Veterans Affairs, Veterans Health Administration Licensed Vocational Nurse (PACT) in Big Spring, Texas
The Licensed Vocational/Practical Nurse performs at a proficient level and has the knowledge and skills necessary for concentrated effort and self-direction in carrying out most complex practical nursing assignments. 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.
Performs and documents focused assessment and reports abnormal findings to the RN Team Leader Charge Nurse, and/or Nurse Manager.
As the Charge Nurse, the LVN/LPN, within their scope of practice, effectively assigns, manages and directs other LVN/LPNS and Nurses' Aides in the delivery of patient/resident care. The LVN/LPN demonstrates the ability to assign patients/residents care needs and the capability of the staff to meet those needs.
Demonstrates a basic 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.
The LVN/LPN demonstrates technique in performing, reporting, and recording assigned nursing care.
Adheres to standards of practice and safe technique in preparation and administration of medication.
Demonstrates proficiency in utilizing the Bar-Code Medication Administration (BCMA) system to administer medication to individual or a group of patients safely and efficiently.
Identifies urgent or emergent patient care situations, seeks assistance and intervenes as directed when directed when appropriate. Work Schedule: Monday through Friday, 8:00am-4:30pm
Financial Disclosure Report: Not required Preferred Experience: Care of adult population ages 20-90 yrs 1 year experience in clinic nursing, hospital or home health care Experience with computerized charting and phone skills Experience with women's health care Experience with disease management Lab draw and processing experience Physical Requirements: Moderate lifting (15-44 pounds); Moderate carrying (15-44 pounds); Reaching above shoulder; Use of fingers; Both hands required; Walking (2 hours); Standing (2 hours); Kneeling (1 hour); Repeated bending (1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Ability to distinguish basic colors; Hearing (aid permitted).
Conditions of Employment
Basic Requirements: United States Citizenship. 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: (1) 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. (2) VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, & for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; & for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. Licensure. Full, active, current & 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. Physical Standards. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken & written English as required by 38 U.S.C. 7402(d), & 7407(d). Grade Determinations: In addition to the basic requirements, the following qualification criteria must be met for each grade. 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 below:(a) 6 months of qualifying experience as an LPN or LVN; or(b) Graduation from an approved school & 1 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 & sterile techniques & procedures; or(c) Graduation from an approved school of at least 24 months duration.(d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, & to operate in accordance with all established policies, procedure, & techniques. GS-5. (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(b) Demonstrated knowledge & 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 & interact in an appropriate manner with patients, family members, professional & other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice.(d) Knowledge & skill sufficient to prepare, administer, & appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies & procedures. Observation & documentation will include patient's response to medication administered & the reporting of any noted change in patient's condition to RN or MD/DO.(e) Knowledge & ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO, & assist in resuscitation procedures in cardiac and/or pulmonary arrest.(f) Recognizes & appropriately responds to breakage/malfunction or loss of equipment, safety hazards, & supply deficiencies, promptly reporting to appropriate personnel for corrective action.(g) 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. (a) Completion of at 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 & completing assigned duties in providing care to variable patient populations.(c) Knowledge & 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 & treatments; and to accurately recognize, report & record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness & conformity with established policies/procedures.(d) Ability to observe, identify & respond to the patient's needs for care, including medication, equipment-assisted care & patient/family education. In organizing & delivering care, the LPN/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, & age-related factors.(e) Prepares & 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, & 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, & initiate appropriate emergency interventions as directed.(g) Knowledge & understanding of human behavior, patient motivations & reactions to situations, & ability to appropriately utilize this knowledge in working effectively with patients, family members, & other staff.(h) Establishes constructive relationships with individual patients & their families to elicit feelings & attitudes, and to promote positive relationships, communication & socialization skills. Fosters an environment of respect for individual patient & family rights to privacy & 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 & 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 & handling specialized instruments or other specialized equipment, & monitoring the patient's condition before, during, & following the procedure. Serves as a preceptor in orienting, educating, & 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 & skills, sharing new knowledge gained with other staff to improve & advance nursing practice. References: VA Handbook 5005 Part II Appendix G13 Licensed Practical or Vocational Nurse Qualification Standard dated April 10, 2003.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application. NOTE: If your school was accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time of graduation but is no longer listed on the State approving agency or the National League for Nursing Accrediting Commission website, you must provide documentation of accreditation with your application packet. 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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.