Licensed Practical Nurse - Mountain City
The LPN will:
Ensure proper identification of patient/resident per policy before administering care. Assist co-workers willingly without having to be asked, and present an attitude that promotes unified teamwork. Function in collaboration with the registered nurse in identifying needs of patients and carrying out assignments. Demonstrate keen observation skills with accurate reporting and recording of significant changes in patients' conditions and actions taken. Assist the RN with admission of a patient. Function as one-to-one nurse in Primary Care under the direct supervision of the NM/designee. Recognize and communicate with NM/team leader and/or designee the need for additional instructions for self and those under their direct supervision. Assist in data gathering for patient education needs, suture removal wound care/dressing, wound cultures, diagnostic skin testing and Unna boot application. Demonstrate the ability to utilize the computer independently, for obtaining patient information and maintaining accurate input of data. Treatment/exam room maintenance (infection control, supplies stocked, equipment operational). Assist with gynecological procedures as indicated. Practice safety precautions according to written procedure in performance of duties when working with patients and patient's personal care devices, medication administration and unit equipment. Perform duties in a safe manner to prevent patient/resident/employee accident/injury. Safely operate equipment such as specialized beds, prosthetic devices and suction machines. Implement proper body mechanics when utilizing mechanical lifting devices and other transfer aids that assist in lifting and moving patient/residents, while preventing injury to self and others. Utilize principles of infection control, cleanliness and hand washing to assure a safe, clean environment to prevent cross infections. Be knowledgeable and correctly utilizes the RACEE (Rescue, Alert, Confine, Extinguish, Evacuate) procedure during fire drills and emergency situations. Being able to correctly verbalize the steps within the RACEE procedure is the employee's responsibility. Document medications administered, care and treatments provided and patient/resident's response to therapy in the clinical record as ordered, vital signs, weights, and finger sticks for glucose monitoring, intake and output an pulse oximetry to include documentation of oxygen flow rate/room air and route. Recognize and report acute changes in patient conditions to the provider and documents observations appropriately. Maintain good rapport with patient/residents, families, volunteers, visitors, and co-workers. Accurately document measurements such as vital signs, weights, and finger sticks for glucose when ordered. Provide for patients' physical and psychosocial needs, including emotional support to patient/residents and families. Assist with diagnostic procedures such as physical exams, ensuring the use of sterile technique when appropriate. Collect and properly label specimens for laboratory study such as urine, sputum, and stool. Prepare, administer, and document administration of medications -- oral, intramuscular injections (IM), subcutaneous injections (SQ). Recognize life-threatening conditions and initiate life-saving measures such as cardiopulmonary resuscitation or first aid for choking victim and responds in a timely, appropriate and effective manner. Encourage reality orientation in confused, disoriented patients. Performs peripheral venous blood sampling for the purpose of laboratory tests, when laboratory support is unavailable. Provide observation as ordered per policy. Perform bladder scans as ordered. Prepare patient for and obtain 12 lead EKG's per training and facility procedure guidelines. Reinforce instructions and patient teaching according to patient care needs. Reinforce instructions and patient teaching according to patient care needs. Assist patients who have impaired mobility and are at risk of falling, by implementing all safety interventions per policy. Process patients upon arrival to clinic and document appropriately in the progress note. Follow established guidelines for ordering lab, x-rays, EKG as determined by attending provider for specific clinics. Communicate significant and appropriate information regarding patient's condition to RN and/or provider for further action and care out orders per policy. Assures completion of assignment according to policy, procedure and plan of care, and seeks other assignments as time permits. Consistently engages in activities that support the mission, values, and strategic initiatives of James H. Quillen VA Medical Center. Work Schedule:
Monday-Friday, 7:
45A-430P (May be required to work some evenings/May be required to work some weekends) Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, December 8, 2020. 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. Licensure. Current, full, active, and unrestricted license to as a graduate licensed practical or vocational nurse in any State. English Language Proficiency. Nurses appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 USC 4105, 4114(f) and 5010(b). Preferred
Experience:
1. Demonstrated interpersonal competence. 2. Dependability. 3. Experience in a variety of clinical settings. 4. Knowledge and ability to participate actively in teaching the patient/family/significant other. 5. Ability to function in outpatient clinics with minimal supervision. 6. Ability to recognize and respond to potential emergent patient situations. 7. BCLS- current, Licensed Practical Nurse license Grade Determinations:
GS-6:
Completion of at least 1 year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-6 LPN/LVN. References:
A regulations, specifically VA Handbook 5005, Part II, Appendix G-13 LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION. This can be found in the local Human Resources Office. For more information on these qualification standards, please visit OPM's web site at http:
//www.opm.gov/qualifications. The full performance level of this vacancy is GS-6. Physical Requirements:
The LPN must be able to perform work that requires regular and recurrent walking, bending, lifting 45 pounds or more, stooping, reaching, stretching, and similar activities supporting various weights. This also includes frequently pushing medication carts, wheelchairs, lifts, and beds. The incumbent must be able to care for Veterans with various medical and psychiatric issues. At times, these Veterans exhibit unpredictable behavior. He/she must be able to work closely with others, have sufficient hearing to respond to various alarms, and must be able to communicate verbal and in writing.
Estimated Salary: $20 to $28 per hour based on qualifications.
Ensure proper identification of patient/resident per policy before administering care. Assist co-workers willingly without having to be asked, and present an attitude that promotes unified teamwork. Function in collaboration with the registered nurse in identifying needs of patients and carrying out assignments. Demonstrate keen observation skills with accurate reporting and recording of significant changes in patients' conditions and actions taken. Assist the RN with admission of a patient. Function as one-to-one nurse in Primary Care under the direct supervision of the NM/designee. Recognize and communicate with NM/team leader and/or designee the need for additional instructions for self and those under their direct supervision. Assist in data gathering for patient education needs, suture removal wound care/dressing, wound cultures, diagnostic skin testing and Unna boot application. Demonstrate the ability to utilize the computer independently, for obtaining patient information and maintaining accurate input of data. Treatment/exam room maintenance (infection control, supplies stocked, equipment operational). Assist with gynecological procedures as indicated. Practice safety precautions according to written procedure in performance of duties when working with patients and patient's personal care devices, medication administration and unit equipment. Perform duties in a safe manner to prevent patient/resident/employee accident/injury. Safely operate equipment such as specialized beds, prosthetic devices and suction machines. Implement proper body mechanics when utilizing mechanical lifting devices and other transfer aids that assist in lifting and moving patient/residents, while preventing injury to self and others. Utilize principles of infection control, cleanliness and hand washing to assure a safe, clean environment to prevent cross infections. Be knowledgeable and correctly utilizes the RACEE (Rescue, Alert, Confine, Extinguish, Evacuate) procedure during fire drills and emergency situations. Being able to correctly verbalize the steps within the RACEE procedure is the employee's responsibility. Document medications administered, care and treatments provided and patient/resident's response to therapy in the clinical record as ordered, vital signs, weights, and finger sticks for glucose monitoring, intake and output an pulse oximetry to include documentation of oxygen flow rate/room air and route. Recognize and report acute changes in patient conditions to the provider and documents observations appropriately. Maintain good rapport with patient/residents, families, volunteers, visitors, and co-workers. Accurately document measurements such as vital signs, weights, and finger sticks for glucose when ordered. Provide for patients' physical and psychosocial needs, including emotional support to patient/residents and families. Assist with diagnostic procedures such as physical exams, ensuring the use of sterile technique when appropriate. Collect and properly label specimens for laboratory study such as urine, sputum, and stool. Prepare, administer, and document administration of medications -- oral, intramuscular injections (IM), subcutaneous injections (SQ). Recognize life-threatening conditions and initiate life-saving measures such as cardiopulmonary resuscitation or first aid for choking victim and responds in a timely, appropriate and effective manner. Encourage reality orientation in confused, disoriented patients. Performs peripheral venous blood sampling for the purpose of laboratory tests, when laboratory support is unavailable. Provide observation as ordered per policy. Perform bladder scans as ordered. Prepare patient for and obtain 12 lead EKG's per training and facility procedure guidelines. Reinforce instructions and patient teaching according to patient care needs. Reinforce instructions and patient teaching according to patient care needs. Assist patients who have impaired mobility and are at risk of falling, by implementing all safety interventions per policy. Process patients upon arrival to clinic and document appropriately in the progress note. Follow established guidelines for ordering lab, x-rays, EKG as determined by attending provider for specific clinics. Communicate significant and appropriate information regarding patient's condition to RN and/or provider for further action and care out orders per policy. Assures completion of assignment according to policy, procedure and plan of care, and seeks other assignments as time permits. Consistently engages in activities that support the mission, values, and strategic initiatives of James H. Quillen VA Medical Center. Work Schedule:
Monday-Friday, 7:
45A-430P (May be required to work some evenings/May be required to work some weekends) Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, December 8, 2020. 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. Licensure. Current, full, active, and unrestricted license to as a graduate licensed practical or vocational nurse in any State. English Language Proficiency. Nurses appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 USC 4105, 4114(f) and 5010(b). Preferred
Experience:
1. Demonstrated interpersonal competence. 2. Dependability. 3. Experience in a variety of clinical settings. 4. Knowledge and ability to participate actively in teaching the patient/family/significant other. 5. Ability to function in outpatient clinics with minimal supervision. 6. Ability to recognize and respond to potential emergent patient situations. 7. BCLS- current, Licensed Practical Nurse license Grade Determinations:
GS-6:
Completion of at least 1 year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-6 LPN/LVN. References:
A regulations, specifically VA Handbook 5005, Part II, Appendix G-13 LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION. This can be found in the local Human Resources Office. For more information on these qualification standards, please visit OPM's web site at http:
//www.opm.gov/qualifications. The full performance level of this vacancy is GS-6. Physical Requirements:
The LPN must be able to perform work that requires regular and recurrent walking, bending, lifting 45 pounds or more, stooping, reaching, stretching, and similar activities supporting various weights. This also includes frequently pushing medication carts, wheelchairs, lifts, and beds. The incumbent must be able to care for Veterans with various medical and psychiatric issues. At times, these Veterans exhibit unpredictable behavior. He/she must be able to work closely with others, have sufficient hearing to respond to various alarms, and must be able to communicate verbal and in writing.
- Department:
0620 Practical Nurse - Salary Range:
$38,921 to $50,598 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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