Summary

This Licensed Practical Nurse position is located at the York VA Community Clinic in York - PA. The primary purpose of this position is to perform a very wide range of patient personal care - support diagnostic services - and chart activities on a regular and continual basis on a surgical - medical - rehabilitation - psychiatric - or long-term care ward or clinic. The incumbent performs duties in such a way as to promote a sense of worth and dignity within each individual.

Qualifications

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
• 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: 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 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 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 - 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: Phlebotomy 1 year and 1 year of ambulatory care experience preferably in primary care setting
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.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: 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 - bending - pulling - pushing - lifting 45 pounds or more - reaching above the shoulder - frequent pushing medication carts
• and use finger and both and hand and legs
• Transferring patients and objects may be required.

Duties

• Major duties include - but are not limited to: Support diagnostic procedures - Performing support duties for complex diagnostic test and or specialized practices or procedures
• Prepare patient - assist with diagnostic examinations - preparing specimens - preparing and passing instruments - monitor the patient's condition before - during - and after the procedure - and perform phlebotomy
• Assist with technical nursing treatments - Nurses must master equipment used to stabilize and monitor patients - including EKG machines - oxygen tanks - nasal cannula tubing - blood pressure cuffs - pulse oximeter - ear flushes - administer a variety of injections in a timely manner - and ensure the procedure is documented
• Provide care that incorporates the age - gender - culture - and learning needs of patients requiring basic planning and evaluation of care - Incorporates cultural sensitivity into the care of all Veterans - being cognizant of the diverse population of Veterans from all adult ages - eras - and conflicts
• Apply infection control measures appropriately in delivering care - Practices hand hygiene per policy - using hand sanitizers - good hand washing - donning gloves for procedures - as appropriate
• cleaning equipment and exam tables and chairs with Cavi-wipes
• ensures masks are worn by Veteran when droplet precautions are warranted
• Communicate with team members regarding patient care - Contributes to the interdisciplinary team (IDT) in the development - implementation - and evaluation of the patient's treatment and discharge plan
• Collaborating with members of other services regarding changes in patient's condition - laboratory results - responses to treatment plan - and other pertinent parameters of care
• Participates in Patient Aligned Care Team (PACT) huddles with provider - PACT RN - and clerk on regular basis
• Keeps provider on schedule with clinic appointments
• Adhere to ethical and principles and standards in delivering care - The nurse promotes - advocates for - and strives to protect the health - safety - and rights of the patient
• Protects all patient information by securing documents - and protecting computer screens from the view of others
• Practices with respect for autonomy of the Veteran - exercising fairness - truthfulness - and justice
• Enter information into patients' records/charts - Triage notes include vital signs - reminders - and patient input/responses
• Follows process to ensure that notes from other disciplines - outside providers - and hospitals - are scanned into the patient's record
• Apply knowledge and skill core competencies of the assigned clinic to patient care - Prepares and administers prescribed medications - performs treatments according to established policies
• Observes for physical and emotional change in Veteran's condition - tests blood glucose using POC testing with glucometer - ear flushes - and phlebotomy Use effective communication skills with co-workers to achieve desired patient outcomes - Keeps open lines of communication using active listening with team members - provider - and RN
• oversees health technician and reports pertinent information to appropriate staff - such as changes in the patient's condition that require immediate attention
• and prioritizes patient requests received via phone - secure messaging (SM) - or face-to-face
• VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Work Schedule: 9:30am - 6:00pm - Monday - Friday Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: PD05691F - PD05690F - PD05689F - and PD05688F Permanent Change of Station (PCS): Not Authorized