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License Practical Nurse (PACT)

VA Medical Center


Location:
Ann Arbor, MI
Date:
07/10/2018
2018-07-102018-08-16
Categories:
  • Medical/Surgical
  • LPN/LVN
  • Nurse Manager
  • Long Term Care
  • Infection Control
  • Operating Room/PACU
  • IV Therapy
  • Cardiology
  • Psychiatric/Behavioral Health
  • Camp Nurse
  • Emergency Services
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Job Details

Summary

The Primary Care Licensed Practical Nurse works under the direction of a PACT RN and reports to the Nurse Manager. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. The LPN demonstrates active collaboration and communication with Team let (Patient, Primary Care Provider, PACT RN and Clinical/Clerical Support Technician) and Larger Team (family/caregiver, internal and community based services and disciplines involved in providing care to the patient).

Work Schedule: Primarily days Monday thru Friday but may be required to work some weekends. Eight (8) to twelve (12) hour shifts that may rotate between the hours of 7:30 am and 8:00 pm.
Financial Disclosure Report: Not required

Duties
  • Provide patient and family education regarding patient's condition, procedures, and preventive health care.
  • Assists patients to identify and establish health goals using motivational interviewing techniques.
  • 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.
  • Participates in prioritizing and as appropriate, modifying patient care treatment.
  • Performs assigned nursing care responsibilities requiring the use of advance equipment, technology, or knowledge in procedures performed.
  • Maintains precise adherence to basic principles of asepsis, safety and universal precautions to provide a safe environment for patients, families and employees.
  • Utilizes special equipment such as Doppler units, pulse oximetry, bladder scanner, EKG, point of care testing, and other instruments needed to perform the job duties.
  • Provides one on one nursing care to assigned outpatients whose care requires close observation during procedures.
  • Utilizes the computer to access patient data to verify appointments, review progress notes, and short medication profiles.
  • Orders labs and/or looks up test results under specific clinic profile.
  • Responsible for RME for all scopes and other equipment specific to their clinic assignment, and for cleaning non-reusable medical equipment between patients per standard operating procedures.
graph of estimated pay ranges
$29,957
$47,508
Job Details
Application Open Date
3/9/2018

Application Close Date
12/31/2018
Organization
Veterans Affairs, Veterans Health Administration

Who May Apply
None

Status
None


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

      United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

      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.

  • QualificationsOpen Qualifications SectionClose Qualifications Section
    • 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.Graduate of a school of practical or vocational nursing.
      • 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.
      • Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English.
      Preferred Experience: Two to five years Medical/Surgical experience.

      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 (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:
      a) Six months of qualifying experience as an LPN or LVN; or
      b) 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
      c) 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:
      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. [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.]
      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.
      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; 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. 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.

      References: VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification

      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: This position requires the ability to perform the following physical standards & environmental factors: Heavy Lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 8 hours; both legs required; ability for rapid mental & muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Working closely with others; & protracted or irregular hours of work. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and is required to adhere to infection control practices. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
  • 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 full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 12/31/2018 to 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 USA JOBS 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 USA JOBS 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 USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS 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: 3
      Job Position: AD-18-GRH-10146237-BU

      • Provide patient and family education regarding patient's condition, procedures, and preventive health care.
      • Assists patients to identify and establish health goals using motivational interviewing techniques.
      • 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.
      • Participates in prioritizing and as appropriate, modifying patient care treatment.
      • Performs assigned nursing care responsibilities requiring the use of advance equipment, technology, or knowledge in procedures performed.
      • Maintains precise adherence to basic principles of asepsis, safety and universal precautions to provide a safe environment for patients, families and employees.
      • Utilizes special equipment such as Doppler units, pulse oximetry, bladder scanner, EKG, point of care testing, and other instruments needed to perform the job duties.
      • Provides one on one nursing care to assigned outpatients whose care requires close observation during procedures.
      • Utilizes the computer to access patient data to verify appointments, review progress notes, and short medication profiles.
      • Orders labs and/or looks up test results under specific clinic profile.
      • Responsible for RME for all scopes and other equipment specific to their clinic assignment, and for cleaning non-reusable medical equipment between patients per standard operating procedures.

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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