Veterans Affairs, Veterans Health Administration Licensed Practical Nurse (LPN- Ambulatory Care) in New Orleans, Louisiana
Summary This position is located in the Department of Veterans Affairs, Veterans Health Administration, Southeastern Region, Veterans Integrated Service Network (VISN 16), Southeast Louisiana Veterans Health Care System, Nursing Service- Ambulatory Care- NOLA Specialty Care, New Orleans, Louisiana. Responsibilities Duties include participation in complex ambulatory procedures common to primary care, spinal cord, medicine/surgical subspecialty clinics and treatment modalities in response to chronic and acute medical conditions. Duties: Demonstrates the ability to vary the order and sequence of routines to accomplish care needs based on patients' condition, physician orders or established protocols/procedures. Demonstrates the ability to observe, identify and respond to the patient's needs, objective/subjective symptoms reported or identified and is able to modify the plan of care or process to meet the emotional, physical and social factors exhibited by the patient. Demonstrates the ability to implement and input data and orders into CPRS as required by facility protocols and policies. Administers and documents selected medication via parenteral, intradermal, inhaled, oral or topical routes per SLVHCS policy. Reinforces educational needs of patients related to diagnostic tests, procedures, health education and personal health planning, disease prevention, health promotion and disease management. Utilizes motivational interviewing strategies when engaging in face-to-face or non face to-face encounters. Recognizes and responds to emergency situations, anticipating emergent protocol and implementation of it and seeks assistance of the RN and/NP/PA to initiate appropriate emergency intervention as directed. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with to her staff to improve and advance nursing practice. Follows clinic and team routines related to the implementation of the Patient aligned. Additional duties, as assigned. Work Schedule: Monday- Friday- 07:30 a.m.- 4:00 p.m.; 8:00 a.m.- 4:30 p.m.;8:30 a.m.- 5:00 p.m.; 9:00 a.m.-5:30 p.m. Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Basic Requirements: Citizenship. Citizen of the United States. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in [both] spoken and written English. 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. Exceptions include:] 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). Grade Determinations: GS-3: None beyond the basic requirements. [LPNs at this grade level are expected to perform all duties within the scope of their license; however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.] GS-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below: 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. 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 to operate in accordance with all established policies, procedure, and techniques GS-5 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 with patients, family members, professional and supportive personnel 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. 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. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. 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. 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. Preferred Experience: Minimum of 1 year Medical/Surgical experience and/or Minimum 1 year of Ambulatory Care experience. References: VA HANDBOOK 5005/3 PART II APPENDIX G13 APRIL 13, 2003 The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. The full performance level of this position is GS-6. Physical Requirements: The functional requirements of this position requires heavy lifting, heavy carrying, pushing, extensive pulling, extensive walking, kneeling, repeated bending, The following environmental factors include: possible encounters with slippery or uneven walking surfaces, working with hands in water, irregular hours of work, possible exposure to communicable disease and blood borne pathogens. 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 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 view the following link for information regarding an Alternate Application.