The incumbent will be assigned to Nursing Service, Primary Care at the Chattanooga Outpatient Clinic in Chattanooga, Tennessee and work under the general supervision of the Nurse Manager of the unit, and functions under the leadership of a registered nurse 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 practical or vocational nursing approved by the appropriate State agency accredited by the Accreditation Commission For Education in Nursing Inc. (ACEN) at the time the program was completed by the applicant. Licensure - Condition of employment. Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e. Puerto Rico), of the United States or the District of Columbia. An LPN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probation status may be appointed only in accordance with regulations issued by the Under Secretary for Health or designee. Proficient in spoken and written English - as required by 38 U.S.C. 7402(d) and 7407 Preferred Experience: Primary Care Grade Determinations: GS-3: None beyond the basic requirements. GS-4: Six months of qualifying experience as an LPN or LVN; or 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 procedure 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 NAs/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.· 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. However, completion of more complex practices or procedures may be subject to closer higher-level review. GS-6 level - Experience - Completion of at least one (1) year of qualifying experience at the GS-05 level or equivalent and fully meeting all performance requirements for the GS-05 LPN/LVN. Please make sure that each item below is addressed in detail in the body of your resume. KNOWLEDGE, SKILLS, AND ABILITIES: In addition can demonstrate the following KSAs:1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.2. 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.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, and 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 the 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 appropriately 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. 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.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 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.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, Part II, 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 3 to 6. Physical Requirements: See VA Handbook 5005, Part III, Chapter 2, paragraph 7, and VA Handbook 5019, Occupational Health Services. All applicants must be physically and mentally able to perform efficiently the duties of the position. Must be able to lift (30 lbs or more); twisting and/or bending, standing and/or walking almost constantly during the course of the dayMay 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). ["VA Pay Scale VA V02Z The LPN performs progressively complex age-specific nursing care for adult and geriatric inpatients or outpatients with a variety of physical, mental, behavioral or psychosocial needs, which require increased judgment and independent action, according to assignment and training. Duties include but are not limited to: Assists with data collection for outpatients and new admissions. Administers oral, subcutaneous, intramuscular and intravenous medications. Administers immunizations independently and observes and reports patients response to medication. Administers and notes reactions to psychotropics and other medication. Observes, reports and documents signs and symptoms of patient's general condition. Facilitate group activities and education. Maintains safe and healthy working environment and uses safe work methods and procedures in accordance with facility clinical standards. Assists patients with understanding the nature of emotional disturbances and the need for compliance with treatment. Bathing, showering, oral care, shaving, feeding, turning and positioning, and ambulating. Collecting and labeling specimens, e.g. sputum, urine, stool. Performing enterostomal care, perineal care, administering enemas and colostomy irrigation. Providing bowel/bladder training, applying external urinary devices, performing bladder catherization. Providing complex wound care management and treatments which may include Telederm procedures. Providing for lifting, moving, transferring, and/or transporting patients. Using patient lifting devices, pressure relief mattresses, electronic scales, feeding pumps and IV pumps. Applying protective/supportive devices or restraints under the direction of the RN or medical provider. Providing post-motem care Administering nasogastric tube feedings. Recognizes and initiates emergency measures Patient teaching such as diabetic self care, suctioning and tracheostomy care, self-administration of medications etc. Performs such diagnostic procedures as TPR, B/P, pain screen, pulse oximetry, bladder, scanning, I&O, heights, weights, finger sticks, breathalyzer, and EKGs. Transcribes doctor's orders Performs narcotic counts as per policy and immediately notifies the Charge RN of discrepancies. Administers oral, subcutaneous, intramuscular and intravenous medications. Administers immunizations independently and observes and reports patients response to medication. Initiates emergency measures Performs other duties as assigned Work Schedule: Monday - Friday (Days) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.