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Veterans Affairs, Veterans Health Administration Practical Nurse in Iowa City, Iowa

Summary

The Iowa City VA Health Care System is recruiting for one (1) full-time Licensed Practical Nurse for the Ambulatory Care Service Line. A recruitment incentive is authorized for this position.

Responsibilities

The Licensed Practical Nurse works under the direction of an RN and reports to the Clinical Manager. The LPN is responsible for observing, recording, and reporting concerns or changes in the patient's condition. The LPN may require a general review of work by the Clinical Manager or an RN for appropriateness and conformity with license, policies, and procedures. The LPN demonstrates active collaboration and communication with other members of the care team, including but not limited to: the patient, patient's family, pharmacy, laboratory, radiology, medical providers, RN's, respiratory therapists, administrative support, and other departments within the medical facility. Responsibilities include, but are not limited to: Reports directly to the Clinical Manager. Obtaining and recording vital signs Check expiration dates of medications and supplies prior to use Perform delegated procedures Timely & complete documentation Makes observations and thoroughly documents care and the patient's response. Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher level intervention. Promptly recognizes urgent or emergent patient care situations and seeks assistance from other team members as needed to provide optimal medical care. Provides education to patient and family based on the Veteran's goals. Demonstrates professional behavior and the ICARE values in all interactions with staff, Veterans, and visitors. Adheres to standards of practice and safe technique in preparation and administration of medications and vaccines in the clinic setting. Serves as an advocate and resource for the patient and family. Demonstrates understanding of age and population specific characteristics that may affect health care needs of the Veteran. Adheres to principles of infection control, safety, and universal precautions; also adheres to GEMS guidance for pharmaceutical and other waste. Follows policies and procedures related to safety, security and fire/disaster drills, and actual events. Maintains confidentiality of electronic, written, and or verbal patient information. Assists in the minor procedures (obtain supplies, assist with positioning of patient, ensure comfort, privacy, monitor patient response to treatment, etc.) Demonstrates ability and competence regarding utilization of specialty equipment in clinic setting. Recognizes and appropriately responds to the breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies promptly reporting to appropriate personnel for corrective action. Analyzes own workflow to determine potential problem areas and recommends corrective action to improve coordination between various departments. Incumbent possess knowledge of proper handling and pre-cleaning of reusable medical equipment. Assisting in the orientation and competency validation of students and peers. Maintains a work environment that honors diversity. Independently completes mandatory reviews/annual training as needed. Supports patient-driven care in a safe, efficient, and cost-effective manner using evidence-based principles. Promotes patient and personnel safety. Completes/participates in Readiness Rounds within the clinic(s). Assists with transporting patients to other departments. Float to assist other clinics/departments as needed, based on operational needs for Veteran care. Completes tasks or projects as assigned to promote improvement of care and clinic. Completes and maintains VA approved Basic Life Support (BLS) certification and Management of Disruptive Behavior Level 3. Completed work is under the general supervision of a RN or MD/DO. Individuals at this grade kevel 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. Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m.

Financial Disclosure Report: Not required

Requirements

Conditions of Employment

Qualifications

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. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. 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, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and 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.(3) 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation). Grade Determinations: GS-6 Completion of at least one year of additional qualifying experience at the GS-5 level or equivalent, which equips the candidate with the following: 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. AND Candidates must demonstrate the following GS-6 knowledge, skills, and abilities (KSAs): 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Please see the Required Documents section below for application requirements. References: VA Handbook 5005/3 Part II Appendix G13 Licensed Practical or Vocational Nurse Qualification Standard The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is GS-6. Physical Requirements: See VA Directive and Handbook 5019.

Education

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.

Additional Information

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.

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