Practical Nurse- Primary Care
Company: Veterans Affairs, Veterans Health Administration
Location: Bellevue
Posted on: August 5, 2022
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Job Description:
Summary This position is eligible for the Education Debt
Reduction Program (EDRP), a student loan payment reimbursement
program. You must meet specific individual eligibility requirements
in accordance with VHA policy and submit your EDRP application
within four months of appointment. Approval, award amount (up to
$200,000) and eligibility period (one to five years) are determined
by the VHA Education Loan Repayment Services program office after
complete review of the EDRP application. Learn more
Responsibilities Demonstrates knowledge and skills to perform
non-standard and specialized practical nursing activities.
Demonstrates a high level of ability to vary order and sequence of
assigned procedures and interventions based on patients'
conditions. Uses judgment in selecting the most appropriate
application of procedures and guidelines. Accurately reports and
records significant patient assessment and teach reflecting
progress toward identified nursing goals. Demonstrates ability to
observe, identify and respond to the patient's needs for nursing,
medication and equipment-assisted care; and to recognize deviations
from normal. Takes initiative in identifying the need to modify
patient care plans and considers physical, emotional and social
factors. Demonstrates knowledge, skill and ability to recognize and
respond appropriately to emergency situations. Performs support
duties for diagnostic procedures including preparing the patient,
assisting in the diagnostic examination and monitoring the
patient's condition. Administers medications in accordance with VA
NWIHCS Policy and Procedures. Has increased knowledge of untoward
effects and desired effects of drugs administered; monitors
patients accordingly. Sets up and assists in the operation of
special equipment. Orients staff and patients in the use of this
equipment. Shares responsibility for ensuring that medical
equipment is functional and safe; reports any evidence of
malfunctioning. Assists in the coordination of patient care
activities with other departments/services. Monitors and adds IV
solution in accordance with State Nurse Practice Act. Work
Schedule: Monday- Friday, Daytime hours Virtual: This is not a
virtual position. EDRP Authorized: Contact VHAVISN23edrp@va.gov,
the EDRP Coordinator for questions/assistance Financial Disclosure
Report: Not required 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).
Participation in the Coronavirus Disease 2019 (COVID-19)
vaccination program is a requirement for all Veterans Health
Administration Health Care Personnel (HCP) - See "Additional
Information" below for details. 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. 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. Physical
Standards: See VA Directive and Handbook 5019. 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 and meet the criteria). Grade Determinations: GS-03:
None beyond the basic requirements. LPNs at this grade level are
expected to perform all duties within the scope of their license
(e.g., medication administration); however, completed work may
require routine or detailed higher level review depending upon the
complexity of the duties involved. GS-04: (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-05: (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-06: (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 5005/3, 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. Education IMPORTANT: A transcript must be
submitted with your application if you are basing all or part of
your qualifications on education. 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 As a VA employee, you will enjoy a truly
rewarding career, comprehensive benefits, competitive pay and other
generous perks to help build a fuller, more balanced life for you
and your family. Strong starting salary, career growth, and
recognition VA Special Rates - providing regular performance-based
increases and potential accelerated increases for outstanding
performance Premium Pay - including overtime, Saturday, Sunday,
holiday, on-call and night work Eligible to receive Callback
Overtime Incentive Awards - including Superior Performance Awards,
Special Contribution Awards, VA Honor Awards, and Non-Monetary
Recognition. 4 hours of annual leave (Vacation Time) accrual for
full-time employees for each full biweekly pay period. 4 hours of
Sick leave accrual per full biweekly pay period. 12 Weeks of Paid
Parental Leave Organ Donor Leave Military Leave Disabled Veteran
Leave Health Insurance - pre-taxed premiums and a variety of plans
to choose from, ranging from traditional HMO/PPO plans with low
co-pays, to High- Deductible plans. Single, spouse and family plans
available. Dental Insurance Vision Insurance Thrift Savings Plan
(TSP) -Tax deferred retirement savings account that is similar to
private sector 401(k). You may be eligible for an automatic 1%
agency contribution, plus a 4% matching agency contribution.
Flexible Spending Accounts - medical & dependent care Life
Insurance - with available additions for family coverage Long Term
Care Insurance Leave Sharing Program Holidays - 11 paid Federal
holidays each year Child Care Subsidies Employee Assistance Program
Wellness and Physical Fitness Programs Transit Subsidies Continuing
Education Opportunities 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. Selected applicants may
qualify for credit toward annual leave accrual, based on prior work
experience or military service experience. 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
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. 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. If you are unable to apply online or need to
fax a document you do not have in electronic form, view the
following link for information regarding an Alternate
Application.
Keywords: Veterans Affairs, Veterans Health Administration, Bellevue , Practical Nurse- Primary Care, Healthcare , Bellevue, Nebraska
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