The Licensed Practical Nurse (LPN) works collaboratively in an interdisciplinary coordinated care delivery model (i.e., patient aligned care team). The incumbent is primarily responsible for patient and clinic flow, efficiency of the clinic, customer service, and teamwork. The LPN position is located at the Scotts County Outpatient Clinic, Scottsburg, IN. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN. Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia. Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. 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: In addition to the basic requirements, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-03: None beyond the Basic Requirements. GS-04: Six months of qualifying experience as an LPN or L VN; or 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 or Graduation from an approved school of at least 24 months duration. GS-05: 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.in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members. Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and other supportive personnel 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. 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-06: 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. 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. 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/L VN 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 LPN s/L VN s 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. Preferred Experience: Previous experience in Primary Care/Physician office setting preferred. Experience in managing multiple patients with a variety of chronic health conditions preferred. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of Physical Requirements: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Straight pulling, .5 hours; Pushing, .5 hours; Reaching above shoulder; Use of fingers; Both hands required; Walking, 2.5 hours; Standing, 5 hours; Repeated Bending, 1 hour; Ability to distinguish basic colors; Hearing (aid may be permitted); Working alone. ["This Licensed Practical Nurse (LPN) position is located within Primary Care at the Scotts VA Community Based Outpatient Clinic in Scottsburg IN, serving as a member of a VHA Patient Aligned Care Team (PACT), a patient-centered medical home model of care that is accessible, timely, coordinated, continuous, comprehensive, and compassionate. The PACT LPN performs non-standard and specialized Licensed Practical Nurse activities under the direction of a Registered Nurse, requiring a broad work experience and demonstrated skill sufficient to independently resolve a range of nursing care decision making with minimal periodic supervision by the Registered Nurse. Duties include but are not limited to: Provide full range of practical nursing care to patients with a variety of physical and/or behavioral problems, completing assigned duties which involve performing nonstandard and specialized practical nursing activities under the direction of the Registered Nurse. Complete patient focused assessments, recognizing risk factors and/or signs and symptoms of withdrawal. Complete clinical reminders and reports of data findings to clinician, provider, or RN. Administer medications and injections, observing and documenting patient response and reporting change in the patient's condition. Perform urine specimen collections, breathalyzer and other point of care specimen collection as ordered. Label and stores lab specimens appropriately. Participate in nursing reports and other care team meetings to ensure continuity in Veterans care that is provided in the mental health setting. Implement patient/family teaching programs related to health promotion and reinforce instructions provided by the registered nurse and physician and documents in approved format. Initiate therapeutic communications with Veterans and families utilizing formal and informal communication processes. Participate in unit committees as directed, providing input and reporting outcomes to Registered Nurse. Previous LPN experience, and experience in blood draws/laboratory procedures preferred but not required. Travel may be required to travel pending workload and staffing. Work Schedule: Monday - Friday 8:00m - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:40159-F Pay Schedule: VA73"]

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