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Intermittent LVN - Primary Care - Martinez

VA Medical Center


Location:
Martinez, CA 94553
Date:
11/28/2017
2017-11-282017-12-28
Categories:
  • Medical/Surgical
  • Cardiology
  • Infection Control
  • Long Term Care
  • LPN/LVN
  • IV Therapy
  • Emergency Services
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Job Details


ROLE AND RESPONSIBILITY:

1. Makes 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.

2. The LVN performs, reports, and records assigned nursing care in the Primary Care Clinics and Urgent Care Clinics, including, but not limited to:

a. Oxygen therapy

b. Medication administration to include IV medication if certified

c. Clinical reminders with appropriate consults and alerts as indicated

d. Check expiration dates of meds and supplies

e. Delegated procedures and treatments

f. Documentation

g. Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy. Monitors patient during the procedure.

3. Responsible for patient and clinic flow. This includes but is not limited to: organizing and attending team huddle, pt check in (vital signs, clinical reminders and medication review), informing patients if PCP running late and clinic check out if necessary.

4. Adheres to standards of practice and safe technique in preparation and administration of medication.

5. Reviews daily care schedule for patient care needs and pre-visit planning

6. Completes appropriate clinical reminders

7. Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran.

8. Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate.

9. Aid in patient education

10. Based on the patient's goals, provides patient and family health education, to include self-management, prevention and wellness.

11. Interacts and communicates appropriately with patients and family members.

12. Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills.

13. Adheres to principles of infection control, safety, and universal precautions.

14. Incumbent possesses knowledge of proper handling and pre-cleaning of reusable medical equipment.

15. Demonstrates competence utilizing special equipment needed to perform job duties.

16. Follows policy and procedures related to fire and disaster drills, safety and security measures.

17. Demonstrates initiative in assisting the core and expanded teams.

18. Assists in the orientation and competency validation of students, peers and clerical staff.

19. Maintains confidentiality of electronic, written, and/or verbal patient information.

20. Maintains a work environment that honors diversity.

21. Serves as a resource and advocate in the protection of patient and family rights.

22. Completes mandatory reviews, including motivational interviewing and health coaching, in order to promote patient self-management.

23. Supports patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.

24. Promotes patient and personnel safety.

25. Performs Venipuncture








graph of estimated pay ranges
$38,465

$70,015





Job Details



Application Open Date

11/14/2017



Application Close Date

11/30/2017




Organization

Veterans Affairs, Veterans Health Administration



Who May Apply

US Citizens and Current Federal Employees



Status

Intermittent




























  • More About VAOpen More About VA SectionClose More About VA Section

    • This job opportunity announcement may be used to fill additional vacancies.

      This position is in the Excepted Service and does not confer competitive status.

      This position does not require completion of the OGE Form 450, Confidential Financial Disclosure Report.





  • QualificationsOpen Qualifications SectionClose Qualifications Section

    • Grade Determination: The following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

      (1) 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.

      (2) GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below:

      (a) Six months of qualifying experience as an LPN or LVN; or

      (b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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

      (c) Graduation from an approved school of at least 24 months duration.

      (3) GS-5

      (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.

      (b) Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.

      (c) 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.

      (d) 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.

      (e) 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.

      (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

      (g) 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.

      (4) 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.





  • BenefitsOpen Benefits SectionClose Benefits Section



  • How To ApplyOpen How To Apply SectionClose How To Apply Section

    • All applicants are encouraged to apply online.

      To apply for this position, you must complete the View Occupational Questionnaire and submit the documentation specified in the Required Documents section below.

      The complete application package must be submitted by 11:59 PM (EST) on Thursday, November 30, 2017to receive consideration.

      1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.

      2. Click Submit My Answers to submit your application package.

      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

      To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.

      To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.




  • Additional DetailsOpen Additional Details SectionClose Additional Details Section

    • Series: 0620-Practical Nurse


      Job Pay Type: Per Year


      Job Openings: 1


      Job Position: 612-18-AS-2023891-BU




      ROLE AND RESPONSIBILITY:

      1. Makes 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.

      2. The LVN performs, reports, and records assigned nursing care in the Primary Care Clinics and Urgent Care Clinics, including, but not limited to:

      a. Oxygen therapy

      b. Medication administration to include IV medication if certified

      c. Clinical reminders with appropriate consults and alerts as indicated

      d. Check expiration dates of meds and supplies

      e. Delegated procedures and treatments

      f. Documentation

      g. Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy. Monitors patient during the procedure.

      3. Responsible for patient and clinic flow. This includes but is not limited to: organizing and attending team huddle, pt check in (vital signs, clinical reminders and medication review), informing patients if PCP running late and clinic check out if necessary.

      4. Adheres to standards of practice and safe technique in preparation and administration of medication.

      5. Reviews daily care schedule for patient care needs and pre-visit planning

      6. Completes appropriate clinical reminders

      7. Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran.

      8. Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate.

      9. Aid in patient education

      10. Based on the patient's goals, provides patient and family health education, to include self-management, prevention and wellness.

      11. Interacts and communicates appropriately with patients and family members.

      12. Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills.

      13. Adheres to principles of infection control, safety, and universal precautions.

      14. Incumbent possesses knowledge of proper handling and pre-cleaning of reusable medical equipment.

      15. Demonstrates competence utilizing special equipment needed to perform job duties.

      16. Follows policy and procedures related to fire and disaster drills, safety and security measures.

      17. Demonstrates initiative in assisting the core and expanded teams.

      18. Assists in the orientation and competency validation of students, peers and clerical staff.

      19. Maintains confidentiality of electronic, written, and/or verbal patient information.

      20. Maintains a work environment that honors diversity.

      21. Serves as a resource and advocate in the protection of patient and family rights.

      22. Completes mandatory reviews, including motivational interviewing and health coaching, in order to promote patient self-management.

      23. Supports patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.

      24. Promotes patient and personnel safety.

      25. Performs Venipuncture







Best Care / Best Careers

To care for him who shall have borne the battle and for his widow and his orphan." These words, spoken by Abraham Lincoln during his Second Inaugural Address, reflect the philosophy and principles that guide VA in everything we do, and are the focus of our endeavors to serve our Nation's veterans and their families.

 The Department of Veterans Affairs (VA) has one of the most diverse, challenging, and rewarding missions in the United States Government. We strive to meet the needs of the Nation's veterans and their families today and in the future.

VA manages one of the largest health care systems in the world and the nation's leading employer of registered nurses. Nurses in Veterans Health Administration (VHA) are engaged in a variety of roles and have multiple opportunities for career and professional development. The VHA provides veterans and their dependents with many other services such as benefits and education, and also provides burial benefits.

Our goal is to provide excellence in patient care, veterans' benefits and customer satisfaction. We can provide you with challenging, interesting, meaningful work to care for the veterans who have risked their lives to protect our freedom.

 As the Department of Veterans Affairs heads into the 21st century, we will strive to meet the needs of the Nation's veterans today and tomorrow. We are a more customer-focused organization, functioning as "One-VA" and delivering seamless service to our customers.

We benchmark our service with the best in business. We use innovative means and high technology to deliver "World-Class Customer Service". We foster partnerships with our customers and stakeholders, making them part of the decision-making process.

Department of Veterans Affairs is an Equal Opportunity Employer.

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