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Licensed Practical Nurse

Society of Gastroenterology Nurses and Associates, Inc., Cody, WY, United States


Summary
Location for this position is at the CODY - WY CBOC. Licensed Practical Nurses (LPN) are technically proficient in initiating - performing - and completing a broad range of practical nursing care assignments to acutely and chronically ill patients with medical and psychiatric illnesses that usually change within a predicable range within the Sheridan VAHCS.

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

GS-04 Experience/Education: 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-5 Experience: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent

Demonstrated Knowledge - Skills and Abilities: In addition to the experience or education above - the candidate must demonstrate the following KSAs: 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 - NP - and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs)/Intermediate Care Technicians (ICTs) 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 - NP - 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 - NP - 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 - NP - 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 Experience: 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

Demonstrated Knowledge - Skills and Abilities: In addition to the experience or education above - the candidate must demonstrate the following KSAs: 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) - Nurse Practitioner (NP) - 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 - NP - or MD/DO

Knowledge and ability to recognize urgent or emergent patient care situations - seek assistance of the RN - NP - 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/ICTs 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 5005/3 PART II APPENDIX G13

Duties

Total Rewards of a Allied Health Professional Clinical Responsibilities may include but are not limited to: Accurately collects - reports - and records appropriate patient care data to contribute to the nursing assessment

Serves as a member of the interdisciplinary team

understands patients' biopsychosocial needs for the purpose of providing care and input to treatment plans

Identifies and reports signs and symptoms of deviation from normal health status and changes in patient condition

Is able to identify potential suicide risks in patients and reports to RN or provider

Prepares and administers prescribed medications in accordance with established policy and procedure and observes - reports - and documents patients' response to medications

Establishes effective and therapeutic relations with and proves nursing care to acute and chronically ill patients with both medical and mental health conditions

Recognizes expected outcomes of interventions and reports - records - and exchanges information with members of the treatment team

Reinforces and reiterates instructions previously presented by a Registered Nurse or providers

Promotes environmental safety - security - and patient confidentiality

Recognizes and reports unsafe equipment or situations and follows policy and procedure to assure personal and patient safety during patient care activities

Maintains therapeutic interpersonal relationships with patients and co-workers

Participate in and adapt to an ever- changing health care environment

Conducts reassessments and inspections according to policy - such as skin - pain fall and PRN - without waiting for RN to direct

Performs procedures in the outpatient clinic setting within the scope of practice of a LPN such as simple spirometry - home oxygen certification - and vaccine administration

May perform phlebotomy functions if appropriately qualified to do so

Serves as a resource for lower grade LPNs

Administrative Responsibilities Enters specific information into the patient's electronic record using appropriate formats - medical terminology - and templates

This information must be entered in a complete - confidential - and professional manner to ensure information on the patient is shared with other VA staff

This information is to be reviewed on a regular basis

Establishes and maintains positive working relationships with employees - volunteers - consumers and stakeholders within the VA and outside community agencies

Attendance of all appropriate staff meetings (interdisciplinary treatment team meetings - other committees as appropriate - etc.) is necessary

Identifies process and quality improvement opportunities and contributes to changes in processes through data collection

Additional duties may be required to be performed - as needed

Schedule: This position potentially requires flexibility in schedule and assignments as this is a 24/7 medical center

Some positions require rotation of tours or indefinite work on non-administrative tours as established by the immediate supervisor

Incumbent may be asked to travel to cover in other areas or clinics and must possess and maintain a valid state issued drivers license

Self-motivated in the pursuit of meeting professional work standards

Work Schedule: Monday-Friday - 8:00am-4:30pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases

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 #: 59887-A - 59888-A - 59889-A - 59890-A

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