Licensed Practical Nurse - Community Living Center

Duties

Administers oral, subcutaneous, and intramuscular medications. Administers immunizations independently upon completion of Immunization Competency Module. Observes, reports and documents.

Implements established care plans. Reports and documents progress or changes in patient's behavior and/or physical condition to the RN and in the medical record patient's response to medication including adverse reactions and possible medication errors. Following competency verification, monitors intravenous therapy for prescribed rate, patency, infiltration and/or extravasation.

Discontinues intravenous infusion when directed by the RN or the physician. Documents and reports findings. Performs such diagnostic procedures as TPR, B/P, pain screen, pulse oximetry, bladder scanning, l&O, heights, weights, finger sticks, and EKGs.

Recognizes deviations from normal. Documents and reports results to the registered nurse and/or physician. Performs narcotic count as per policy/procedure and immediately notifies the Charge RN of discrepancies.

Makes frequent rounds on patients, noting environment, changes in patient's behavior and/or physical condition. Reports and documents all observed problems and indicates which might have an adverse effect on patients, visitors, or personnel. Observes, documents, and reports unpredictable behavior that may lead to violence, potential for injury related to wandering or fall risk.

Uses diversional activities to promote restraint-free environment. Performs support duties for therapeutic and diagnostic procedures such as: Reinforces patient teaching and documents patient health education appropriately. Assuring presence of signed informed consent.

Assisting with physical examinations. Monitoring patient's condition and providing follow up care. Caring for, maintaining, and ordering supplies and equipment, including reporting equipment malfunctions.

Provides for a safe, clean, and therapeutic environment including work area. Follows all safety policies and procedures including using good body mechanics and wearing personal protective equipment as needed. Reinforces patient's performance of exercises and other concepts recommended by the Physical Medicine & Rehabilitative Service program.

Procedures and exercises include but are not limited to: Applying assistive devices to upper and lower extremities, range of motion to upper and lower extremities, manual stretching of joints to prevent contractures, ambulation. Promoting body alignment with body positioning. Applying protective/supporting devices or restraints under the direction of the RN or medical provider without any personal limitations or physical restrictions.

Administering nasogastric tube feedings. Performing enterostomal care, perinea! care, administering enemas and colostomy irrigations. Providing bowel/bladder training, applying external urinary devices, performing bladder catheterization.

Work

Schedule

• 8 Hour Shifts, Rotating Weekends and Holidays Compressed/Flexible: Authorized Telework: Not Authorized Virtual: This is not a virtual position. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHAVISN04HREDRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of 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).

Basic

Requirements

US 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. Verification can be obtained from the State approving agency or the National League for Nursing, 61 Broadway, 33rd Floor, New York, NY 10006. 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. VHA employees who were converted to appointments under 38 U. S. C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U. S. C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority.

The waiver will not apply to persons appointed under 38 U. S. C. 7401(3) or 7405 after these conversions. Individuals granted a license by a jurisdiction that does not require graduation from an approved school.

Licensure

Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth of the United States. An LPN who has or has ever had, any license 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. Physical Standards: See VA Directive and Handbook 5019. English Language Proficiency: LPN/LVNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U. S. C. 7402(d), and 7407(d). Grade Determinations: GS-3: None beyond the basic requirements.

LPNs at this grade level are expected to perform all duties within the scope of their license. GS-4: Six months of qualifying experience as an LPN. 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; 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-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 Nursing Assistants/Health Technicians 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 with patients, family members, professional and 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 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. Completed work only a general review by a registered nurse or physician appropriateness and conformity with established policies/procedures. Ability to observe, identify and respond to the patient's needs for care, medication, equipment-assisted care and patient/family education.

In organizing/ delivering care, the LPN recognizes/ 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…