Veterans Affairs, Veterans Health Administration Licensed Practical Nurse in Fort Meade, South Dakota
The Licensed Practical Nurse is located at the Fort Meade Community Living Center. The incumbent within this organization functions as a nursing team member under the direction and guidance of the Registered Nurse (RN) or Provider. He/she is responsible for delivering safe physical and emotional care to Veterans, in a variety of settings, while enhancing technical skills and nursing knowledge.
Major duties include, but are not limited to: Patient Care/Training/Education Uses sound clinical judgment, has ability to vary the order and sequence of assignments based on patients' conditions. Utilizes knowledge of physical, social, and emotional factors when planning patient care, and uses this knowledge effectively in day-to-day interactions with patients and families. Recognizes deviations from patient's baseline. Demonstrates ability to respond to patient's immediate and long-term needs. Prepares and administers medications correctly and understands the action and side effects of all medications administered. 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. Performs complex treatments and procedures with exceptional skill and knowledge, to include venipuncture as defined in policy. Applies knowledge of Medical Center Policies and Procedures to his/her daily clinical functions and responsibilities. Age differences -delivers nursing care that reflects the various phases of the life cycle from 18 to 85 years and over. Distinguishes individual age need differences, considers maturation changes, promotes health in all phases, differentiates the need for special equipment, and considers the young adults and older adults' exposure to substance abuse problems. Participates in Interdisciplinary Team meetings to develop the patients' care plan goals. Documents patient's responses to interdisciplinary plans for, group care, group therapy, patient teaching and planned activities. Performs escort duties based upon the care needs of the veteran. Assists in the performance of diagnostic procedures and treatments. After competency, may administer standard Intravenous solution via PICC line as defined in policy. After competency, may perform central line dressing changes as defined in policy. After competency, may perform heparin or saline flushes in peripheral lines and PICC lines as defined in policy. Patient Safety Applies knowledge of effective verbal interactions and preventative tactics, such as the use of the least restrictive environment, when confronted by aggressive or potentially assaultive patients. Knowledge of physical, social, and emotional factors when planning patient care, and uses this knowledge appropriately to respond to Code Blue emergencies. Recognizes and initiates life saving measures appropriately in the absence of other members of the Healthcare Team. Participates in the planning and/or implementation of various codes and emergency management procedures. Uses safe techniques when giving patient care and handling equipment, using standard precautions and personal/patient protective equipment. Recognizes and reports unsafe situations. Initiates appropriate emergency interventions. Assesses acute and subtle changes and consistency in patients' mental and physical condition and intervenes appropriately. Adjusts assignments or prioritizes care based on his/her assessment of the overall workload of the team assignment and patient care needs Recognizes and reports signs of physical and emotional abuse of patient, family and significant others. Stewardship Conducts group meetings to help patients share feelings, improve socialization skills and enhance their self-esteem. Applies knowledge of human behavior and the various degrees of physical and mental impairment, is able to modify patient/family teaching methods. Assists the professional nurse in planning and implementation of patient educational or recreational activities. Motivates patients to participate in learning and recreational activities to improve their quality of life. Customer Service Recognizes patient care management difficulties or problems and makes suggestions for change. Communicates with patients and families in a calming, reassuring, and supportive manner. Assesses the need for and provides emotional support to the dying patient and family. Observes patient while on the unit and more frequently as directed in accordance with facility policies. Maintains courtesy during telephone and direct verbal interactions with patients, families, and visitors. Environmental Safety Compliance Maintains a safe work environment and adheres to Safety and Infection Control Guidelines. Utilizes proper body mechanics, encourages others to do so, and includes information regarding prevention of injury during unit In-service and Patient Care Conferences. Responds promptly and effectively to Fire and Disaster Drills and alarms, actively assisting others as needed. Preferred Experience: Prefer Hospice, rehab, and geriatric experience Work Schedule: Rotating shifts to include evenings, nights, holidays, and weekends. 8 and 12 hour shifts available. Financial Disclosure Report: Not required
Conditions of Employment
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. 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; 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. 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). Grade Determinations: GS-3:
None beyond the basic requirements. GS-4:
(a) Six months of qualifying experience as an LPN or LVN; OR (b) 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 (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. 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. (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. (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 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, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard. The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: This position requires visual acuity (Correctable to 20/40), hearing clear distinctive speech (correctable to 20db), and manual dexterity to perform prescribed procedures/computer usage. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required.
IMPORTANT: A transcript must be submitted with your application. 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.
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. 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.