Summary

The Veterans Health Administration {VHA) supports the provision of patient care using telehealth technologies which increase a Veteran's access to care and support a Veteran's self ­management. This includes developing and delivering virtual and digital technologies which help Veterans communicate synchronously and asynchronously with their health care teams and coordinate, track and manage their health care.

Qualifications

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
• 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
• 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)
• Grade Determinations: GS-6 (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 Preferred Experience: Two years experience in hospital or ambulatory care clinic
• Telehealth experience
• Proficient in Microsoft Word, Excel, PowerPoint, Teams, Outlook, CPRS, Vista and Visa GUI
• Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/
• The actual grade at which an applicant may be selected for this vacancy is GS06
• Physical Requirements: Physical Demands: Physical aspects associated with work required of this assignment are typical for the occupation, see Duties section for essential job duties of the position
• May require standing, lifting, carrying, sitting, stooping, bending, pulling and pushing
• May be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment
• Work Environment: work is performed in an office/clinic setting with minimal risks that requires normal safety precautions
• the area is adequately lighted, heated and ventilated
• However, the work environment requires someone with the ability to handle several tasks at once in sometimes stressful situations.

Duties

• Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf If you are not a current, permanent VA employee or Federal employee from another agency, you should apply CBST-12664293-25-TM
• Duties include, but are not limited to: Demonstrates nursing practice with onsite and/or remote supervision of a registered nurse or physician
• Administers medication accurately and promptly under the general supervision of a registered nurse
• Demonstrates understanding of the effects and/or reactions caused by medications, treatments, and procedures
• Records and reports these observations
• Demonstrates the ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery
• Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan
• Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention
• Independent technical knowledge and skills that are complex in nature and that contribute to the veteran's treatment plan and support the successful completion of the visit
• Responsible for the patient site facilitation of all clinical, business, scheduling, and technical aspects for real-time Telehealth applications, including, but not limited to, Telemental Health, Primary Care Telehealth, Telerehabilitation and patient education clinics
• Uses video-conferencing technologies, Telehealth technology and scheduling software to coordinate and connect staff, resources, patients, and providers in the manner effective to delivery of services, patient care, education, and training
• Responsible for any patient, staff education/ training, documentation (in LEAF system if needed), and assistance with workload capture that is basic for the completion of the visit and/ or training
• Responsible for educating both patients and staff on Telehealth modalities, and Mobile Apps if needed
• Assists the Nurse Manager/Facility Telehealth Coordinator (FTC) with data collection
• Presents findings in a meaningful way
• Assists the Nurse Manager/FTC with managing the day-to-day operations of patient appointments, ensuring efficient workflow, maintaining accurate records, and facilitating effective communication between staff and patients
• Assists in patient care under the direct supervision of an independent licensed healthcare provider
• Crossed-trained to perform a range of direct care duties that may include, collecting vital signs and other clinical components of a primary care visit as directed by policy or clinic standard
• Demonstrates the ability to provide a full range of care to patients' requiring complex treatments and care with onsite and/or remote supervision by the Registered Nurse/ Physician
• Demonstrates the ability to plan and organize assignments independently
• Work Schedule: 7:30am - 4pm, Monday - Friday, subject to change based on the needs of the facility
• Recruitment Incentive : Not Authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases
• When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
• Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child
• Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Ad - Hoc, as determined by agency policy
• Virtual: This is not a virtual position
• Functional Statement #: 00753F Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized