Licensed Practical Nurse - Warren CBOC

Veterans Affairs, Veterans Health Administration | Warren, PA

Posted Date 11/08/2019
Description Delivers fundamental, knowledge-based care to assigned patients while developing technical competencies. While the Licensed Practical Nurse (LPN) brings principles and theory to the role, the acquisition of critical thinking skills will be developed in real patient care situations. The Licensed Practical Nurse demonstrates unit/department specific competencies, and competency in caring for adult and geriatric patients.

Duties include but not limited to the following:
  • Explains procedures to patients using language which they understand and displays consideration of individual age related and gender specific patient needs.
  • Ensures that the physical and emotional environment is consistent with the vision for patient centered care.
  • Maintains self-control and responds consistently to the requirements of the work situation, shows flexibility.
  • Responds to patients calls for assistance promptly and interacts with the patient in a tactful, courteous manner, making customer service the focus of all interactions.
  • Communicates respectfully and works effectively with administrative staff, the Patient Aligned Care Team (PACT), patients, and visitors. Orients patients to the clinic.
  • Provides emotional support to patients, and families/significant others to assist them in adjusting to changes brought about by illness or change in health status.
  • Prepares and administers prescribed oral, topical, subcutaneous, inhaled, and injectable medications, and suppositories according to policy and procedure.
  • Correctly documents medications given or omitted in Computerized Patient Record System (CPRS) according to established policy and procedures.
  • Recognizes emergent or acute situations, responds appropriately, and reports to the RN or provider promptly.
  • Responds appropriately to emergency situations including cardiopulmonary arrest, choking, and disaster or fire drills.
  • Observes, reports to the RN, and documents in the patient's medical record subjective and objective changes in the patient's physical or emotional condition, both obvious and subtle, which have relevance in determining the health status of the patient.
  • Performs a wide range of treatments and procedures utilizing established nursing care plan according to policy.
  • Collects specimens such as urine, sputum, and stool for laboratory analysis.
  • Sets up for and performs treatments that require auxiliary equipment, for example: oxygen, spirometry, and nebulizer treatments.
  • Adheres to and appropriately utilizes the Safe Patient Handling Program standards, practices, and recommendations.
  • Lifts and transfers, according to policy and procedure, seeking assistance when appropriate, to prevent injury to the patient and self.
  • Prepares patients for tests, examinations, and treatments technique.
  • Applies assistive/protective devices such as, splints, binders, or prosthetic appliances.
  • Documents observations, therapeutic measures performed, and care provided following established policy and procedure.
  • Participates in patient care planning and in discharge planning by obtaining and contributing information relevant to the patient's progress and needs.
  • Provides competent care which is safe for both self and others under adverse conditions, including patient care situations, exposure to communicable diseases, exposure to constant noise and working protracted or irregular hours.
  • Functions as a team leader under the supervision of the RN.
  • Proper use of appropriate equipment, and any required Personal Protective Equipment (PPE) item; recognizing and reporting unsafe and unhealthful conditions, initiating prompt corrective action within their authority, and promptly reporting work-related injuries or illnesses to supervisory personnel.
  • Incumbent sets up, uses, reprocesses, and maintains all unit/department-specific equipment that is designed by the manufacturer to be reused for multiple patients. All steps and activities for set ups, reprocessing, and maintenance will be completed in accordance with steps outlined in the equipment Standard Operating Procedure.
  • Incumbent participates in training in the setup, use, reprocessing, and maintenance of their unit/department specific equipment.
  • Incumbent uses equipment appropriately and demonstrates and/or verbalizes the proper use, reprocessing, and maintenance.

    Work Schedule: Monday-Friday 8:00 a.m. until 4:30 p.m.
    Financial Disclosure Report: Not required
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/18/2019.
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: (1) 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.
    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.

Qualifying experience is successful nursing practice as an LPN/LVN, maintaining acceptable standards within a health care setting under the direction of a registered nurse (RN) or physician (MD/DO). This may include experience as a GPN or GVN (graduate practical or vocational nurse) provided the candidate was utilized as a practical or vocational nurse and passed the State licensure examination on the first attempt. To be creditable, practical nursing experience (as an LPN or LVN) must be documented on the application and verified in an employment reference or through other independent means.

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. (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-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 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,
socioeconomic, 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. (f) Knowledge and ability to recognize urgent or
emergent patient care situations, (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.

The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06.

References: VA Handbook 5005,Part II, Appendix G 13.

Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires
potentially long periods of continued walking, standing, stooping, sitting, kneeling, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or during patient procedures and care. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Use of fingers, both hands, and near and far vision is required.

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