Veterans Affairs, Veterans Health Administration Practical Nurse in Superior, Wisconsin
Summary The LPN has responsibility for overseeing laboratory and technical equipment operations and performing a variety of general laboratory and technical equipment procedures including phlebotomy, point of care (POC) testing, diagnostic testing including but not limited to EKG, Holter Monitor, Pulmonary Function Testing and other appropriate technical duties based on demonstrated competencies. Responsibilities Duties may include: Collects blood, urine, or other specimens in a courteous manner from clinic outpatients for a wide variety of requested laboratory and technical equipment tests, including timed specimens, fasting specimens, and peak and trough drug levels. Acts in a professional manner and ensures the patient is as comfortable as possible. This includes using special drawing techniques, assuring appropriate patient preparation, use of appropriate collection containers or tubes, and obtaining appropriate specimen volumes. Verifies the patient as the individual denoted on the request and labels all tubes/containers with the patient's name, social security number, date, and time to ensure proper identification. Adheres to safety, infection control, and universal precautions at all times while collecting and processing blood, urine, or other specimens. Must be proficient at phlebotomy, developing adequate efficiency to handle a high volume of patients, including difficult draw patients. Prepares several types of specimens for analysis following strict guidelines, which includes preparing specialized specimens involving multiple steps, ensuring the physiologic state of properties is maintained. Identifies unusual conditions or discrepancies which may cause erroneous test results. Makes sound decisions independently, and takes appropriate action to correct and solve problems. Instructs patients in procedures to be followed prior, during, and after tests providing a schedule to patients when required. Evaluates requested tests/procedures to determine the suitability of specimens for analysis, requesting or recollecting new specimens if a specimen is determined to be unsatisfactory. Receives and/or accessions requests for laboratory and technical equipment testing, verifying the accuracy and completeness of these requests. Interacts with the appropriate clinic/hospital personnel to clarify orders or correct any discrepancies. Controls laboratory and technical equipment supply inventory. Ensures a sufficient stock of supplies, reagents, standards, and controls are available at all times by ordering adequate quantities from commercial sources or prepares a variety of specialized solutions or reagents using established procedures. Performs routine point of care testing procedures using manual, instrumental, or automated techniques in accordance with established protocols. Recognizes and reacts to indicators of malfunction and implements corrections. Verifies or confirms laboratory and technical equipment results and reports critical value results to the appropriate individuals as necessary. Performs proficiency testing to verify accuracy of testing processes and laboratory and technical equipment results. Calibrates, standardizes, adjusts, and maintains laboratory and technical equipment and point of care instruments. Verifies correct instrument operation using established procedures and quality control checks. Identifies the cause of common problems and makes simple repairs. Consults with ancillary testing coordinator or equipment vendor to resolve issues when necessary. Conducts quality control procedures on equipment, reagents, and products, as well as maintains proper records for quality control/quality assurance reports or reviews. Takes appropriate action to make corrections and solve problems. Keeps abreast of current developments in medical laboratory and technical equipment science and makes suggestions for improvements in technique and procedures. Communicates any concerns with supervisor or ancillary testing coordinator. Instructs the appropriate personnel, in basic theory and practical application of laboratory and technical equipment techniques, phlebotomy, specimen collection, specimen processing, equipment use, and equipment maintenance. Maintains and controls comprehensive laboratory and technical equipment records including laboratory and technical equipment eyewash station inspections. Packages specimens for transport to reference laboratories in accordance with existing policies and regulations the appropriate containers. Recognizes emergency situations and takes the necessary action. Establishes priority for emergency orders. Must have current CPR/Basic Life Support certification to care for patients who become ill, arrest, or faint while having blood drawn. Recognizes any physical or mental changes in patients while they are in the laboratory and technical equipment and reports findings to appropriate personnel. Based on demonstrated competencies, cross cover for checking in and checking out patients for Primary and Specialty services including TeleHealth as needed. Including but not limited to completing clinical reminders, medication administration, delegated procedures and treatments. Work Schedule: Monday - Friday days Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/01/2021. Basic Requirements: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) 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 NLNAC Website. 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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 and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Requirements: GS-03: 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-04: (a) Six months of qualifying experience as an LPN or LVN; OR (b) 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 (c) Graduation from an approved school of at least 24 months duration. GS-05: (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. 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. (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 an 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-06: (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. References: VA Handbook 5005/3, Part II, Appendix G13. The full performance level of this vacancy is GS-06. The actual grade range at which an applicant may be selected for this vacancy is GS-03 to GS-06. Education IMPORTANT: A transcript must be submitted with your application. 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. 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.