This is an Open Continuous Announcement (OCA) that will be used to fill multiple multiple Practical Nurse vacancies at the Batavia Location of the Western New York VA Healthcare System. We will also utilize this OCA to accept applications in anticipation of future vacancies. Extended announcements provide us a readily available source of applicants when vacancies do occur and are approved. If a vacancy does not occur, no further notification concerning the announcement will be provided. This is an open continuous announcement until December 30, 2022. Qualified applicants will be considered and referred as vacancies become available. 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. 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. 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. 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). American Heart Association BLS certification required. Grade Determinations: GS-3: None beyond the Basic Requirements. GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below:(a) 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. (a)Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(b) 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.(c) 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.(d) 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.(e) 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.(f) 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. (a) 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.(b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.(c) 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.(d) 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.(e) 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.(f) 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.(g) 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.(h) 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.(i) 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.(j) 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, Appendix G-13. 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. Physical Requirements: This position requires visual acuity, keen· hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders ["The Licensed Practical Nurse (LPN) works under the direction and supervision of the registered nurse and displays knowledge and ability in providing a full range of practical nursing care to patients with a variety of physical and/or behavioral problems at the Batavia VAMC. The LPN serves as a responsible member of the nursing team and interacts with patients, family members, professional and supportive personnel who provide patient care, and with members of other services. The LPN functions as a member of the interdisciplinary team, participates in providing holistic care to patients in acute, sub-acute or chronic stages of illness with changing nursing needs that are predictable and require periodic assessment by the registered nurse. The incumbent carries out all functions and duties outlined for the practical nurse, but on a regular and recurring basis performs aspects of nursing care that require a basic understanding of the total patient program, understanding of simple scientific facts and principles, a broad spectrum of technical skills, adaptation of procedures to meet individual patient needs, and recognition of the relatedness of patients' behavior and physical condition. Duties Include However Are Not Limited to The Following: Maintaining positive patient/family/staff relationships by utilizing appropriate communication skills. Assisting in the collection and documentation of objective and subjective data relative to more complex patient situations. Participating in patient centered conferences/shift reports, and contributing information for the development and review of nursing's plan of care. (Collaborating with the Registered Nurse in developing, selecting the appropriate sequence of procedures and implementing a plan of care individualized to carry out the nursing needs of the patient) Maintaining a clean, safe and therapeutic environment and reporting potential and actual hazards to the registered nurse. Adhering to all safety and health standards, regulations, and work practices. Assisting with routine diagnostic measures, such as lumbar puncture, preparation for radiological or operative procedure, etc. Recognizing emergent situations and initiating appropriate intervention. Initiates CPR when indicated and maintains BLS certification. Providing a full range of practical nursing care as appropriate to area of assignment. Assisting with monitoring prescribed therapies (e.g. oxygen therapy), and implementation of the treatment program Administering selected medications, including psychotropic drugs, seeking clarification of orders as necessary. Identifying the need for PRN medications and recognizing, reporting and documenting effects of medications. Documenting administration of all medications in the Medical Record following established policies. Documenting the response to prn medications in the Medical Record according to policy and procedure. Assisting in orienting patients/family/staff to unit routines and pertinent VAWNYHS and Network 2 policies. Completes all mandatory requirements and appropriate competencies before the due date for the areas in which they are assigned. All other duties as assigned. Work Schedule: Various shifts available based on department. Will be discussed in detail during interview.\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Practical Nurse/PD000000, PD23918A, and PD000000\nRelocation/Recruitment Incentives: Not authorized\nPermanent Change of Station (PCS): 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.