Department Of Veterans Affairs Toledo , OH 43601
The VA Ann Arbor Healthcare System is seeking Licensed Practical Nurses to be a member of our staff at the Toledo Community Based Outpatient Clinic.
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The Licensed Practical/Vocational Nurse works under the direction of a RN and reports to the Nurse Manager. The incumbent is responsible for observing, recording and reporting changes in the patient's condition, assisting in the development and revision of the patient-driven holistic care plan for life; requires a general review of their work by an RN for appropriateness and conformity with license, policies and procedures; makes observations and thoroughly documents care and the patient's response; and seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention
The LPN performs, reports, and records the assigned nursing care in the Toledo Community Based Outpatient Clinic (CBOC) including but not limited to:
Vital Signs including pulse, blood pressure, respirations, temperature, pain level, and obtaining pulse oximetry
Administers influenza, pneumococcal and tetanus vaccinations
Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening
Neurological vital signs
Recognizes urgent/emergent patient care situations and initiates assistance effectively intervening as appropriate
Provides patient/family education reinforces health teaching and takes an active role in promoting healthy lifestyles
Maintains precise adherence to basic principles of asepsis, safety, and universal precautions to provide a safe environment for patients, families, and employees
Incumbent possesses knowledge of proper handling of intruments including the cleaning of reusable medical equipment
Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer
Provides 1:1 nursing care to assigned outpatients whose care requires close observation during procedures
Follows policy and procedures related to fire and disaster drills, safety and security measures
Interprets Medical Center Regulations and policies to other staff, patients, relatives, and visitors
Proactively assists the medical provider and/or nurse with therapeutic or diagnostic procedures, including biopsies and minor surgeries
Obtains and arranges necessary equipment
Work Schedule: Monday - Friday, 8:00 a.m. to 4:30 p.m.
Functional Statement Title: Licensed Vocational Nurse (LVN) GS 6
Licensed Practical And Licensed Vocational Nurses
Licensed Practical Nurses
Licenses Vocational Nurses
Nurses, Licensed Practical
HelpRequirements Conditions of Employment
Must pass pre-employment examination
Must be proficient in written and spoken English
Designated and-or Random Drug Testing required
Background and-or Security Investigation required
Selective Service Registration is required for males born after 12/31/1959.
This position is not required to file a financial disclosure report.
U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant.
Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia.
Must pass a pre-employment examination if selected.
A minimum of 3 years of successful clinical nursing practice as a Licensed Vocational Nurse
Broad knowledge base with experience in a variety of patient care settings and with diverse patient population.
Demonstrated skill in performing multiple tasks, managing assignments, and expediting oral and written communications
Demonstrated ability to interact with others effectively and appropriately, presenting a professional image of the service and the VA.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
GS-3: 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-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:
GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.
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 NAs/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.
GS-6: Completion of at least 1 year of qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN:
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.
References: VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office.
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.