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Licensed Practical Nurse Ambulatory Care - External

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U.S. Department of Veterans Affairs - Agency Wide

Cheyenne, WY

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The Licensed Practical Nurse works under the direction of an RN and is part of the Patient Aligned Care Team with a focus on patient centered care delivery. The LPN will function at the top of his or her license. Duties include, but are not limited to: Responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic life care plan. Demonstrates active collaboration, communication and problem solving with the Core Team (Patient, Primary Care Provider, RN Care Coordinator and Medical Support Assistant) and Expanded Team (family/caregiver, internal and community based services involved in providing care to the patient). Responsible for actively participating as part of a high functioning team in meeting the PACT initiatives and outcomes. The LPN will be assigned to assist other PACT teams, as needed. Work Schedule: Monday - Saturday; Shifts vary between the hours of 7:00am to 7:30pm Functional Statement Title: Licensed Practical Nurse (LPN) GS 3-6. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. 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. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Selected applicants will be required to complete an online onboarding process.Basic Requirements: U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Proficiency: Licensed Practical Nurses appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Licensure: 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. The Licensed Practical Nurse must maintain a current, full active and unrestricted registration to continue employment with the VA. Physical standards: All applicants must meet the physical standards for the position. A physical examination prior to employment is required. Education or Experience Requirements: 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. Accrediting Commission (NLNAC) at the time the program was completed by the applicant. OR Health care education or training in military service accepted by the licensing body. OR Granted a license by a jurisdiction that does not require graduation from an approved school. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Preferred Experience: ? A minimum of 3 years of successful clinical nursing practice as a Licensed Vocational Nurse ? Broad knowledge base with experience in a variety of patient care settings and with diverse patient population. ? Demonstrated skill in performing multiple tasks, managing assignments, and expediting oral and written communications ? Demonstrated ability to interact with others effectively and appropriately, presenting a professional image of the service and the VA. 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. 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. 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.NoneTo apply for this position, you must provide a complete Application Package which includes: All applicants are required to submit the following supporting document type(s): Application 10-2850c is required to be considered for this position. Please complete form in its entirety. If you answer \YES\ to questions item # 15B and/or item # 28 through # 37, please attach a separate sheet of paper with a brief explanation for each question to which you answered \Yes\. Information must current not older than a year. Outdated and/or incomplete applications will be ineligible for consideration. Application for Associated Health Occupations (required). Information must be current not older than a year. Outdated and/or incomplete applications will be considered ineligible. Resume: Your resume must include the following information for each job you list: Job title; Complete Work Place Addresses ; Duties (be as detailed as possible); Month and year start/end dates (e.g. June 2007 to April 2008); Full-time or part-time status, PRN (include hours worked per week) Information must be current not older than a year. (Required) SF50, Notification of Personnel Action: Most recent SF50 showing your current Grade, Step and Salary. (Required) Transcripts: A copy of your college/university transcripts. (Required) Applicants may also submit the following supporting document type(s), which may not be required for all applicants (if applicable): *DD-214 - If claiming Veteran's Preference *Other Veterans Document - VA Rating Letter *SF-50 - If current Federal Employee *Cover Letter - Optional *OF-306 - Optional *SF-15 - Optional Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information. Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.

Company info

U.S. Department of Veterans Affairs - Agency Wide
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Company Profile
The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 152 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliaries. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million* Veterans each year.

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