Vocational Nurse - Surgical Specialty Clinics
Society of Gastroenterology Nurses and Associates, Inc., Oceanside, CA, United States
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.
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
(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
(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 cardiac 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
urse 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
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
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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.
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
(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
(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 cardiac 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
urse 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
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
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