Veterans Affairs, Veterans Health Administration Specialty Care Clinical Practical Nurse in Roseburg, Oregon
Summary The LPN is located at the Roseburg VA Health Care System. The LPN assists and cares for Veterans in the inpatient and outpatient setting, communicates with other members of the healthcare team regarding patient concerns and personal observations. The LPN can be cross trained to perform a range of direct care duties as assigned. The LPN demonstrates technical proficiency in initiating, performing, and completing assigned duties in providing care to a variable and complex Veteran population. Responsibilities The operative Care Specialty Care Clinic LPN implements plans of care, assists Providers with directing and coordinating the care of every Veteran patient undergoing operative and other invasive procedures. The Specialty Care Clinic LPN utilizes critical thinking skills and the nursing process to provide the highest leave of nursing care. Nursing services provided in the Specialty Care Clinics include telephone advice, coordination of care with other VA facilities, Veteran and family education, dressing changes, follow-up care per provider orders; psychosocial support; and pre and post procedural care. The LPN sets up for and assists with minor procedures following all RME requirements. The LPN performs pre and post procedural phone calls with instructions. The LPN demonstrates technical and operational knowledge and applies these skills in the clinical setting. The LPN is accountable for adhering to established policies and standards of practice. The LPN identifies Veteran needs and collaborates with establishing goals with Veterans, and implements nursing interventions and activities to achieve optimal patient outcomes. The Specialty Care Clinic LPN Scrub Nurse works as a team member in any area of specialty care including GI, OR, Pain, Urology, ENT, Podiatry, Orthopedic, Dermatology, Wound or General Surgery. In GI, the LPN prepares the procedure room, sets up equipment, performs pre and post procedural phone calls. In the OR assists the provider by pulling cases, setting up instrumentation and equipment, assists by selecting and passing instruments to the surgeon during surgery while maintaining a sterile field. In the Specialty Care Clinics, the LPN helps room Veterans, pull medications, and supplies and assists with the needs of the clinics. The LPN work involves the performance of a full range of functions using guides, policies, with review by an RN or LIP for appropriateness and conformity with established policies and procedures. Work Schedule: Monday-Friday, 0800-1630 Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position. Position Title/Functional Statement #:Specialty Care Clinical Practical Nurse/PD000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required Requirements Conditions of Employment 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. 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). 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 ACEN Website (formerly the NLNAC). 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 LPN/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. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. 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. 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). Preferred Experience: One year experience as an LPN in GI, OR, or Specialty Clinics (Urology, ENT, Podiatry, Wound, Orthopedic, Wound or general surgery) Grade Determinations: GS-03:None beyond the basic requirements. GS-04:Six months of qualifying experience as LPN or LVN.OR Experience and Education: Graduation from an approved school 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 Education: Graduation from an approved school of at least 24 months duration. GS-05: Completion of at least one year of qualifying experience at the GS-4 level or equivalent and fully meeting all performance requirements for the GS-4 LPN/LVN. 1. Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. 2. 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. 3. Knowledge and skill to prepare, administer, and 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. 4. 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.5. 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-06: Completion of at least one year of qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN/LVN 1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 2. Knowledge and ability to 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. 3. 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. 4. 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, reporting any deviations from normal to RN or MD/DO. 5. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of RN and/or MD/DO, and initiate appropriate emergency interventions as directed. 6. Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to utilize this knowledge in working effectively with patients, family members, and other staff. 7. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. 8. 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/handling specialized instruments or other specialized equipment, monitoring the patient's condition before, during, and following the procedure. 9. 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, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard 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: Moderate lifting/carrying 15-44 lbs., walking, standing, kneeling, works closely with others; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic and shades of colors; working alone and closely with others. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. VA is committed to an ethical culture. All employees are expected not only to abide by all government ethics laws, but also to avoid any actions that raise even the appearance of impropriety. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.