The Lead Specialty Medicine Clinic Licensed Practical Nurse (LPN), GS-7 performs complex nursing care for adult and geriatric patients and serves as a leader, mentor and preceptor within Specialty Medicine Clinics. The LPN possesses comprehensive advanced practical nursing knowledge and skills in specialized procedures and practices, which include prioritization and coordination of clinical activities. Duties included but are not limited to: Possesses the knowledge and skills to carry out more specialized patient care activities. This knowledge base includes the use of Veteran care data to initiate active contributions to the Veteran's overall health plan. Observations of Veteran's present status are made and interventions implemented to improve, restore or maintain the optimal function of the Veteran. Has the knowledge of program regulations and is able to carry out objectives of the LPN scope of practice within the Specialty Medicine Clinic setting. In doing this, follows the guidelines to meet and maintain program requirements. Contributes to the development of the plan of care for patients. This plan of care is completed with general review and co-signature by the RN or provider, utilizing a broad knowledge base, nursing protocols, and expertise in order to develop and modify treatment plans to meet the patient and families' expectations. Prepares and administers prescribed medications (oral, topical, subcutaneous, Intramuscular, and/or intravenous) and performs treatments according to established policies/procedures. The LPN observes for physical and/or emotional changes in patient's health condition, which may include prescribed medications/treatments, to promptly and accurately document identified changes, and reporting any deviations from normal to RN or provider. Takes appropriate actions based upon communications, observations, reports, and provider/staff discussion. Reports changes to RN or provider, and demonstrates the knowledge and ability to effectively intervene, recommend and implement strategies that assure optimal, safe and effective care. Assists staff in order to prioritize the overall care needs and adjusts the plan of care as needed. Is competent in the observation of obvious and subtle changes in condition. Responds diligently to changes and deteriorating condition in emergent situations, notifying appropriate personnel in a timely manner. Accurately and consistently reports and records significant information received from other team members and is able to analyze and implement modifications based on these reports. Is adept at encouraging and communicating with challenging psychological and physical behaviors to promote optimal functioning. Uses treatment modalities and implements appropriate practices and procedures with complex patients. Utilizes skills to influence and communicate with difficult and challenging Veterans and families. Demonstrates the ability to work independently without the need for readily available supervision and communicates effectively with the Veteran, families, caregivers, professionals, and other supportive staff. Demonstrates the knowledge, skills and ability to perform treatments, procedures, and the use and reprocessing of reusable medical equipment appropriate to assigned duties and based on approved standard operating procedures. Exhibits skills, creativity and initiative by contributing to the overall care delivery and improving satisfaction, through active participation on committees, task forces and groups. Utilizes sustainable practices to eliminate, minimize, or mitigate adverse environmental impacts. Familiarizes self with how work activities impact VA's goal to implement sound stewardship practices that are protective of the air, water, land, and other natural and cultural resources. Shall be a good steward of the environment by preventing pollution, minimizing waste and continually improving environmental programs. Serves as a clinical resource/mentor/educator to fellow Specialty Medicine Clinics LPNs for routine and complex care of Veterans as well as a resource for medical equipment usage, maintenance and repair. Possesses comprehensive knowledge of practices related to Specialty Medicine Clinic management, documentation and computer applications. Provides direction and clinical oversight to other LPN's working within the Specialty Medicine Clinics. Assists with work assignments of students and volunteers in the clinic setting. Responsible to ensure standards of care and LPN performance is met by orientation of assigned staff, evaluating educational needs, performing competency evaluations of Specialty Medicine Clinic LPN's and evaluating adherence to the LPN scope of practice. Work Schedule: Monday through Friday; Day Shift Financial Disclosure Report: Not required *This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program.*
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.