The LPN/LVN serves as a one of the core members of the Patient Aligned Care Team (PACT) To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/30/2022. 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. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Handbook 5005, part II, chapter 3, section A. 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. 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 VA employment. Licensure: Full, active, 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 in section A, 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-3 None beyond the basic requirements. GS-4 Six months of qualifying experience as an LPN or LVN; or 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; or Graduation from an approved school of at least 24 months duration. GS-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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-6 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. 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 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. 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. References: VA Handbook 5005/27, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 10, 2003. Physical Standards: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of walking, standing, computer use and or sitting. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities with short notice based on needs. The full performance level of this vacancy is GS-6. The grade at which the selected applicant may be selected is anywhere within the posted salary range, depending on individual qualifications. ["The Primary Care LPN works in an ambulatory care setting and serves as a one of the core members of the Patient Aligned Care Team (PACT). The incumbent works in collaboration with the Primary Care Provider (PCP), Care Manager Registered Nurse (RN) and the Medical Support Assistant (MSA). Together, with the patient and their caregiver support system, they work to manage the care of a panel of adult patients across the continuum. The incumbent possesses the necessary skills and knowledge to care for patients utilizing novice or basic knowledge of practical nursing skills and procedures, and functions as a member of the PACT by participating in planning, implementation and evaluation of nursing care using a focused assessment. She/he competently cares for the adult patient with a variety of physical, behavioral and/or social problems, administers medications via all routes, except intravenous, and carries out basic treatments as ordered, monitors patients' response to medication and treatments, reports changes and documents. The incumbent recognizes changes in patient's conditions and reports changes to either the RN or PCP; participates in providing or reinforcing patient education to both patient and their family in relation to health and wellness promotion, chronic disease prevention or management, medications and treatments, procedures, equipment and devices or any education deemed necessary and documents the effectiveness of the education. She/he performs escort and sitter duties based upon the care needs of the Veteran and must have functional knowledge of Reusable Medical Equipment (RME) as well as which reusable instruments, equipment, medical devices, or supplies are used (inventory) in the ambulatory setting. The incumbent's primary responsibility will be daily management of the PCP's scheduled appointments which is accomplished through assisting the PCP with preventative care and/or chronic disease management by obtaining vital signs, offering patient education, completing screening questions for a variety of preventative and/or chronic disease measures, managing immunizations, injections and all other ordered medications, and assisting with exams/procedures (pelvic exams, joint injection, wound care, Teleretinal, Telederm, EKG's, Phlebotomy, bladder scans). The incumbent's other responsibilities include but are not limited to the following: Assisting the PACT team or other Interdisciplinary team members with panel management such as follow-up of lab and test results, patient education and care coordination, and being an active participant in the planning, implementation, and evaluation of care. Participating in daily Huddles and team meetings with PACT team members. Demonstrating, through interactions, the ability to communicate effectively and professionally with both internal and external customers. Maintaining knowledge of and properly initiating nurse protocols and Standard Operating Procedures (SOPs) to help deliver holistic care; conferring with LPN Team Leader (TL), Care Manager, PCP, or appropriate person to deliver care when needed. Using motivational interviewing and health coaching to guide patients in achieving goals of health promotion and disease prevention. Participating in telephone work and viewing alerts by; completing phone prevention up to 48 hours before scheduled appointment, completing reminder calls and follow-up calls as delegated by the RN or PCP, assisting with completion of Secure Messaging, completing view alerts assigned within 48 hours, providing New Patient Orientation when encountering new patients. Checking daily quality control checks on testing and other equipment/supplies and restocking as needed. Informing the Charge Nurse (CN), LPN Team Leader or Nursing Leadership of broken equipment needing repair. Providing Patient Home monitoring equipment teaching as delegated by Provider or RN Care Manager. Recognizing and appropriately responding to breakage/malfunction or loss of equipment, safety hazards or supply deficiencies and reporting to appropriate personnel for corrective action. All other duties and responsibilities as assigned by RN or Nurse Manager on duty. This is a Bargaining Unit position.\nWork Schedule: Daylight tours some evenings or weekends may be required\nTelework: Not Available.\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not authorized.\nPermanent Change of Station (PCS): Not Authorized\nPCS Appraised Value Offer (AVO): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.