Practical Nurse- Community Based Outpatient Clinic
Veterans Affairs, Veterans Health Administration
Location: Oklahoma City, Oklahoma
Internal Number: 635429100
The Oklahoma City VA Medical Center, Nursing Service is currently recruiting for Multiple Licensed Practical/Vocational Nurses for the North May Clinic, in Oklahoma City, Oklahoma. To qualify for this position you must meet the minimum requirement by the closing date of this announcement. 09/30/2022 Basic Requirements: Citizenship: US Citizenship 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:](1) 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. 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. An LPN[/LVN] who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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. GS-4. [Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below:(a) Six months of qualifying experience as an LPN or LVN; or Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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.(d) 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-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent Knowledge, Skills and Abilities: 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 Nursing Assistants (NAs)/Health Technicians (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 Education / Experience: 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. Knowledge, Skills and Abilities: Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 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. References: VA HANDBOOK 5005/3 PART II APPENDIX G13 The full performance level of this vacancy is 6. The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 6. Physical Requirements: Must be able to meet the physical demands of the position, reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. They must have good manual dexterity, must be able to express or exchange ideals by means of spoken and written word. Must be able to view and read information on computer screens. ["Assisting with and performing activities of daily living, i.e., bathing, feeding, shavings, oral hygiene, care of scalp and nails. Assisting patients with bedpans, urinals, or to the commode/toilet. Making unoccupied/occupied beds. Maintaining a neat, safe, comfortable environment for the patient. Assisting with the admission, transfer and discharge of patients. Preparing, administering, and reviewing appropriate dosage for oral, subcutaneous, intradermal, intramuscular, topical, topical, enemas and suppository forms of medications. Taking and recording in the medical record: vital signs, blood pressure, pulse, respiration, temperate, pain score, weight, and neurological check. Collecting specimens, urine, feces, sputum, etc., and appropriately prepare and transports specimens to the laboratory. Measuring and recording total intake (oral, IV, per tube) and· output (urine, emesis, wound, etc.). Performs venipunctures and appropriately prepares and transports specimens to the laboratory. Performs finger stick blood sugars. Observing, reporting, and documenting all changes in the physical condition and/or the behavior of patients to the supervising Registered Nurses (RN) on duty. Reporting and recording care and treatment including responses and reactions to that care and treatment. In designated areas, able to interpret life threatening dysrhythmia after demonstrating competency. Responsible for placing large bone nasogastric tubes and foley catheters. Performing ostomy care, tube feedings, nasopharyngeal or tracheal suctioning, oxygen therapy, dressing changes, irrigations, nebulizer treatments, various tube care, i.e. Jackson Pratt, hemovac, tracheostomy, etc., and a variety of other procedures. Providing age appropriate care. Providing and/or reinforcing patient teaching and documents. Identifying emergency situations and taking appropriate action, i.e.. imitates CPR, pulls fire alarm, etc. Monitoring patients receiving blood transfusion. Managing the patient with a chest tube. Assisting in maintaining a safe, therapeutic environment for patients, including those exhibiting unpredictable behavior. Providing appropriate care and documentation for patients (1) at high risk for falls, (2) requiring restraints, (3) requiring Emergency Orders of Detentions (EOD) or Court commitment, and (4) demonstrating suicidal or ideations, or (5) patients requiring special monitoring or observation. Demonstrating a positive understanding and helpful attitude toward patient, patient families and coworkers. Demonstrating the ability to work as an active, contributing team member.\nDemonstrating courteous interactions with patients, patient's families and coworkers. Utilizing principles of aseptic technique, universal precautions and isolations requirements. Providing input into patient into patient plan of care. Utilizing computer programs required for the position. Knowledge Required by the Position Knowledge and skills sufficient to provide nursing care to a variety of patients ranging from chronically to acutely ill. Knowledge and skill sufficient to use medical terminology and to begin interpreting test results and information gathered to care for patients. Beginning skill in observing, gathering and reporting both orally and in writing obvious physical and emotional changes in the patient's health care status. Knowledge and skill sufficient to interact with patients/patient families for the purpose of obtaining or giving information. Knowledge and skill sufficient to perform procedures, treatments and care with supervision and/or assistance -as needed. Knowledge of anatomy and physiology as well as understanding of the scientific principles underlying the nursing care and/or procedures to be performed. Knowledge and skill sufficient to initiate emergency measures and to get further assistance. Knowledge and skill sufficient to provide environmental safety, security and privacy of patient. Knowledge of dosages and skill sufficient to administer prescribed medications. Practical and theoretical knowledge about drug side effects, purposes, therapeutic dosage range and toxic effects. Knowledge and skill to demonstrate computer literacy to use all required programs for the position. Work Schedule: Monday - Friday 7:30 to 4:00 or 8:00 to 4:30, includes some Saturday depending on clinic needs.\nCompressed/Flexible: No\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #: 000000/ Licensed Practical Nurse.\nFinancial Disclosure Report: Not required\nPosition Title/Functional Statement #:Practical Nurse- Community Based Outpatient Clinic/PD000000"]
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.