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Practical Nurse - Ambulatory Care

Direct Jobs, Boston, Massachusetts, us, 02298

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Summary The 2-page Resume requirement does not apply to this occupational series. For more information - refer to Required Documents below. This Licensed Practical Nurse position is Nursing Services at the Boston VA Healthcare Systems - located at the Jamaica Plain location.

Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy

Language: Must be proficient in the English language Licensure: Must have a 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

Education: Must be a 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

Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN

Grade Determinations: GS-03 Qualifications: 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-04 Qualifications: Employees may be appointed at or advanced to GS-04 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-05 Qualifications: Completion of at least 1 year of qualifying experience at the GS-04 level or equivalent

In addition to meeting the Experience requirement - the applicant must demonstrate all Knowledge - Skills - and Abilities (KSA's) below: 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-06 Qualifications: Completion of at least 1 year of qualifying experience at the GS-05 level or equivalent - fully meeting all performance requirements for the GS-05 LPN/LVN

In addition to meeting the experience/education requirement - the applicant must demonstrate all Knowledge - Skills - and Abilities (KSA's) below

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

Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

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.

Duties

The incumbent performs works under the direction of the Nurse Manager - delivering practical nursing care to patients with a variety of physical needs

Documents treatments and patient utilizing Computerized Patient Record System/Globally Unique Identifier (CPRS/GUI)

The incumbent works under the direction of a Registered Nurse - maintaining a safe dignified environment.

Duties may include - but are not limited to: Conducts assessments of medication

Reports side effects and other symptoms to providers

Conducts repeated medication reviews

Provides ongoing education to patients about medications and other health-related behaviors by participating in group or individual meetings

Assists patients develop plans to address inconsistencies in medication use

Works with staff to deliver group and/or individual educational interventions to promote healthy behaviors

Serves as the liaison to hospital and community providers

Establishes relationships with family members and provide education for families as needed

Supports the team with case management needs of the Veterans and assists the teams in encouraging Veterans to follow through with treatment plans

Work Schedule: Monday thru Friday 8:00 am - 4:30 pm or 8:30 am - 5:00 pm

Compressed/Flexible: Not Available

Recruitment Incentive (Sign-on Bonus): Authorized

Permanent Change of Station (Relocation Assistance): Not Authorized

EDRP Authorized: Former EDRP participants ineligible to apply for incentive

Contact Karen.Chapman@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)

Telework: Not Available

Virtual: This is not a virtual position

Functional Statement #: F05598 - F05599 - F05600 & F05601

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO):Not Authorized

Financial Disclosure: Not Required

Notifications: This position is in the Excepted Service

This position is covered by a special rate

This position is not a Bargaining Unit position

The incumbent may be required to travel to other VA campuses and CBOC's

Veterans' preference does not apply for internal or other current permanent Federal agency employees

Narrative responses to the knowledge - skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment

Current and former Federal employees may submit copies of their most recent SF-50 - (Notice of Personnel Action)

The SF-50 must identify the position title - series - grade - step - tenure and type of service (Competitive or Excepted)

In some cases - more than one SF-50 may be required to show a higher grade previously held.

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