Licensed Vocational Nurse (Outpatient Specialty Clinic)
- Collaborates with Team, committees, workgroups and /or projects related to the implementation of Veteran Care. - Demonstrates proper hand hygiene prior to and immediately following patient care/contact. - Ability to locate and abide by the MCM's, policies and standard of processes to foster a High Reliability Organization. - Helps Team understand how their role relates to and complements the overall mission of the organization. - Assist the provider and/or RN with gathering data, chart reviews and documents appropriately. - Ready specialty clinic for provider and patients by obtaining current clinic appointment list, ensuring supplies and equipment are readily available, lab and diagnostic tests are ordered, lab and diagnostic results pertaining to the specialty clinic appointment are available for provider - Supports Team development through remediation, mentoring, certification, and product roll-outs. - Assist with educational programs to reflect learner needs/outcomes, health care trends, research, and changes in the health care environment. - Recognizes normal from abnormal findings based on patient admitting diagnosis and history, reports information to Provider and/or RN. - Follows current policy and procedure regarding patients with positive screenings of Suicidal Ideation/Homicidal Ideation. Notifies Provider of findings and completes documentation appropriately. - Gathers data, notifies and documents increased signs of confusion, agitation, and unsafe behavior. Notifies Provider in a timely manner of patient condition changes. - Ability to recognize abnormal vital signs, notifies provider/RN and documents according to policy and procedure. - Participates and ensures a time-out is performed prior to procedures and documents accordingly with all required information. - Demonstrates safe administration of injections, including review of chart for clear/correct orders and instructions, appropriate patient teaching, location of necessary equipment - such as, but not limited to a crash cart, supplies and appropriate scheduling of veteran for return appointment. - Adhere to Reusable Medical Equipment (RME) directives and responsibilities thereof and able to locate unit specific procedures, competencies and manufacture recommendations. Locates and reviews One Source Documents, RME SharePoint and RME library on intranet. - Documents the humidity and temperatures and adheres to the policy to complete if out of range. - Completes and documents D-Stix notes appropriately and timely. - Performs 12-lead EKG with correct lead placement. Notifies Provider/RN when procedure is complete. - Performs Bladder scan as ordered by provider. - Locates and reviews Handling of Specimen Policy. Properly adheres to the handling of specimens which includes properly procuring, labeling, documenting appropriately - Actively communicates with others about how planned changes may affect their work, patients and their team. - Establishes a climate for collaboration in the implementation of organizational initiatives. - Participates in daily unit team huddles and monthly unit staff meetings. - Communicates with patients and facilitates completing their needs via secure messaging and completing pending patients on the call log reporter (CLR) within recommended timeframe. - Notifies supervisor and completes the SBAR-Hand Off Communication form with admissions from Specialty clinics to hospital - Ensures a safe environment, identifies health/safety risks and takes appropriate and immediate steps to alleviate risk. Work Schedule:
7:
30 am - 4:
00 pm Monday - Friday. Occasional Saturday clinic Financial Disclosure Report:
Not required 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 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 . Exceptions include:
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 LVN licensure will be accepted as meeting the education requirements for VHA employment. 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. 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 vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. Physical Standards. English Language Proficiency. Licensed vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English. Preferred
Experience:
Prior case management experience Experience with electronic medical record systems Experience with scanning medical records 3-5 years nursing experience Experience with computer system Grade Determinations:
GS-6 Completion of at least one year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LVN. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 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. 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. 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. 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. 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. 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. 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References:
VA Handbook 5005/3, Part II, Appendix G13 The full performance level of this vacancy is GS-6. Physical Requirements:
Moderate lifting (15-44 pounds); moderate carrying (15-44 pounds); straight pulling (3 hours); pushing (3 hours); reaching above shoulder; use of fingers; both hands required; walking (8 hours); standing (3.5 hours); kneeling (0.5 hour); repeated bending (1 hour); depth perception; ability to distinguish basic colors; hearing (aid may be permitted).
Estimated Salary: $20 to $28 per hour based on qualifications.
7:
30 am - 4:
00 pm Monday - Friday. Occasional Saturday clinic Financial Disclosure Report:
Not required 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 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 . Exceptions include:
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 LVN licensure will be accepted as meeting the education requirements for VHA employment. 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. 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 vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. Physical Standards. English Language Proficiency. Licensed vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English. Preferred
Experience:
Prior case management experience Experience with electronic medical record systems Experience with scanning medical records 3-5 years nursing experience Experience with computer system Grade Determinations:
GS-6 Completion of at least one year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LVN. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 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. 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. 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. 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. 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. 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. 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References:
VA Handbook 5005/3, Part II, Appendix G13 The full performance level of this vacancy is GS-6. Physical Requirements:
Moderate lifting (15-44 pounds); moderate carrying (15-44 pounds); straight pulling (3 hours); pushing (3 hours); reaching above shoulder; use of fingers; both hands required; walking (8 hours); standing (3.5 hours); kneeling (0.5 hour); repeated bending (1 hour); depth perception; ability to distinguish basic colors; hearing (aid may be permitted).
- Department:
0620 Practical Nurse - Salary Range:
$38,921 to $50,598 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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