Practical Nurse-Community Living Center
Duties Include but not limited to the following:
Duties:
Explains health care issues and procedures to patients, using language which they understand and displays consideration of individual age related and gender specific patient needs. Provides or reinforces patient teaching related to medications, disease process, procedures, and self-care activities. Participates in more complex teaching for patient self-care, such as diabetic care, self-catheterization, etc. Manages daily workload efficiently scheduling patient visits according to location and need while remaining flexible in accommodating schedule changes made necessary by unexpected occurrences. Responds to patients calls for assistance promptly, making customer service the focus of all interactions. Communicates works effectively with Home Based Primary Care Interdisciplinary Team and other Patient Aligned Care Teams (PACT), patients, and caregivers. Serves as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel who provide patient care, and with members of other services. Accurately report and record significant patient information and uses good judgment in selecting the most appropriate application of procedures and guidelines. Prepares and administers medications according to scope of practice and facility policy. Correctly documents medications given in Computerized Patient Record System (CPRS) according to established policy and procedures. Documents effects of medications. Recognizes emergent or acute situations and responds appropriately, summoning EMS if necessary and reporting to the Nurse Manager, assigned RN Case Manager, or provider promptly. Reports untoward patient incidents, including medication errors, to Nurse Manager, and initiates incident report. Performs treatments and procedures according to policy, including but not limited to:
wound care, vital signs, and collection of specimens such as blood, urine, sputum, and stool for laboratory analysis. Provides competent care which is safe for both self and others under adverse conditions, including situations of poor sanitation and potential for exposure to communicable diseases. Documents observations, therapeutic measures performed, and care provided following established policy and procedure. Collects subjective and objective data which contributes to the RN assessment and/or the patient reassessment. Accurately uses appropriate senses in collecting patient data and providing care. Work Schedule:
Shift should be primarily evenings rotating holidays. 8 to 12 hour shifts. Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency:
Written and Spoken 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. 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. 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. 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. 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 procedures; or Graduation from an approved school of at least 24 months duration. 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 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:
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.Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.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. References:
VA Handbook 5005/27, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 10, 2003. 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. Physical Requirements:
You must be able to perform work that requires regular and recurrent bending, lifting 45 pounds or more, stooping, climbing, reaching above the shoulder, stretching, and similar activities supporting various weights; walking and standing for 8 hours; frequent pushing medication carts, wheelchairs, litters, beds; use of fingers, both hands and both legs; emotional stability (you must be able to care for Veterans with various medical and psychiatric illnesses who at times may exhibit unpredictable behavior and may have the potential to be physically or verbally assaultive); near vision correctable at 13 to 16 / far vision correctable in one eye to 20/50 and to 20/100 in the other / both eyes required with ability to distinguish basic colors; hearing (aid permitted).
Estimated Salary: $20 to $28 per hour based on qualifications.
Duties:
Explains health care issues and procedures to patients, using language which they understand and displays consideration of individual age related and gender specific patient needs. Provides or reinforces patient teaching related to medications, disease process, procedures, and self-care activities. Participates in more complex teaching for patient self-care, such as diabetic care, self-catheterization, etc. Manages daily workload efficiently scheduling patient visits according to location and need while remaining flexible in accommodating schedule changes made necessary by unexpected occurrences. Responds to patients calls for assistance promptly, making customer service the focus of all interactions. Communicates works effectively with Home Based Primary Care Interdisciplinary Team and other Patient Aligned Care Teams (PACT), patients, and caregivers. Serves as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel who provide patient care, and with members of other services. Accurately report and record significant patient information and uses good judgment in selecting the most appropriate application of procedures and guidelines. Prepares and administers medications according to scope of practice and facility policy. Correctly documents medications given in Computerized Patient Record System (CPRS) according to established policy and procedures. Documents effects of medications. Recognizes emergent or acute situations and responds appropriately, summoning EMS if necessary and reporting to the Nurse Manager, assigned RN Case Manager, or provider promptly. Reports untoward patient incidents, including medication errors, to Nurse Manager, and initiates incident report. Performs treatments and procedures according to policy, including but not limited to:
wound care, vital signs, and collection of specimens such as blood, urine, sputum, and stool for laboratory analysis. Provides competent care which is safe for both self and others under adverse conditions, including situations of poor sanitation and potential for exposure to communicable diseases. Documents observations, therapeutic measures performed, and care provided following established policy and procedure. Collects subjective and objective data which contributes to the RN assessment and/or the patient reassessment. Accurately uses appropriate senses in collecting patient data and providing care. Work Schedule:
Shift should be primarily evenings rotating holidays. 8 to 12 hour shifts. Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency:
Written and Spoken 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. 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. 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. 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. 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 procedures; or Graduation from an approved school of at least 24 months duration. 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 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:
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.Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.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. References:
VA Handbook 5005/27, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 10, 2003. 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. Physical Requirements:
You must be able to perform work that requires regular and recurrent bending, lifting 45 pounds or more, stooping, climbing, reaching above the shoulder, stretching, and similar activities supporting various weights; walking and standing for 8 hours; frequent pushing medication carts, wheelchairs, litters, beds; use of fingers, both hands and both legs; emotional stability (you must be able to care for Veterans with various medical and psychiatric illnesses who at times may exhibit unpredictable behavior and may have the potential to be physically or verbally assaultive); near vision correctable at 13 to 16 / far vision correctable in one eye to 20/50 and to 20/100 in the other / both eyes required with ability to distinguish basic colors; hearing (aid permitted).
- Department:
0620 Practical Nurse - Salary Range:
$37,882 to $59,343 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
