The primary purpose of this position is to perform a very wide range of patient personal care, support diagnostic services, and chart activities on a regular and continual basis on a surgical, medical, rehabilitation, psychiatric, or long-term care ward or clinic. The incumbent performs duties in such a way as to promote a sense of worth and dignity within each individual. The Specialty Clinic LPN is responsible for the evidence-based care of a group of patients as follows: a. The duties and assignments of this position include interviewing patients, performing a general systems' appraisal of the patient's condition, and collecting objective and subjective data. Duties also include collaboration with the RN in developing, selecting the appropriate sequence of procedures, and implementing a plan of care, individualized, to carry out the nursing needs of the patient. b. Contributes to the interdisciplinary team (IDT) in the development, implementation, and evaluation of the patient's outpatient treatment and discharge plan. Collaborates with members of other services regarding changes in patient's condition, laboratory results, responses to treatment plan, and other pertinent parameters of care. c. Modifies the patient's plan of care in accordance with recognized nursing standards and prescribed treatment. Meets patients' needs by direct physical care and psychosocial intervention and by assuming responsibility for nursing management of complex patients. Promoting positive patient/family/staff relationship by utilizing appropriate communication skills. d. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular, and/ or intravenous) and performs treatments according to established policies/ procedures. Observes patient for physical and/or emotional changes in patient's condition, documenting changes and reporting deviations to the RN or MD/DO, recognizing side effects and contraindications. Provides patient instruction regarding medications. e. Performs support duties for complex diagnostic test and/or specialized practices or procedures, which include preparing the patient; assisting in the diagnostic examination; preparing specimens; tracking pathologies; managing the operating room (OR) calendar; preparing and passing instruments; and monitoring the patient's condition before, during, and after the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs/ licensed vocations nurses (LVNs) or Nursing Assistants (NAs) or Health Technicians (HTs), related to support duties for these more complex, specialized tests/ procedures. f. Anticipates and recognizes emergency situations, responding promptly, notifying the RN or MD/DO and instituting appropriate actions according to policy and procedures. Supports the patient and/or family members/significant other in the integration of the patient plan of care toward achievement of discharge objectives. Educates patients and significant others in their medical condition on prescribed medications, equipment, treatments, and activity level. Documents patient education and patient's response. g. Safeguards the patient's right to privacy by protecting information of a confidential nature. Congruent to Health Insurance Portability and Accountability Act of 1966, maintains information security management. Leads patient groups to improve their knowledge of disease processes, strengthen their self-efficacy, educate them on procedures, or to help patients share feelings, interacting and functioning in accordance with the patient's plan of care. h. Additional duties as assigned. Work Schedule: Monday thru Friday 7:30pm - 4:00pm, with occasional weekend hours. Financial Disclosure Report: Not required. Physical Requirements: The population of male and female Veterans served ranges from the adult, age 18 to the elderly adult, age 65 and over. Lebanon VA Medical Center is a major interdisciplinary teaching facility, serving medical and surgical inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. 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, pushing, lifting 45 pounds or more, reaching above the shoulder, frequent pushing medication carts; and use finger and both and hand and legs. 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. The incumbent must be able to navigate all areas of the facility, use a keyboard, perform cardiopulmonary resuscitation (CPR) when necessary, as well as direct others to perform it, and perform other activities of the position without any restrictions.
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.