Vocational Nurse - Surgical Specialty Clinics

Summary

Under the supervision of a licensed Registered Nurse (RN) - the LVN functions as a member of the multidisciplinary team assisting with the delivery of care to patients. The LVN is accountable for the quality of nursing care he or she provides to patients and utilizes the nursing process - assumes responsibility for planning - implementing - directing - and evaluating nursing care for assigned patients.

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
• English Language Proficiency
• In accordance with 38 U.S.C. 7402(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• 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
• Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN
• Licensure - 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
• Grade Determinations: In addition to the basic requirements stated above - 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-03 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-04 (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
• GS-05 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems
• Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients - family members - professional and/or other support personnel involved in the delivery of patient care
• Knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribed oral - topical - subcutaneous - intramuscular and/or intravenous medications
• This includes observing and documenting patient responses to medication and reporting noted changes in the patient's condition
• Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest
• Recognize and appropriately respond to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies
• GS-06 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
• Proficiency 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 - using judgment in selecting the appropriate order and sequence of procedures and treatments - and accurately recognizing - reporting - and recording relevant patient information Ability to observe - identify - and respond to a 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 - documents - and reports physical and/or emotional changes in the patient's condition from prescribed medications/treatments
• Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed
• Knowledge and understanding of human behavior - patient motivations and reactions to situations and the 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 - 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 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 includes preparing the patient and 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
• References: VA Handbook 5005 Part II Appendix G13 - Licensed Practical or Vocational Nurse Qualification Standard Physical Requirements: Moderate lifting (up to 44 pounds)
• Moderate carrying (up to 44 pounds)
• Straight pulling and pushing
• reaching above shoulder
• use of fingers
• both hands required
• walking - kneeling and standing up to 1.5 hours
• repeated bending
• both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13" to 16" to 1 to 4
• Far vision correctable in one eye to 20/20 and to 20/40 in the other
• both eyes required
• depth perception
• ability to distinguish basic colors
• ability to distinguish shades of colors
• Hearing (aid permitted).

Duties

• The LVN assumes the following responsibilities: 1
• This position requires flexibility in schedule and assignments - as this is a 24/7 hospital
• 2
• BLS certified
• 3
• Obtains/collects specimens as ordered
• 4
• Participate in performance improvements
• 5
• Administers medications and treatments to patients with complex nursing problems
• 6
• Participates in daily DMS huddles and unit specific staff meetings
• 7
• Participates in coaching and mentoring of colleagues or new employees
• 8
• Performs and documents within the electronic medical record
• 9
• Completes CPRS documentation and closes encounters by facility policy
• 10
• Provides timely patient follow-up
• 11
• Maintains confidentiality of patient information
• 12
• Seeking opportunities for self-improvement and participating in performance improvements
• 13
• Collaborates and communicates effectively with the Interdisciplinary Care Team
• 14
• Documentation is factual - objective - accurate - consistent - timely - and complete
• 15
• Documents and signs all patient related activity within tour of duty
• 16
• Assists with coordinating care of patients
• 17
• Adhere to ethical principles and standards in delivering care
• 18
• Communicate with team members regarding patient care
• 19
• Seeking opportunities for self-improvement
• 20
• Demonstrate mandatory and clinical competencies of the position
• 21
• Implements nursing interventions/orders in a timely and complete manner
• 22.Recognizes changes in patient's condition and deviations from baseline that require immediate intervention
• 23.Provide patient education related to managing risk factors - medications - procedures - and other medical regimens related to disease process/specialty clinic - within scope of practice
• 24.Educates patients on provided discharge instructions related to their disease process - ensuring the patient can ask questions
• 25.Recognizes changes in patient's condition and deviations from baseline that require immediate intervention
• 26
• Apply infection control measures appropriately in delivering care
• 27.Alerts providers (physicians/nurse practitioners) of abnormal signs and symptoms and/or abnormal test results to expedite care
• 28.Collaborate with the Registered Nurse or Charge Nurse when the patient requires a higher level of care that is not manageable on the unit
• 29
• Obtains Nail Certification within 12 months of hire
• 30
• Performs other duties - as assigned
• Preferred Experience: 1-2 years current experience in Surgical specialty Clinics - specifically - Urology - Ortho - Minor procedure - gynecology - vascular
• Medical Specialty - PACT - CLC - Inpt experience helpful
• Work Schedule: Monday - Friday - 0800-1630 Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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