Practical Nurse (Ltc)

Company: Department of Veterans Affairs
Location: Minden
Posted on: May 3, 2021

Job Description:

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Summary

This is an Open Continuous Announcement were resumes will be reviewed every two weeks. The first set of resumes that will be reviewed on December 15, 2020

The Licensed Practical Nurse provides nursing care to chronically and/or acutely ill patients under the close supervision of the Registered Nurse, nurse practitioner, and/or the physician participates in patient care planning. Serves as a member of the nursing team and provides input to team members relative to the patient's discharge plan.

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Responsibilities

This announcement will be used to fill multiple vacancies across multiple services. Please not that not all Service are at all listed duty stations. The Services that are associated with this announcement are:

Primary Care - The Licensed Practical Nurse is assigned to Ambulatory Care Service provides technical nursing care to adult and geriatric patients according to a plan of care established by a Registered Nurse and Patient Aligned Care Team (PACT) requirements.

Community Living Center - The Licensed Practical Nurse functions under the direct supervision of the Registered Nurse who is responsible for the coordination of resident care. The LPN works with the RN and others to appropriately orient less experienced LPN's, Nursing Assistants (NAs) or Health Care Technicians (HCT).

Medical Service - The Licensed Practical Nurse demonstrates active collaboration and communication with the Outpatient Medicine Team (patient, specialty care provider, and clerk) and Expanded Team (family/ caregiver, internal and community based services) involved in providing care to the patient.

Physical Medicine & Rehabilitation Service - The Licensed Practical Nurse provides nursing care to chronically and/or acutely ill patients on a regular and recurring basis under the supervision of the RN, Nurse Practitioner, and/or the physician.

Major Duties include but are not limited to:

• Prepares, administers, records, interprets, and communicates results of medications, vital signs, treatments, etc.
• Appropriately reports and records gross and subtle changes in patient's status.
• Under minimal supervision of the RN, functions as the primary nurse and gives the change of shift report to the oncoming shift.
• Recognizes and initiates appropriate response in emergent situations such as fire, disaster, bomb and/or hostage threats, cardiac and/or pulmonary arrests, and behavioral emergencies.
• Carries out emergency measures and initiating procedures for obtaining medical/other types of assistance. Initiates CPR and inserts an oral airway as needed.
• Completes pain evaluations, and on the basis of pre-formulated guidelines, either provides education, or refers for further evaluation.
• Adheres to asepsis and universal precautions requirements to provide a safe environment for patients, families, and employees. Sets up and cares for patients in isolation per infection control standards.
• Contributes to the interdisciplinary team in development, implementation and evaluation of the patient's treatment plan and promotes patient participation in achieving established goals by fostering self-reliance and independence. Documents as appropriate

Work Schedule: Varies, need to accept all schedules

Financial Disclosure Report: Not required

Travel Required

Not required

Supervisory status

No

Promotion Potential

6

• Job family (Series)

0620 Practical Nurse

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• Requirements

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Requirements

Conditions of Employment

• You must be a U.S. Citizen to apply for this job
• Designated and/or random drug testing may be required
• Selective Service Registration is required for males born after 12/31/1959
• You may be required to serve a probationary period
• Subject to a background/security investigation
• Must be proficient in written and spoken English
• Selected applicants will be required to complete an online onboarding process

Qualifications

Basic Requirements:

• U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Education or Training. Graduate of a school of practical or vocational nursing approved by the appropriate State Agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN); OR Received health care education/training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualified for full LPN/LVN licensure.
• 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. [NOTE: YOU MUST PROVIDE YOUR LICENSE NUMBER OR SUBMIT A COPY OF YOUR CURRENT LICENSURE WITH THE APPLICATION PACKAGE].
• English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).

Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates:

GS-3 Licensed Vocational Nurse:

• Experience and Education. None beyond the basic requirements.

GS-4 Licensed Vocational Nurse:

• A) Experience. Six (6) months of qualifying experience as an LPN or LVN.

OR

• B) Education. Graduation from an approved school of at least 24 months duration. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.]

OR

• C) Education and Experience. 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. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.]

GS-5 Licensed Vocational Nurse:

Experience. One (1) year of progressively responsible assignments and experience equivalent to the GS-04 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-04 LPN/LVN:

• 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.
• 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.

GS-6 Licensed Vocational Nurse:

Experience. One (1) year of progressively responsible assignments and experience equivalent to the GS-05 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the 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.
• 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.
• 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.
• 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.

Preferred Criteria:

• Current BLS provider card issued by American Heart Association (AHA) or Military Training Network (MTN).

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

References: VA Handbook 5005/3, Part II, Appendix G13 Licensed Practical or Vocational Nurse Qualifications Standard, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf

Physical Requirements:

• This position requires walking, standing, and sitting for long periods of time. Incumbent will be climbing stairs, lifting up to 50 pounds, use dexterity of the hand and wrist and arm strength to perform dispensing of medication orders.

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.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Keywords: Department of Veterans Affairs, Reno , Practical Nurse (Ltc), Other , Minden, Nevada