingly
• Screen patients in clinic and via telephone call
• Schedule labs - procedures - tests - and other services as needed
• Performs other duties - as assigned
• Work Schedule: Full Time - between 0600-2100
• To be determined during interview
• Financial Disclosure Report: Not required Preferred Experience: At least two years of ambulatory setting experience
• At least one-year minor procedure experience
• Experience working in a critical care or inpatient area (e.g. - ED/ICU) Experience in working in a dermatology clinic - specifically Mohs procedures
• Experience working in a specialty clinics or special procedures
• Experience in developing projects - improving patient satisfaction - or clinic flow.