Licensed Practical Nurse (Telehealth Clinical Technician)
Determinations concerning grade level take into consideration the skill mix and the availability of supervision in the work unit. The LPN GS-6 works independently and collaborates with an RN and/or MD/DO/OD. The LPN GS-5-meets the requirements of the LPN GS-6 with a minimal one-year additional qualifying experience. Responsible for patient care activities for adult and geriatric patients. Performs each of the identified elements on a daily basis as assigned. Does so in a safe, effective manner, adhering to standards and criteria identified in VAAAHS manuals and current practice. Identified failures or corrective supervisory counseling's occurs no more than one time per six-month rating period for all of the following listed below Makes astute observations and thoroughly documents care and the patient's response. Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention. Performs, reports, and records the assigned nursing care in the clinic including but not limited to:
a. Vital Signs including pulse, blood pressure, respirations, temperature, pain level, and obtaining pulse oximetry b. Perform diabetic foot screening including visual screening, pulses and sensation c. Pulses:
apical, carotid, pedal d. Height/weight. e. Administers influenza, pneumococcal and tetanus vaccinations per protocol. Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening, g. Glucometer measurements h. Neurological vital signs i. Obtaining EKG j. Obtaining Hemacron Point of Care testing for INR k. Oxygen therapy l. Adheres to standards of practice and safe technique in preparation and administration of Medication. m. Sterile and non-sterile specimen collection n. Elastic bandage, hose, and unna boot application o. Hot and cold non-sterile compresses p. Sterile dressings and irrigations q. Completes encounter forms Successfully cares for patients of different ages, including young adult, middle aged adults and older adults, demonstrating understanding of how age affects the health care needs of patients Participates with minor surgery procedures including positioning patient and monitoring patient during the procedure Correctly draws lab specimens and then processes, labels and delivers the specimens to laboratory Initiates and completes clinical reminders in CPRS as appropriate for each patient. Urethral catheterization including post void residual and performs bladder scanning Place PPD and Candida skin tests Care of established colonoscopies and ileostomies and application of bag Performs ear irrigation safely Demonstrates knowledge and skill necessary to carry out more specialized patient care duties in their assigned clinics. Knowledge base promotes incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and carrying out assigned nursing interventions. Promptly recognizes urgent or emergent patient care situations and initiates assistance effectively intervening as appropriate. Provides patient and family education reinforces health teaching and takes an active role in promoting healthy lifestyles. Exercises skill in influencing and communicating with unusually difficult patients under general supervision. Maintains precise adherence to basic principles of asepsis, safety, and universal precautions to provide a safe environment for patients, families, and employees. Incumbent possesses knowledge of proper handling of instruments including the cleaning of reusable medical equipment. Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer. Provides one to one nursing care to assigned outpatients whose care requires close observation during procedures. Follows policy and procedures related to fire and disaster drills, safety and security measures. Interprets Medical Center Regulations and policies to other staff, patients, relatives, and visitors. Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer. Provides one to one nursing care to assigned outpatients whose care requires close observation during procedures. Follows policy and procedures related to fire and disaster drills, safety and security measures. Interprets Medical Center Regulations and policies to other staff, patients, relatives, and visitors. Work Schedule:
Monday-Friday 7:
30am-4:
30pm Financial Disclosure Report:
Not required 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:
U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). 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. Must pass a pre-employment examination if selected. 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. 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 G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office. 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. Physical Requirements:
For this position requires regular and physical exertion. It may involve walking, frequent bending, reaching and stretching to set up and take apart equipment; lifting and positioning patients; and carrying, pushing, or pulling moderately heavy objects. Duties may require average dexerity
Estimated Salary: $20 to $28 per hour based on qualifications.
a. Vital Signs including pulse, blood pressure, respirations, temperature, pain level, and obtaining pulse oximetry b. Perform diabetic foot screening including visual screening, pulses and sensation c. Pulses:
apical, carotid, pedal d. Height/weight. e. Administers influenza, pneumococcal and tetanus vaccinations per protocol. Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening, g. Glucometer measurements h. Neurological vital signs i. Obtaining EKG j. Obtaining Hemacron Point of Care testing for INR k. Oxygen therapy l. Adheres to standards of practice and safe technique in preparation and administration of Medication. m. Sterile and non-sterile specimen collection n. Elastic bandage, hose, and unna boot application o. Hot and cold non-sterile compresses p. Sterile dressings and irrigations q. Completes encounter forms Successfully cares for patients of different ages, including young adult, middle aged adults and older adults, demonstrating understanding of how age affects the health care needs of patients Participates with minor surgery procedures including positioning patient and monitoring patient during the procedure Correctly draws lab specimens and then processes, labels and delivers the specimens to laboratory Initiates and completes clinical reminders in CPRS as appropriate for each patient. Urethral catheterization including post void residual and performs bladder scanning Place PPD and Candida skin tests Care of established colonoscopies and ileostomies and application of bag Performs ear irrigation safely Demonstrates knowledge and skill necessary to carry out more specialized patient care duties in their assigned clinics. Knowledge base promotes incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and carrying out assigned nursing interventions. Promptly recognizes urgent or emergent patient care situations and initiates assistance effectively intervening as appropriate. Provides patient and family education reinforces health teaching and takes an active role in promoting healthy lifestyles. Exercises skill in influencing and communicating with unusually difficult patients under general supervision. Maintains precise adherence to basic principles of asepsis, safety, and universal precautions to provide a safe environment for patients, families, and employees. Incumbent possesses knowledge of proper handling of instruments including the cleaning of reusable medical equipment. Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer. Provides one to one nursing care to assigned outpatients whose care requires close observation during procedures. Follows policy and procedures related to fire and disaster drills, safety and security measures. Interprets Medical Center Regulations and policies to other staff, patients, relatives, and visitors. Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer. Provides one to one nursing care to assigned outpatients whose care requires close observation during procedures. Follows policy and procedures related to fire and disaster drills, safety and security measures. Interprets Medical Center Regulations and policies to other staff, patients, relatives, and visitors. Work Schedule:
Monday-Friday 7:
30am-4:
30pm Financial Disclosure Report:
Not required 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:
U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). 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. Must pass a pre-employment examination if selected. 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. 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 G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office. 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. Physical Requirements:
For this position requires regular and physical exertion. It may involve walking, frequent bending, reaching and stretching to set up and take apart equipment; lifting and positioning patients; and carrying, pushing, or pulling moderately heavy objects. Duties may require average dexerity
- Department:
0620 Practical Nurse - Salary Range:
$44,946 to $58,431 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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