Licensed Practical Nurse - Raleigh PACT
The clinic is staffed by providers (attending physicians, mid-level providers), registered nurses, licensed practical nurses, pharmacists, social workers and medical support assistants. The clinic is staffed by providers (attending physicians, mid-level providers), registered nurses, licensed practical nurses, pharmacists, social workers and medical support assistants. The LPN has an encounter with patients on each visit for screening, education and referrals. Using protocols, nursing staff can order tests, lab work, enter consult requests and administer immunizations. PT-INR Clinic; a Pharmacy based clinic is available to provide care and monitoring for stable patients receiving anti-coagulation therapy. Medication management is provided by the clinical Pharmacist. Nurse visits provide care for patient issues not requiring a provider appointment, for example such as blood pressure checks, blood sugar monitoring, medication administration, immunizations, ear irrigations and education related to disease/self-management and equipment The LPN will work under the direction of the RN and report to the Ambulatory Care Nurse Manager. He or she will perform, report and record assigned nursing care in the Primary Care Clinics, including, but not limited to:
Assisting with minor procedures, including obtaining and arranging necessary equipment, positioning patients, ensuring comfort and privacy - monitoring patient during the procedure Provision of direct nursing care to patients with an emphasis on patient teaching, care coordination and interventions such EKGs and phlebotomy Documentation of care activities Perform procedures, treatments and delegated tasks Medication administration and oxygen therapy Clinical reminders with appropriate consults and alerts as indicated Cleaning and reprocessing of reusable medical equipment Work Schedule:
Monday-Friday, 8 hour tours between the hours of 7:
00am-6:
00pm, with occasional Saturdays Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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) Preferred
Experience:
A minimum of two years successful clinical practice. One year recent experience in the outpatient primary care/internal medicine setting. Demonstrated ability to be self directed and require minimal supervision Demonstrated ability to work well with patients/families and with other health care professionals. Demonstrated experience in providing patient education and health coaching Demonstrated ability to use computer systems in support of patient care delivery Documented evidence of interdisciplinary collaboration, team work, and excellent interpersonal skills Documented evidence of providing consistent excellent customer service Computer skills and typing proficiency sufficient to permit real-time documentation of patient encounters Grade Determinations:
To Qualify at the GS-6 level:
Experience. (A.)Completion of at least one (1) year of qualifying experience at the GS-05 level or equivalent and fully meeting all performance requirements for the GS-05 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. The full performance level of this vacancy is GS-6. . References:
VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard.GS-6. Physical Requirements:
Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling; Pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking; Standing; Repeated bending; Climbing, Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16; Far vision correctable in one eye to 20/20 in one eye and 20/40 in the other.
Estimated Salary: $20 to $28 per hour based on qualifications.
Assisting with minor procedures, including obtaining and arranging necessary equipment, positioning patients, ensuring comfort and privacy - monitoring patient during the procedure Provision of direct nursing care to patients with an emphasis on patient teaching, care coordination and interventions such EKGs and phlebotomy Documentation of care activities Perform procedures, treatments and delegated tasks Medication administration and oxygen therapy Clinical reminders with appropriate consults and alerts as indicated Cleaning and reprocessing of reusable medical equipment Work Schedule:
Monday-Friday, 8 hour tours between the hours of 7:
00am-6:
00pm, with occasional Saturdays Financial Disclosure Report:
Not required Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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) Preferred
Experience:
A minimum of two years successful clinical practice. One year recent experience in the outpatient primary care/internal medicine setting. Demonstrated ability to be self directed and require minimal supervision Demonstrated ability to work well with patients/families and with other health care professionals. Demonstrated experience in providing patient education and health coaching Demonstrated ability to use computer systems in support of patient care delivery Documented evidence of interdisciplinary collaboration, team work, and excellent interpersonal skills Documented evidence of providing consistent excellent customer service Computer skills and typing proficiency sufficient to permit real-time documentation of patient encounters Grade Determinations:
To Qualify at the GS-6 level:
Experience. (A.)Completion of at least one (1) year of qualifying experience at the GS-05 level or equivalent and fully meeting all performance requirements for the GS-05 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. The full performance level of this vacancy is GS-6. . References:
VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard.GS-6. Physical Requirements:
Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling; Pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking; Standing; Repeated bending; Climbing, Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16; Far vision correctable in one eye to 20/20 in one eye and 20/40 in the other.
- Department:
0620 Practical Nurse - Salary Range:
$44,757 to $58,432 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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