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LVN- Primary Care/Patient Aligned Care Teams (PACT)-Redding

VA Medical Center


Location:
Redding, CA
Date:
05/03/2018
2018-05-032018-06-10
Categories:
  • Medical/Surgical
  • LPN/LVN
  • Nurse Manager
  • Long Term Care
  • Infection Control
  • Operating Room/PACU
  • IV Therapy
  • Cardiology
  • Emergency Services
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Job Details


Summary

The Licensed Vocational Nurse (LVN) utilizes technical and manual skills under the direction of the Registered Nurse or a licensed physician in the assigned area. Incumbent performs a wide range of patient care and duties throughout NCHCS. The incumbent has the knowledge and skills to carry out nursing assignments for ambulatory care nursing. Competency will be validated during the orientation period, and annually thereafter.
Major duties include, but may not be limited to:
The Licensed Vocational Nurse works in collaboration with the PACT team and specialty teams, reports to the primary care Nurse Manager. The LVN is responsible for observing, recording and reporting changes in the patient's condition and as assisting in the flow of the clinic. The LVN is a member of the Patient Aligned Care team. The LVN requires a general review of their work by an RN for appropriateness and conformity with license, policies and procedures. The LVN demonstrates active collaboration and communication with PACT (Patient, Primary Care Provider, RN Care Manager and Patient Support Technician) and Expanded Team (family/caregiver, internal and community based services involved in providing care to the patient).
The LVN performs, reports, and records assigned nursing care in the Primary Care Clinics, including, but not limited to:

  • Oxygen therapy
  • Medication administration to include IV medication if certified
  • Clinical reminders with appropriate consults and alerts as indicated
  • Check expiration dates of meds and supplies
  • Delegated procedures and treatments
  • Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy.Monitors patient during the procedure.









Duties

  • 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.
  • Adheres to standards of practice and safe technique in preparation and administration of medication.
  • Reviews daily care schedule for patient care needs and pre-visit planning
  • Completes appropriate clinical reminders
  • Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran.
  • Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate.
  • Aid in patient education
  • Based on the patient's goals, provides patient and family health education, to include self-management, prevention and wellness.
  • Interacts and communicates appropriately with patients and family members.
  • Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills.
  • Adheres to principles of infection control, safety, and universal precautions.
  • Incumbent possesses knowledge of proper handling and pre-cleaning of reusable medical equipment.
  • Demonstrates competence utilizing special equipment needed to perform job duties.
  • Follows policy and procedures related to fire and disaster drills, safety and security measures.
  • Demonstrates initiative in assisting the core and expanded teams.
  • Assists in the orientation and competency validation of students, peers and clerical staff.
  • Maintains confidentiality of electronic, written, and/or verbal patient information.
  • Maintains a work environment that honors diversity.
  • Serves as a resource and advocate in the protection of patient and family rights.
  • Completes mandatory reviews, including motivational interviewing and health coaching, to promote patient self-management.
  • Supports patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.
  • May float to any department in the clinic as needed, after training.
  • Learns and performs all aspects of telehealth duties.
  • Promotes patient and personnel safety.

Work Schedule: Flexible schedule 80 hrs per 2 weeks.






graph of estimated pay ranges
$31,341

$57,037





Job Details



Application Open Date

5/1/2018



Application Close Date

5/15/2018




Organization

Veterans Affairs, Veterans Health Administration



Who May Apply

None



Status

None




























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

    • Physical Requirements:
      Use and function of all normal motor and sensory anatomy for provision of patient care, reading, writing, listening, observing/seeing, heavy lifting, bending, pulling, pushing, stooping, squatting, walking, standing, use of fine motor muscles; visual and auditory acuity; emotional intelligence to respond to stressful and/or emergent situations and crises appropriately and calmly; self-care skills to maintain physical, psychological, and emotional health. Examples include: heavy lifting of 45 pounds and over, heavy carrying of 45 pounds and over, straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1-4, far vision correctable in one eye to 20/20 and to 20/40 in the other.

      Selected applicants will be required to complete an online on boarding process.

      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 or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

      If you fail to submit the required documents, you will be considered ineligible for consideration.




  • QualificationsOpen Qualifications SectionClose Qualifications Section

    • Basic Requirements:
      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.
      Preferred Experience:
      • Current proficiency in Basic Life Support (BLS) through the American Heart Association (Required prior to assuming clinical duties and must remain current -VHA Directive 11-77)
      • Knowledge and experience in setting up a sterile field.
      • Experience working in a specialty clinic including setting up and assisting with procedures.
      • One year of experience as a Licensed Practical/Vocational Nurse.
      • The incumbent must have the ability to manage programmatic development in coordination with Telehealth on a daily basis
      • Certification in IV therapy
      • Must have computer skills to include Microsoft Word, Excel, and the ability to navigate a computerized patient record system.
      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: 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.
      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. This can be found in the local Human Resources Office.




  • 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 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 " src="/images/placeholder.png?txt=Close Date" />" src="/images/placeholder.png?txt=Close Date" />" src="/images/placeholder.png?txt=Close Date" />" src="/images/placeholder.png?txt=Close Date" /> to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/10202467" src="/images/placeholder.png?txt=Application Preview" />" src="/images/placeholder.png?txt=Application Preview" />" src="/images/placeholder.png?txt=Application Preview" />" src="/images/placeholder.png?txt=Application Preview" />" src="/images/placeholder.png?txt=Application Preview" />.
      1. To begin, click Apply Online to create a USA JOBS 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 Application 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: 2


      Job Position: CBEC-10202467-18-SG




      • 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.
      • Adheres to standards of practice and safe technique in preparation and administration of medication.
      • Reviews daily care schedule for patient care needs and pre-visit planning
      • Completes appropriate clinical reminders
      • Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran.
      • Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate.
      • Aid in patient education
      • Based on the patient's goals, provides patient and family health education, to include self-management, prevention and wellness.
      • Interacts and communicates appropriately with patients and family members.
      • Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills.
      • Adheres to principles of infection control, safety, and universal precautions.
      • Incumbent possesses knowledge of proper handling and pre-cleaning of reusable medical equipment.
      • Demonstrates competence utilizing special equipment needed to perform job duties.
      • Follows policy and procedures related to fire and disaster drills, safety and security measures.
      • Demonstrates initiative in assisting the core and expanded teams.
      • Assists in the orientation and competency validation of students, peers and clerical staff.
      • Maintains confidentiality of electronic, written, and/or verbal patient information.
      • Maintains a work environment that honors diversity.
      • Serves as a resource and advocate in the protection of patient and family rights.
      • Completes mandatory reviews, including motivational interviewing and health coaching, to promote patient self-management.
      • Supports patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.
      • May float to any department in the clinic as needed, after training.
      • Learns and performs all aspects of telehealth duties.
      • Promotes patient and personnel safety.

      Work Schedule: Flexible schedule 80 hrs per 2 weeks.





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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