Summary

The Specialty Clinics LPN will participate in assessing - planning - implementing and evaluating patient care - while meeting the needs of customers and supporting the VA mission. The LPN will consistently communicate and treat customers (Veterans - their representatives - visitors and all VA staff) in a courteous - tactful - and respectful manner.

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-3. None beyond the basic requirements
• GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below: (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-5 (a)Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent
• (b) 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
• (c) 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
• (d) 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
• (e) 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
• (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies - promptly reporting to appropriate personnel for corrective action
• GS-6 (a) Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent - fully meeting all performance requirements for the GS-5 LPN/LVN
• (b) Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations
• (c) 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
• (d) 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/LVN recognizes and considers emotional - cultural - spiritual - socio-economic - and age-related factors
• (e) 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
• (f) 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
• (g) 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
• (h) 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
• (i) 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 LPNs/LVNs or NAs/HTs related to support duties for these more complex - specialized tests/procedures
• (j) Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• Preferred Experience: 2-3 years experience in a medical or surgical outpatient clinic Phlebotomy experience 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-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - kneeling - sitting - bending - pulling - and pushing
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders.

Duties

• The duties of the LPN include - but are not limited to: Interviews patients - performing a general systems appraisal of the patient's condition - collecting objective and subjective data
• Collaborating with the Registered Nurse/Provider in developing and implementing a plan of care individualized to carry out the needs of the patient Contributes to the interdisciplinary team in the development - implementation and evaluation of the patient's treatment and follow-up health care
• Collaborates with members f other services regarding changes in patients condition - laboratory results - responses to treatment plan and other pertinent parameters of care Modifies the plan of care in accordance with recognized nursing standards and prescribed treatment Meets patients' needs by direct physical care and psychosocial intervention and by assuming responsibility for nursing management of unstable patients whose nursing care needs are not predictable Makes necessary judgments prior to preparing and administering medications - recognizing side effects and contraindications
• Provides patient/significant other instruction regarding common medications Performs support duties for diagnostic procedures - which include preparing the patient - patient education - assisting in the diagnostic examination - preparing specimens - preparing and passing instruments - and monitoring the patient's condition Recognizes emergency situations - responding promptly and instituting appropriate actions Provides technologically complex patient care Supports the patient and/or family members/significant other in the integration of the patient care plan toward achievement of discharge objectives Instructs patients and significant others in the use of: prescribed medications - equipment - treatments - and activity level - contraindications of the same - and the value of proper follow-up self care Documents patient teaching and patient's response to teaching Understands Human Behavior - identifying non-routine educational needs
• motivating the patient and significant others to accept and apply instructions Leads patient groups to help patients share feelings - interacting and functioning in accordance with the treatment plan Provides one to one therapy to explore feelings - behavior and promote interpersonal relationships - communication - and socialization skills in accordance with the patient's treatment plan Assists with identification of needs for in-service education and participating in presentation of unit educational conferences Participates in team quality improvement programs
• Develops and prepares reports on various topics associated with the Group's practice and workload Handles incoming and outgoing calls - obtaining information necessary and communicates messages to the appropriate team member Performs receptionist duties for providers
• schedules clinic appointments - enters visits and workload data - retrieves computerized data
• i.e
• health summaries - x-ray/lab results Demonstrates flexibility and willingness to perform variety of tasks necessary for clinical/clerical support of providers
• adapting to work demands and assignment changes Serves as a preceptor in orienting - educating - and training less experienced LPN's/LVN's or NA's/HT's related to support duties for these more complex - specialized tests/ procedures Work Schedule: Full time
• Day shift- Monday-Friday - 8am-4:30pm with the potential for weekends
• Telework: Not available Virtual: This is not a virtual position
• Functional Statement #: F9294 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized