The incumbent is located at one of the sites of care for the Roseburg VA Health Care System (RVAHCS), including the main Roseburg campus, the VA Clinics in Eugene, North Bend, and Brookings. The incumbent assists and prepares Veterans for ambulatory care visits, communicates with other members of the healthcare team regarding patient concerns and personal observations, may provide cross coverage for other areas as assigned by manager. 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 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. 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. 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. 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: 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: (a) Six months of qualifying experience as an LPN or LVN; or (b) 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 (c) Graduation from an approved school of at least 24 months duration. (d) 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: (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-6: (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. (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-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. ["Functions/Scope of Assigned Duties: Overview Serve as a responsible member of the nursing team and appropriately interact with Veterans, family members, clinicians, and supportive personnel related to patient care activities and outcomes, adhering to acceptable, established customer service standards as outlined below. The work involves the performance of a full range of functions using guides, policies, and general supervision of an RN or LIP. May work under the direction of a senior LPN GS 7. The work involves a variety of Veterans of diverse cultural, spiritual, and education backgrounds. The work directly affects the overall well-being of Veterans served. The work involves scheduled appointments, walk-ins, and telephonic or virtual interactions. The LPN is expected to have a broad working knowledge of practical nursing procedures; however, completion of more complex practices or procedures may be subject to review by a more seasoned LPN, RN, or LIP. Equipment for ambulatory care includes items such as non-critical reusable medical equipment (RME) used for obtaining vital signs, electrocardiograms, telehealth carts and cameras, and other tools for obtaining data and information about Veterans visits. Communication (Critical Element) - Recognizes that illness and/or hospitalization may cause fear and anxiety which patients may express in a variety of behaviors and is able to respond in an appropriate manner to those patients. Is able to anticipate which circumstances or populations may increase the likelihood of a fear or anxiety response and intervene appropriately and promptly. - Identifies age-specific or population-specific learning needs and provides patient education materials and documents teaching in the medical record. Teaching may include pre-and post-op care, diabetic self-care, wound/stoma care, activities of daily living, self-administration of medication, common disease specific education, health coaching, injection training, blood glucose checks, dietary concerns, tobacco cessation, and additional procedures as directed by RN or LIP. - In working with Veterans, family, and/or staff, there is consistent evidence of a professional, caring approach in listening, educating, and performing procedures. This includes introducing self, addressing the patient appropriately, and explaining procedures using guidelines. - Promotes team cohesion, participates in unit activities to enhance positive work environment, and contributes to performance improvement activities. This includes responding to view alerts, secure messages, and clinic protocols and procedures. - Demonstrates increased personal commitment to the job, including mentoring less experienced LPN, NA, and HT personnel. - Ensures all members of the healthcare team are aware of patient concerns, changes in health status, or patient needs. Seeks guidance for complex or infrequent care needs. - May assist with orientation of newly hired LPN/LVN employees, including those at the same, lower, or higher grade. - Ensures documentation in the medical record reflects conversation with Veterans, families, and other members of the healthcare team, including actions taken, communication that has occurred, and follow up as needed. - Demonstrates INTEGRITY in all interactions by acting with high moral principle; adhering to the highest professional standards and maintaining the trust and confidence of all with whom the LPN engages. - Demonstrates COMMITMENT by working diligently to serve Veterans, employees, volunteers, and other beneficiaries and fulfilling the LPN's individual responsibilities and organizational responsibilities. - Acts as an ADVOCATE when self-determination is questioned, fully considering, and appropriately advancing the interests of the customer and other beneficiaries. - Treats all customers with dignity and RESPECT. Listens to and honors the customer's perspectives and choices. Customer's knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care in a non-judgmental, non-discriminatory manner (Patient and Family Centered Care). - Maintains professional boundaries with patients, families, and employees. - Behavior as a role model is transparent and above reproach. Demonstrates responsibility and accountability for own nursing judgments and actions. - Recognizes ethical problems and serves as a resource for patients and staff in addressing concerns. - Models EXCELLENCE by striving for the highest quality and continuous improvement and being thoughtful and decisive in leadership, accountable for own actions, willing to admit mistakes, and rigorously correcting them. Work Schedule: Mon - Fri 0800-1630 or Four 10 hr. shifts 0700-1730 Telework: Not Available Virtual: This is not a virtual position. 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.
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