Practical Nurse

U.S. Department of Veterans Affairs; Town of Bath (NY); On-site; USD 52,000 - 68,000; Full time

Job summary

U.S. Department of Veterans Affairs, Finger Lakes Health Care System, seeks a Licensed Practical Nurse GS-7 for ambulatory care (PACT/Specialty).

The role focuses on independent technical nursing duties under general supervision, providing comprehensive care and contributing to patient health plans. The position requires a practical nursing program degree and an active, unrestricted LPN license, with duties including data collection, care planning, and collaboration with RN/MD teams.

Qualifications

• Graduate of a practical or vocational nursing program approved by the State agency.
• Full-active current and unrestricted LPN/LVN licensure in the United States or DC.
• US citizenship is required; expectations include ability to work under RN/MD supervision.

Responsibilities

• Maintain positive patient/family relationships and deliver nursing care.
• Collect objective and subjective data for complex patient cases.
• Participate in patient care conferences and update the care plan.
• Monitor prescribed therapies and document patient responses.
• Observe for urgent or emergent situations and seek RN/MD guidance.

Skills

Clinical nursing

Vital signs monitoring

Medication administration

Observation skills

Team leadership

Documentation

Emergency response

Communication

Education

Graduate of practical or vocational nursing program

Current LPN/LVN license (active, unrestricted)

Job description

Summary

The Licensed Practical Nurse GS-7 serves as a member of the nursing team in the ambulatory setting (PACT/Specialty) within the Finger Lakes Health Care System.

Qualifications

Basic Requirements:

• Citizenship
• Citizen of the United States
• (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3 - section A - paragraph 3g - this part.) 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
• Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission - 61 Broadway - 33rd Floor - New York - NY 10006
• [Additional information may also be obtained from the NLNAC Website
• 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
• An LPN/LVN who has or has ever had - any license(s) revoked - suspended - denied - restricted - limited - or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3 - section B - paragraph 16 of this part
• NOTE: Determinations concerning placement of positions at this grade level shall take into consideration the skill mix and the availability of supervision in the work unit
• Although these positions are under the supervision of an RN and/or MD/DO - employees in such settings successfully and consistently demonstrate the exercise of independent technical judgment (without the need for readily available supervision) - as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures
• Such individuals may also serve as leaders or co-leaders in a nursing unit or for a specifically identified group of patients
• 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: GS-7 The GS-7 grade level is for select - complex LPN/LVN positions - as established by each health care facility
• To be advanced - employees must meet all of the following standards - provided the standard is part of their assignment
• (a) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent - fully meeting all of the performance requirements for the GS-6 LPN/LVN
• (b) Knowledge and skills necessary to carry out more specialized patient care duties - including assignments in selected - more complex inpatient and/or outpatient care settings
• Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions
• Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans
• (c) 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
• At this grade level - the LPN/LVN is expected to participate to a greater degree in prioritizing - and - as appropriate - modifying patient care treatment
• They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations
• (d) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments - accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received
• (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions - promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate - prescribed interventions
• Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels
• (e) Knowledge and skill to promptly recognize potential urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene - as directed - to assure the continuation of optimal - safe and therapeutic patient care delivery
• At this grade level - the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate
• (f) Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes
• Exercises skill in influencing and communicating with unusually difficult to care for or communication with patients and/or family members who may exhibit problems with lack of self-control - resistant or abusive behaviors - or impediments in their ability to understand or follow instructions
• This includes the ability to effectively deal with the above types of patients under very general supervision
• (g) Exhibits skill - creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces - research projects or in developing educational materials/media
• Actively promotes and effectively incorporates established customer service standards in all aspects of their practice
• (h) Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care
• Serves as a role model and mentor to other nursing staff in the application of more complex technology - effectively guiding and directing their continuing practice in these areas
• (i) Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or nonmedical staff in patient care delivery
• Promptly reports any deviations from normal practice patterns to the RN or MD/DO
• In addition to responsibilities at the lower grade level - the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff
• (j) Work of considerable difficulty and responsibility is performed under general supervision
• Individuals in these positions are - to a considerable extent - expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles - art and science of practical nursing
• The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision
• (k) Actively seeks out educational opportunities to enhance nursing knowledge and skills - and providing leadership in assisting other staff improve and advance their nursing practice
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019.

Duties

• VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Duties include - but not limited to: Maintaining positive patient/family relationships
• Assisting in the collection of objective and subjective data relative to more complex patient situations
• Participating in patient centered conference/shift reports - and contributing information for the development and modification of the patient care plan
• Anticipating a clean - safe and therapeutic environment and taking appropriate actions
• Maintains & promotes safe waking practices in patient care
• Performing aspects of nursing care in a variety of situations to meet patients' needs
• Assisting with monitoring prescribed therapies such oxygen and IV therapy
• Reporting patient status to a registered nurse and documenting information in the medical record including current status and/or subtle changes in patient's physical - psychosocial and spiritual status
• Care and Case management of Veterans established care plan
• Includes: post hospitalization follow up - reporting any changes to teamlet necessary for care plan adjustments
• 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
• Knowledge and ability to recognize urgent or emergent patient care situations - seek assistance of the RN
• Orienting all new LPNs
• Conducts daily/weekly/monthly clinical and environmental tracers per policy
• Performs other duties as assigned Work Schedule: Monday - Tuesday - Thursday - Friday - 6:30am-5:00pm Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases
• 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: Not Available Virtual: This is not a virtual position
• Functional Statement #: Permanent Change of Station (PCS): Not Authorized