Licensed Practical Nurse
Society of Gastroenterology Nurses and Associates, Inc., Spokane, WA, United States
Summary
The Patient Aligned Care Team (PACT) LPN is responsible for observing - recording and reporting changes in the patient's condition - as well as assisting in the development and revision of the patient-driven holistic care plan for life.
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: 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)
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 Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
OR Individuals granted a license by a jurisdiction that does not require graduation from an approved school
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
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: 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
GS-05: Completion of at least one year of qualifying experience at the GS-4 level or equivalent - and 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 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-06: Completion of at least one year of qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN/LVN - and 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) or physician (MD/DO) for appropriateness and conformity with established policies/procedures
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 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
QUALIFICATIONS CONTINUED IN EDUCATION SECTION BELOW:
Duties
VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Duties include but are not limited to: Ongoing - continuous care of one or more assigned panel(s) of Veterans
Administering medications - immunizations and nursing procedures per established policies and guidelines
Utilizing all available tools - such as registries - to enable effective and efficient identification and intervention of individual patients and cohorts
Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel
Functioning at the full extent of the team member's relevant clinical privileges - credentials - scopes of practice - elements of practice - certification - functional statement - position description - or other VHA or local facility approved documentation of competency
Participating in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients
Implementing primary care operations management processes - as appropriate
Managing communications and facilitating safe transitions of patients between the PACT's site of care and other health care settings - using informal and formal communication methods - as appropriate
Providing health education and health coaching on wellness - disease prevention - chronic care management - and self-management skills to patients and personal support persons - commensurate with the documented expertise or professional training of the PACT member
Engaging patients in using health care - encouraging patients to engage personal support persons - receiving input from patients and personal support persons regarding VA care
Using formal and informal communications that are respectful - effective - timely - and bidirectional with all team members (including the patient and personal support persons) to convey significant - clinically relevant information for the care of the patient
Collaborating with informatics technology staff to develop and implement systematized - electronically supported - standardized - tools to support PACT care delivery processes (e.g. - post-hospitalization follow-up calls - new patient orientation - registries and primary care protocols for chronic disease management)
Providing evaluation and care consistent with licensure - certification - and functional statement with elements of practice - to patients assigned PACTs
Collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels
Managing clinic workflow
Ensuring patients are placed in examination rooms in a timely manner and providing direction to patients as they move through the clinic environment
Work Schedule: Monday-Friday 8:00am-4:30pm Compressed/Flexible: Compressed tours may be authorized
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 or remote position
Functional Statement #: 000000 Permanent Change of Station (PCS): Not authorized
#J-18808-Ljbffr
The Patient Aligned Care Team (PACT) LPN is responsible for observing - recording and reporting changes in the patient's condition - as well as assisting in the development and revision of the patient-driven holistic care plan for life.
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: 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)
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 Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
OR Individuals granted a license by a jurisdiction that does not require graduation from an approved school
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
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: 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
GS-05: Completion of at least one year of qualifying experience at the GS-4 level or equivalent - and 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 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-06: Completion of at least one year of qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN/LVN - and 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) or physician (MD/DO) for appropriateness and conformity with established policies/procedures
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 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
QUALIFICATIONS CONTINUED IN EDUCATION SECTION BELOW:
Duties
VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Duties include but are not limited to: Ongoing - continuous care of one or more assigned panel(s) of Veterans
Administering medications - immunizations and nursing procedures per established policies and guidelines
Utilizing all available tools - such as registries - to enable effective and efficient identification and intervention of individual patients and cohorts
Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel
Functioning at the full extent of the team member's relevant clinical privileges - credentials - scopes of practice - elements of practice - certification - functional statement - position description - or other VHA or local facility approved documentation of competency
Participating in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients
Implementing primary care operations management processes - as appropriate
Managing communications and facilitating safe transitions of patients between the PACT's site of care and other health care settings - using informal and formal communication methods - as appropriate
Providing health education and health coaching on wellness - disease prevention - chronic care management - and self-management skills to patients and personal support persons - commensurate with the documented expertise or professional training of the PACT member
Engaging patients in using health care - encouraging patients to engage personal support persons - receiving input from patients and personal support persons regarding VA care
Using formal and informal communications that are respectful - effective - timely - and bidirectional with all team members (including the patient and personal support persons) to convey significant - clinically relevant information for the care of the patient
Collaborating with informatics technology staff to develop and implement systematized - electronically supported - standardized - tools to support PACT care delivery processes (e.g. - post-hospitalization follow-up calls - new patient orientation - registries and primary care protocols for chronic disease management)
Providing evaluation and care consistent with licensure - certification - and functional statement with elements of practice - to patients assigned PACTs
Collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels
Managing clinic workflow
Ensuring patients are placed in examination rooms in a timely manner and providing direction to patients as they move through the clinic environment
Work Schedule: Monday-Friday 8:00am-4:30pm Compressed/Flexible: Compressed tours may be authorized
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 or remote position
Functional Statement #: 000000 Permanent Change of Station (PCS): Not authorized
#J-18808-Ljbffr