The PACT (Patient Aligned Care Team), Licensed Practical Nurse (LPN), has the knowledge and skills necessary for concentrated effort and self-direction in carrying out the most complex practical nursing care assignments considering age, culture, and special needs of patients. The PACT LPN is an integral part of the PACT Team, working in clinic alongside the PACT Provider.. 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. Basic Requirements: May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).Grade Determinations: GS-03 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 Six (6) months of qualifying experience as an LPN or LVN; OR Graduation from an approved school and one (1) 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. 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-05 Completion of at least one (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. GS-06 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. Technically proficient in initiating, performing, and completing assigned duties in providing care to variable patient populations. GS-07 Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all the performance requirements for the GS-6 LPN/LVN. Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general, and employees are expected to be involved to a greater degree in the development and modification of treatment plans. Preferred Experience: PACT Experience Outpatient Experience Acute Care Experience References: VA Handbook 5005/3, Part II, Appendix G13 The full performance level of this vacancy is 7. The actual grade at which an applicant may be selected for this vacancy is a 7. Physical Requirements: The position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive procedures. ["Duties include but are not limited to: Possesses broad work experience and demonstrated skill sufficient to resolve a wide range of nursing problems Possesses the knowledge and ability to appropriately carry out patient care based on the patient's condition Utilizes judgement in selecting the appropriate order and sequence of procedures and treatments Contributes to the development of the patient treatment plan for assigned veterans. Accurately recognizes, reports, and records relevant patient information Serves as a preceptor in orienting, educating and training less experienced LPN's related to support duties Demonstrates comprehensive practical nursing knowledge and skills needed to perform duties in the primary care program Possesses the ability to recognize urgent or emergent patient care situations and initiates appropriate emergency interventions Possesses the knowledge and understanding of human behavior, patient motivations, and reactions to situations Completes assigned duties and responsibilities which involve performing non-standard and specialized practical nursing activities Promotes and demonstrates nursing concepts in the primary care work setting in collaboration with interdisciplinary team members Identifies high risk populations, targets chronic disease indicator outliers, and works with the PACT Team to improve veteran self management and outcomes Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve nursing practice Possesses communication skills that enhance interactions with veterans, family members, co-workers, and other members of the interdisciplinary team Possesses the ability to appropriately utilize this knowledge in working effectively with patients, family members, and internal/external customers Serves in the outpatient setting as a member of a health care team with assigned duties which include prioritization and coordination of clinical activities with minimal supervision Utilizes advanced communication and conflict resolution skills to appropriately manage disagreements in the workplace and in diffusing verbally or physically abusive patients or visitors Maintains knowledge of program policies and procedures to include VHA and VISN Directives, VAMC and Service Policies and Procedures, Standard Operating Procedures, Memorandums of Understanding, Standard Work Tools, and PACT Nursing Protocols Work Schedule: Monday - Friday, 730am to 4:00pm Telework: Not AvailableVirtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Chane of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
