Summary

The Licensed Practical Nurse in the Tomah Ambulatory Care - works under the direction of the Registered Nurse and or physician with minimal supervision and is accountable to the Clinic Nurse Manager. He/she demonstrates self-direction and critical thinking skills in carrying out simple to the most complex practical nursing care assignments for variable patient populations.

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 & 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
• 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
• Exceptions may 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
• 2) VHA employees converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
• & for their future personnel actions under this authority
• 3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school
• Physical Standards: See VA Directive and Handbook 5019
• English Language Proficiency
• Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken & written English as required by 38 U.S.C. 7402(d) - & 7407(d)
• Grade Determinations: GS-3: None beyond basic requirements
• GS-4:(a) 6 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 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 (c) Graduation from an approved school of at least 24 months duration
• (d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level
• however - they are expected to exercise greater judgment - require less supervision - and operate in accordance with all established policies - procedure - and techniques
• 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 nursing team member and interact in an appropriate manner with patients - family members - professional and other supportive personnel involved in 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
• Observation and documentation will include patient's response to medication administered and reporting of any noted change in patient's condition to RN or MD/DO
• (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.(g) Completed work is under the general supervision of 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: (a) 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/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 - 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 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy ranges from GS-3 to GS-6.

Duties

• Major Duties may include - but not limited to: Assist with intake of Veterans in preparation for provider visits
• Assist providers with exams/procedures
• Perform treatments and procedures such as electrocardiograms - vital signs - blood glucose readings - bladder scans - ear flushes etc
• Tracking and administering of required immunizations
• Administering ordered medications
• Providing ordered wound care
• Completion of pertinent clinical reminders
• Assist in message management with the Nursing team team using the Secured Messaging System
• Participate in the management of telephone messages related to the teams
• Participation and coordination of group visits
• Identification of additional services needed by Veterans and their families
• Participation in daily huddles and team meetings
• Provide guidance to Veterans who are new to the clinic services
• Assist with Veteran and family education
• Provide unit-based support through equipment and supply monitoring within the work area
• Work with team members to obtain medical records from non-VA facilities
• Provide back-up support to lab services at the Community Based Outreach Clinics (CBOCs)
• Provide other support as needed for the team within the scope of practice for an LPN
• Assist with Monthly Audits (Chart - Duress - Out of date supplies - etc
• Work Schedule: Monday-Friday - 0730-1600 Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 06607F - 06608F - 06609F - 06610F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized