Licensed Practical Nurse (Community Living Center)
Veterans Affairs, Veterans Health Administration
Location: New Orleans, Louisiana
Internal Number: 685101500
The Licensed Practical Nurse performs a wide range of resident care and supportive duties in the Community Living Center (CLC). They exhibit independent technical judgment, critical thinking skills, and the use of independent judgment to carry out their assigned duties, including ability to prioritize and coordinate the care of medically complex veteran population with minimal supervision. Such individuals serve as leaders or co-leaders of a nursing unit for a specific group of residents. 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in [both] spoken and written English. Education. 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. Verification can be obtained from the State approving agency [or] the National League for Nursing [Accrediting Commission], 61 Broadway, 33rd Floor, New York, NY 10006. [Additional information may also be obtained from the NLNAC Website. Exceptions include:] Licensure. 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. 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 Requirement GS-7: The GS-7 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment: Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all of 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. Knowledge base 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. Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations. Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels. Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate. Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. This includes the ability to effectively deal with the above types of patients under very general supervision. Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice. Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas. Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff. Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice.] References: VA HANDBOOK 5005/3 PART II APPENDIX G13 APRIL 13, 2003 Physical Requirements: The functional requirements of this position requires heavy lifting, heavy carrying, pushing, extensive pulling, extensive walking, kneeling, repeated bending, The following environmental factors include: possible encounters with slippery or uneven walking surfaces, working with hands in water, irregular hours of work, possible exposure to communicable disease and blood borne pathogens. ["Major duties for the position include (but are not limited to): Maintaining a safe environment using appropriate equipment, devices, and safety measures for all residents with demonstrated special awareness of the needs of all residents with impaired mobility; Contributing to the evaluation of fall risk residents and implementing appropriate preventative measures; Incorporating current resident care data by gathering data and actively contributing to the development and modification of treatment plans; Assisting the RN and/or provider to appropriately prioritize overall resident care needs and adjust plans of care delivery; Communicating calmly, courteously, and tactfully with all residents, personnel and visitors maintaining confidentiality in accordance with HIPPAA regulations and medical center policies; Identifying and encouraging participation in the rehabilitation aspect of resident care, such as re-motivation and other resident therapy groups; Conducting routine rounds throughout the shift on a designated group of residents; Evaluating and observing residents level of acuity and communicate/report changes in acuity level to the covering RN and/or provider; Supporting the Nurse Manager and/or Assistant Nurse Manager in monitoring the practice of licensed and unlicensed nursing staff in resident care delivery; Assisting the RN, MDS Coordinator, and other members of the interdisciplinary team with providing input in the development of the care plan based on the resident care needs; Performing all types of dressing changes, including complex wound care; Documenting data in the medical record following established guidelines including identifying the designated RN as a co-signer to notes entered in CPRS. Work Schedule: Rotating Six 12 hour shifts AM and PM and One 8 hour shift per pay period Telework: Not Available Virtual: This is not a virtual position Functional Statement #: 00000 Licensed Practical Nurse (Community Living Center) Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.