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Licensed Vocational Nurse Community Living Center (CLC) Kerrville

VA Medical Center


Location:
Kerrville, TX 78028
Date:
05/01/2018
2018-05-012018-06-09
Categories:
  • Medical/Surgical
  • LPN/LVN
  • Nurse Manager
  • Long Term Care
  • Infection Control
  • Operating Room/PACU
  • IV Therapy
  • Nurse Practitioner
  • Psychiatric/Behavioral Health
  • Cardiology
  • Physical Medicine/Rehabilitation
  • Emergency Services
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Job Details


Summary

The South Texas Veterans Health Care System (STVHCS) is comprised of two inpatient campuses: the Audie L. Murphy Memorial VA Hospital in San Antonio and the Kerrville VA Hospital in Kerrville, Texas. The STVHCS serves one of the largest primary service areas in the nation, with 63 counties, and is part of the VA Heart of Texas Veterans Integrated Service Network (VISN 17), with offices located in Arlington, Texas. Providing a service to Veterans with a working staff of more than 3,100 employees, South Texas provides health care services for 93,000 Veterans. The STVHCS is a facility providing primary, secondary and tertiary health care in medicine, surgery, psychiatry, and rehabilitation medicine. It also supports a 90 bed Extended Care Therapy Center, a 30-bed Spinal Cord Injury Center, an eight-bed Bone Marrow Transplant Unit, and a Geriatric Research, Education and Clinical Center. Affiliated with the University of Texas Health Science Center at San Antonio, the system has an active ambulatory care program with numerous satellite outpatient clinics.

Work Schedule: Rotating Shifts which may include holidays and weekends
Financial Disclosure Report: Not required.




Duties

As a License Vocational Nurse for (Community Living Center) Kerrville Division. You will demonstrate sound techniques in complex nursing care procedures and basic care of the Residents in a Long-Term care setting. You will provide nursing care in a self-directed manner with work accomplished requiring minimal review by the RN in charge and is administratively responsible to the Nurse Manager or designee for the quality and quantity of work performed on a daily basis, and is responsible and accountable for his/her individual practice. You will complete a focused assessment and document appropriately. You must possess excellent communications, interpersonal, customer service skills. In addition to providing clinical support, you will be responsible for actively participating in staff meetings and/or workgroups, clean and prepare exam rooms, assist the physicians with procedures and close open encounters, recognize and appropriately respond to breakage/malfunction or loss of equipment. You will administer medications as ordered or collaborate with RN and/or NP/MD if he/she suspects a medication should not be administered. You will update the ANM/RN when appropriate with accurate and necessary information regarding issues that have occurred. You will assist NM and ANM in compiling data in a timely manner including but not limited to: performance improvement / quality improvement reports; schedules; certified time; workload requests; and patient care data reviews. You will participate in career development through periodic need assessments, and scheduling of training / in-services, continuing education programs, and participation in committees and councils/meetings. You will ensure completion of annual mandatory training requirements and competency statements.








graph of estimated pay ranges
$36,872

$67,102





Job Details



Application Open Date

4/28/2018



Application Close Date

5/17/2018




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.

      Selected applicants will be required to complete an online onboarding process.

      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.





  • 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.
      • 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.
      Preferred Experience:
      1 Year LVN
      1 Year experience with Geriatric Patients
      1 Year Long Term Care experience
      1 Year Wound Care experience

      Grade Determinations:
      GS-3. None beyond the basic requirements. (LVNs at this grade level are expected to perform all duties within the scope of their license; however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.

      GS-4.
      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.

      LVNs 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, procedures, 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 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 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 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.
      Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.

      References: VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. Found in the Human Resources office.

      The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6.

      Physical Requirements: Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Straight Pulling (4-6 hours); Pulling hand over hand (4-6 hours); Pushing (4-6 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, legs only (2 hours); Climbing, use of legs and arms; Both legs required; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Hearing (aid permitted); Sitting (8 hours per day); Simple Grasping (2-4 hours per day); Fine Manipulation (4-6 hours, includes keyboarding per day); Twisting (4-6 hours per day); Mental and Emotional Stability.




  • 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 05/17/2018 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: CBAR-10200294-18-MRA




      As a License Vocational Nurse for (Community Living Center) Kerrville Division. You will demonstrate sound techniques in complex nursing care procedures and basic care of the Residents in a Long-Term care setting. You will provide nursing care in a self-directed manner with work accomplished requiring minimal review by the RN in charge and is administratively responsible to the Nurse Manager or designee for the quality and quantity of work performed on a daily basis, and is responsible and accountable for his/her individual practice. You will complete a focused assessment and document appropriately. You must possess excellent communications, interpersonal, customer service skills. In addition to providing clinical support, you will be responsible for actively participating in staff meetings and/or workgroups, clean and prepare exam rooms, assist the physicians with procedures and close open encounters, recognize and appropriately respond to breakage/malfunction or loss of equipment. You will administer medications as ordered or collaborate with RN and/or NP/MD if he/she suspects a medication should not be administered. You will update the ANM/RN when appropriate with accurate and necessary information regarding issues that have occurred. You will assist NM and ANM in compiling data in a timely manner including but not limited to: performance improvement / quality improvement reports; schedules; certified time; workload requests; and patient care data reviews. You will participate in career development through periodic need assessments, and scheduling of training / in-services, continuing education programs, and participation in committees and councils/meetings. You will ensure completion of annual mandatory training requirements and competency statements.







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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