Veterans Affairs, Veterans Health Administration Licensed Practical Nurse (Sub-Specialty Clinics) in Ann Arbor, Michigan
The VA Ann Arbor Healthcare System is seeking a Licensed Practical Nurse (Subspecialty Clinic) to be a member of the Ambulatory Care Team.
The LPN will be assigned to a varied group of specialty clinics. Some of the Clinics the incumbent would typically be assigned to, but are not limited to, are: Cardiology, Renal, Arthritis, General Surgery, Pain and Sleep clinic. The incumbent is responsible for RME and other equipment (stainless steel surgical instruments) specific to their clinic assignment, and for cleaning non-reusable medical equipment between patients per standard operating procedures. The incumbent is under the supervision of an RN and/or MD/DO/OD. The LPN provides technical nursing care to adult and geriatric patients.
- Makes astute observations and thoroughly documents care and the patient's response.
Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention.
- Performs assigned nursing care responsibilities requiring the use of advance equipment, technology, or knowledge in procedures performed in the Sub-Specialty Clinics including but not limited to:
a. Documenting obtained Vital Signs including pulse, blood pressure, respiration, temperature, pain level
b. Completes clinical reminders for preventive health screening including mental health screening
c. Takes appropriate actions for positive reminders
d. Perform diabetic foot screening including visual screening, pulses and sensation
e. Pulses: apical, carotid, pedal
g. Administers influenza, pneumococcal and tetanus vaccinations per protocol.
h. Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening,
i. Glucometer measurements
j. Neurological vital signs
k. Performing EKG
l. Performing pulse oximetry, bladder scanning, post void residual
m. Set up and administration of Oxygen therapy
n. Adheres to standards of practice and safe technique in preparation and administration of medication
o. Procures sterile and non-sterile specimen collection
p. Applies elastic bandage, hose, and 4 layer compression application.
q. Applies hot and cold non-sterile compresses
r. Performs sterile dressings and irrigations
s. Completes encounter forms
t. Appropriately responds to and completes view alerts.
u. Recognizes and successfully cares for patients of different ages, including young adult. Work Schedule: Monday-Friday, 7:30a.m. to 4:00p.m.
Financial Disclosure Report: Not required
Conditions of Employment
· 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
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:
· 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.
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. 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. Physical Requirements: This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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/. Nursing programs must be accredited by either Accreditation Commission for Education in Nursing (ACEN) or Commission On Collegiate Nursing Education (CCNE). 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. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.