Summary

Kansas City VA Medical Center - Nevada Clinical Based Outpatient Care (CBOC) - is hiring one (1) Licensed Practical Nurse (LPN) at the point of care for the Primary Care service line. The LPN function is to provide quality nursing care to a culturally diverse veteran population of varying complexity in a variety of settings. The LPN works under the guidance of a Nurse Manager or designee and is part of the Patient Aligned Care Team with a focus on patient centered care.

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
• 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 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
• 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 LVN
• 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 that provided a practical knowledge of human body structure and sterile techniques and procedures
• OR Graduation from an approved school of at least 24 months duration
• LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level
• however - they are expected to exercise greater judgment - require less supervision - and to operate in accordance with all established policies - procedure - and techniques
• GS-05 Completion of at least one (1) year of qualifying experience at the GS-4 level or equivalent
• Applicants at this level must also be able to demonstrate all of the following KSA's: 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
• 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-06 Completion of at least one (1) year of additional qualifying experience at 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 patient's 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 need for care - including medication - equipment-assisted care and patient/family education
• In organizing and delivering care - the LPN recognized 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 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
• Preferred Experience: Two (2) years of qualifying experience in an ambulatory care setting 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-06
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06 .Physical Requirements: See VA Directive and Handbook 5019.

Duties

• Major Duties include - but are not limited to: Functioning at the top of his or her license
• Observing - recording - and reporting changes in the patient's condition
• Assisting in the development and revision of the patient-driven holistic life care plan
• Demonstrating active collaboration - communication and problem solving with Core Team (Patient - Primary Care Provider - RN Care Coordinator and Clerk) and Expanded Team (family/caregiver - internal and community-based services involved in providing care to the patient)
• Communicating and interacting appropriately and courteously with internal and external customers
• Maintaining confidentiality of patient / employee information electronically - verbally - and written
• Working and functioning within a safe manner including infection control and operation of equipment
• Integrating and applying pertinent aspects of the Medical Center performance improvement program into his/her professional practice
• Utilizing nursing research - evidence-based practice - and literature in daily practice
• Providing care appropriate to the bio-psychosocial needs of the population served
• Possessing an understanding of the changes associated with aging and principles of growth and development relevant to the adult and geriatric population
• Assessing and interpreting data relating to the patient's current health status - which will facilitate the delivery of care appropriate to the age specific needs of the adult and geriatric patient
• Providing culturally competent care to a diverse patient population
• Ensuring qualifications and required certifications are maintained - including Basic Life Support (BLS) - Advanced Cardiac Life Support (ACLS) - or Advanced Trauma Life Support (ATLS) certification
• Work Schedule: Monday - Friday - 8:00am - 4:30pm Telework: Available (Ad-Hoc) Virtual: This is not a virtual position
• Functional Statement #: 589-22-112/GS-3; 589-22-113/GS-4; 589-22-114/GS-5; 589-22-101/GS-6 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized