Licensed Vocational Nurse (CLC B Bonham)- Recruitment Incentive/ EDRP Authorized
Veterans Affairs, Veterans Health Administration
Location: Bonham, Texas, Texas
Internal Number: 773628100
This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until 5/29/2024 or until filled. The first cut-off for application review will be February 15, 2024*** Additional applications will be referred as needed. The period of eligibility of your application will be 90 days. 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 as required by 38 U.S.C. 7402(d), and 7407(d). Education: 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. OR 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. OR Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Licensure: 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. 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 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: - 6 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 & sterile techniques & 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 & 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 & 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, & or intravenous medications as permitted by approved local facility policies and procedures. Observation and documentation will include patient's response to medication administered & 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, & assist in resuscitation procedures in cardiac and/or pulmonary arrest. 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 & 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 & 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, socioeconomic, and age-related factors. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) & 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, & 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, & other staff. Establishes constructive relationships with individual patients and their families to elicit feelings & attitudes, & to promote positive relationships, communication & 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, & or other internal/external customers. Actively seeks out educational opportunities to enhance nursing knowledge & skills, sharing new knowledge gained with other staff to improve & advance nursing practice. Preferred Experience: Previous LVN experience Wound Care experience Long Term Care Experience Rehab experience References: VA Handbook 5005/3, Part II, Appendix G-13 The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: Lifting up to 35 pounds for 8-12hours,intermittently, moderate carrying (15-35 pounds) for 8 to 12 hours, intermittently, lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care, pulling for 8 to 12 hours, intermittently, pushing for 8-12 hours, intermittently, reaching above the shoulders for 8-12 hours, intermittently, both hands required, walking 8-12 hours, intermittently, standing 8-12 hours intermittently, kneeling8 to 12 hours, intermittently, repeated bending for 8- 12 hours, intermittently, climbing and use of both legs and arms for 8 -12 hours, intermittently, both legs required, near vision at 13 to 16" Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other eye, ability to distinguish basic colors, hearing aid permitted, twisting, simply grasp and fine manipulation. ["VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Duties include but are not limited: Veteran Care: 1. Provides care with minimal RN supervision to a select group of patients. Performs and documents focused assessments (i.e. pain assessment, fall risk assessment) and reports abnormal findings to the RN team leader, or charge nurse. 2. Performs Accu-Check glucoscreen, takes and records vital signs and reports all significant deviations to the RN and/or health care provider immediately. Takes appropriate action as directed. 3. Evaluates the nutritional needs for patients, including feeding assistance, and performs as necessary. Provides fluid needs and administers feeding by nasogastric, gastrostomy, jejunostomy, and enteral tubes. 4. Actively participates in interdisciplinary team planning and patient care meetings. 5. Utilizes problem-solving process when patient problems arise. Informs RN about data obtained pertaining to the problem. Offers solutions to problems and offers feedback to ancillary members emphasizing ways to improve performance. 6. Accepts and mentors non-RN staff and student nurses. 7. Independently establishes priorities and varies the sequence of nursing care based on the patient's condition and/or response to treatment in order to accomplish assigned tasks by the end of the tour with limited supervision. Medical Administration 1. Demonstrates proficiency in utilizing the Bar Code Medication Administration (BCMA) scanner to administer medications to a group of patients safely and efficiently. 2. Is able to serve as a preceptor for other LVNs, and can instruct others in the appropriate use of BCMA for medication administration. 3. Is able to trouble shoot when issues with the BCMA scanners arise. Is aware of the contingency policy for medication administration and documentation should the computer system be non-functional. Veteran Safety The LVN is expected to adhere to Joint Commission National Patient Safety Goals and work with the members of the nursing care team to assure veteran safety. This performed under close supervision of the RN. 1. Is able to verbalize understanding of the Joint Commission National Patient Safety Goals (NPSG) and the means by which VANTHCS is assuring that these goals are met. 2. Operates and is familiar with equipment utilized for physiological monitoring, ventilation, patient-controlled analgesia (PCA) pumps, pulse oximeter, and blood/fluid warmers if assigned in areas where in use. 3. Identifies documents and reports fall risk, confused/wandering patients to all staff. Recognizes and reports potential safety hazards and takes appropriate action to address the problem. Work Schedule: 12 hour tours 7:30am to 8:00pm or 7:30pm to 8:00am Recruitment Incentive (Sign-on Bonus): Authorized EDRP Authorized: Contact VISN17EDRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00000 Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.