Licensed Practical Nurse (Patient Aligned Care Team)
Provides nursing care for adults with population specific needs by incorporating pertinent physical, psychosocial and cultural needs into the patient plan of care. Accurately prepares and administers medications; properly performs treatments and procedures. Provides direct nursing care to patients based on individualized plan of care, reinforces teaching and written instructions initiated by the RN Care Manager. Collaborates with the RN to establish priorities for patient care Participates in daily huddles with PACT team. Functions independently with minimal supervision depending on grade and skill. Demonstrates the ability to vary the order and sequence of assigned procedures based on the patients' condition. Recognizes signs and symptoms of medical and behavioral emergencies and responds appropriately. Responds promptly to patient requests for assistance. Wears personal protective equipment (PPE , proficient in safe patient movement uses mechanical lifts appropriately with correct harness and requests assistance with patient care when needed. Competent in using equipment and technical procedures in the assigned area such as:
glucose-meters; respiratory equipment, infusion pumps, other related equipment. Applies skills, such as motivational interviewing to promote patient self -management toward patient driven holistic care plan for life. Promotes health, wellness and risk education strategies. Maintains privacy and confidentiality of all patient information, including electronic, print, and conversations. Demonstrates effective communication skills in varying medias to include telephone, secure messaging, CPRS, instant messaging, and written. Demonstrates support of the PACT team in meeting clinical objectives, organizational measures, and achieving desired outcomes for identified goals. Maintains professional appearance per nursing dress code, and presents with professional disposition while providing care and interaction with patient and families. Participates in unit based activities such as Unit Based Councils, staff in services and meetings to promotion communication, education, and knowledge among staff. Maintains positive interpersonal relationship skills in an interdisciplinary setting. Maintains sound documentation, history/physical screening, and therapeutic skills. Ability to work in a busy clinical setting and ability to prioritize responsibilities. Maintain flexibility as a team member. Work Schedule:
Monday - Friday 7:
30 a.m. - 4:
00 p.m. or 8:
30 a.m. - 5:
00 p.m based on the needs of the clinic. No extended hours at this time but possible in the future. Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 02/25/2020. 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. Must be a graduate of school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing. Must possess a 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. Preferred
Experience:
Minimum of 3 years experience in a clinical setting as a Licensed Practical nurse Broad knowledge and experience in performing patient care related skills in diverse patient populations Strong communication skills utilizing various models to include telephone, computerized, and face to face Previous experience in Primary Care or Medical Surgical Nursing Grade Determinations:
In addition to the basic requirements stated in section A, 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.(1) GS-3. 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-4. Six months of qualifying experience as an LPN or LVN; or 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 Graduation from an approved school of at least 24 months duration. GS-5. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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.(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. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.Completed work is under the general supervision of an RN or MD/DO. GS-6. 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. 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 N) 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. 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. 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:
The position requires the ability to do the following:
heavy lifting and carrying, 45 pounds and over; pulling, pushing and reaching above the shoulder; walking, standing, kneeling and repeated bending.
Estimated Salary: $20 to $28 per hour based on qualifications.
glucose-meters; respiratory equipment, infusion pumps, other related equipment. Applies skills, such as motivational interviewing to promote patient self -management toward patient driven holistic care plan for life. Promotes health, wellness and risk education strategies. Maintains privacy and confidentiality of all patient information, including electronic, print, and conversations. Demonstrates effective communication skills in varying medias to include telephone, secure messaging, CPRS, instant messaging, and written. Demonstrates support of the PACT team in meeting clinical objectives, organizational measures, and achieving desired outcomes for identified goals. Maintains professional appearance per nursing dress code, and presents with professional disposition while providing care and interaction with patient and families. Participates in unit based activities such as Unit Based Councils, staff in services and meetings to promotion communication, education, and knowledge among staff. Maintains positive interpersonal relationship skills in an interdisciplinary setting. Maintains sound documentation, history/physical screening, and therapeutic skills. Ability to work in a busy clinical setting and ability to prioritize responsibilities. Maintain flexibility as a team member. Work Schedule:
Monday - Friday 7:
30 a.m. - 4:
00 p.m. or 8:
30 a.m. - 5:
00 p.m based on the needs of the clinic. No extended hours at this time but possible in the future. Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 02/25/2020. 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. Must be a graduate of school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing. Must possess a 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. Preferred
Experience:
Minimum of 3 years experience in a clinical setting as a Licensed Practical nurse Broad knowledge and experience in performing patient care related skills in diverse patient populations Strong communication skills utilizing various models to include telephone, computerized, and face to face Previous experience in Primary Care or Medical Surgical Nursing Grade Determinations:
In addition to the basic requirements stated in section A, 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.(1) GS-3. 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-4. Six months of qualifying experience as an LPN or LVN; or 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 Graduation from an approved school of at least 24 months duration. GS-5. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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.(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. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.Completed work is under the general supervision of an RN or MD/DO. GS-6. 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. 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 N) 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. 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. 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:
The position requires the ability to do the following:
heavy lifting and carrying, 45 pounds and over; pulling, pushing and reaching above the shoulder; walking, standing, kneeling and repeated bending.
- Department:
0620 Practical Nurse - Salary Range:
$38,358 to $58,185 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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