Licensed Practical Nurse - Specialty Medicine-...

Summary This is an internal job announcement. The Licensed Practical Nurse (LPN), GS-7 grade level performs complex nursing care for Veterans and serves as a leader, mentor, and preceptor within the Specialty Medicine Clinic setting as established by each VA Healthcare facility. The LPN possess comprehensive advanced practical nursing knowledge and skills in specialized procedures and practices, which includes prioritization and coordination of clinical activities. Responsibilities The Licensed Practical Nurse (LPN), GS-7 grade level performs complex nursing care for Veterans and serves as a leader, mentor, and preceptor within the Specialty Medicine Clinic setting as established by each VA Healthcare facility. The LPN possess comprehensive advanced practical nursing knowledge and skills in specialized procedures and practices, which includes prioritization and coordination of clinical activities. The LPN GS-7 work is of considerable difficulty and responsibility and is performed under general supervision of a Registered Nurse (RN) or Provider. The LPN is responsible for supporting the daily operations of clinic and possesses the knowledge and skills for ongoing support of Dermatology Clinic principles and role development of the LPN. The GS-7 incumbents are dependent upon the validation of competence to perform clinical procedures as required by the position and certification of such competencies either via education programs or on the job training. This position will be self-directed in planning, implementing, and evaluating tasks and programs assigned. The LPN is aligned under Specialty Medicine. Duties include but are not limited to: The GS-7 LPN/LVN can serve as a responsible member of the Specialty Medicine Dermatology department and are responsible for goals and interventions that promote veterans in attaining maximum functional potential. Demonstrates integration of concepts, cognitive skills, and technically competent practice in providing care to patients with basic or complex needs. The Licensed Practical Nurse (LPN) works in the Dermatology Clinic. The LPN is responsible for observing, recording, reporting, changes in the patient's condition, as well as providing input into revision of plan and care based upon data collected and identified patient/family needs. The LPN requires a general review of their work by the Specialty Nurse Manager for appropriateness and conformity with license, policies, and procedures. The LPN demonstrates active collaboration and communication with clinic staff, the patient's family/care giver, internal and community-based services and disciplines involved in providing care to patients. Assists other staff in order to prioritize the overall veteran care needs and adjusts the plan of care as needed. Has astute ability to gather data, which allow for observation of obvious and subtle changes in the veteran health condition. Responds diligently to the veteran changes and deteriorating condition in emergent situations, notifying appropriate healthcare personnel in a timely manner. Performs Mohs histotechnology work that includes receiving, assigning accession numbers and logging tissues; Scores tissue to allow epidermal edges to lay flat; Dyes tissue with markings to correlate with map and assures each tissue has three points of orientation; Performs tissue freezing that produces a stable and readable slide; Stains tissue with Hematoxylin and Eosin stain; Reviews slides microscopically before calling the surgeon, looks for complete epidermal edge, proper orientation and map correlation. Demonstrate knowledge of CLIA requirements (temperature charting, quality assurance for staining and reagents, quality assurance of microscope and all equipment) Maintains supplies for Mohs tissue preparation. Performs EKG testing for Dermatology patients. Work Schedule: Compressed tour nine-hour shifts. Compressed/Flexible: Authorized Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 92300A, CBSR-JD/Licensed Practical Nurse - Specialty Medicine-Dermatology GS7. Relocation/Recruitment Incentives: Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/30/2024. Basic Requirements: Citizenship: Citizen of the United States. Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN), previously known as the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Verification can be obtained from the State approving agency or the Accreditation Commission for Education in Nursing (ACEN), previously known as the National League for Nursing Accrediting Commission (NLNAC), 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the ACEN Website. 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. Grade Determinations: In addition to the basic requirements (Handbook 5005, part II, Appendix G13) for employment, the following criteria must be met. GS-07 The GS-7 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment. (a) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all of the performance requirements for the GS-6 LPN/LVN. (b) Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans. (c) Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations. (d) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels. (e) Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate. (f) Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. This includes the ability to effectively deal with the above types of patients under very general supervision. (g) Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice. (h) Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas. (i) Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff. (j) Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. (k) Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice. Reference: VA Handbook 5005, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires the nurse to read printed material and distinguish colors, such as reading doctor's orders and visualizing the hue of a patient's skin, wounds, etc., and conduct visual inspections during patient assessment, including the ability to accurately perceive depth so as to move around workspace safely and to appropriately make contact with Veterans. Education Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. The full performance level of this vacancy is GS-07. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. PLEASE NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: Additional Information Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted. Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. "VA Healthcare System Serving Ohio, Indiana and Michigan (VISN 10) advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being." Veterans preference does not apply to this job announcement per the OCHCO Bulletin: Annual Determination of Staffing Shortages HRML This is a non-smoking medical center.

Created: 2024-10-27