Carl Vinson VAMC Dublin, GA is seeking a Licensed Practical Nurse to serve in the CLC Nursing Department. 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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: Completion of at least 1 year of qualifying experience at the GS-5 level or equivalent; Technically proficient in initiating, performing, and completing assigned duties in providing care to variable Veteran populations; Knowledge and ability to appropriately carry out assigned Veteran care based on the Veteran's conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant Veteran information. Completed work should need only a general review of 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 Veteran's needs for care including medication, equipment-assisted care and Veteran/ family education. In organizing and delivering care, the LPN /L VN 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 and procedures. Observes for physical and/ or emotional changes in Veteran's condition from prescribed medication/ treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO; Knowledge and ability to recognize w:gent or emergent Veteran care situations, seek assistance of the RN or MD /DO, and initiates appropriate emergency interventions as directed; Knowledge and understanding of human behavior, Veteran motivations, and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with Veterans, family members, and other staff. Establishes constructive relationships with individual Veterans and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. Fosters an environment of respect for individual Veteran 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 Veterans, 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 Veteran, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the Veteran's condition before, during, and following the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs/L VNs 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. Observe Veteran(s) upon arrival, prioritize urgency of need based on condition and information obtained from Veteran/significant other, thoroughly document care and the Veteran's response, and inform Registered Nurse (RN) or provider of changes in the Veteran1s condition. Uses judgement in selecting and initiating appropriate treatment to respond to identified Veteran needs after confirmation with the RN or provider. Utilizes observational skills and knowledge of anatomy, physiology, and behavioral dynamics to recognize by physical appearance and symptoms the Veteran who requires immediate referral to the RN or provider. 4. Independently initiates emergency action in life threatening situations, such as cardiac and/or respiratory arrest, massive bleeding, shock, or psychiatric emergencies. Provides c:u:e instructions to the Veteran and family as indicated. Communicates with other members of the health care team to facilitate plan of care. Demonstrates ability to prioritize and plan work based on constantly changing care needs. Implements the plan of care established for each Veteran through use of the database, nursing and provider orders, and nursing policies, procedures, and standards. Prepares and administers approved medication, observing, recording, and reporting unusual reaction(s). Participates in narcotic validation with an RN. Performs complex procedures that include inserting catheters, changing gastrostomy tubes in established stomas, changing sterile dressings, applying electrodes and connecting to cardiac monitor for observations, and performing finger sticks for blood glucose monitoring. Evaluates the Veteran's response to treatment/medication and initiates change in nursing care based on the evaluation and validation with the RN/provider. Evaluates disruptive behavior and the Veteran's response to initial treatment. Initiates the management of hostile, aggressive or bizarre behavior exhibited by Veteran(s), alerting appropriate responses immediately. Reports abnormal reactions or ineffectiveness of treatments to the appropriate health care team member. Accurately reports and records observations of the Veteran's physical and psychosocial status and the response to care on the medical record in compliance with established policy. Receives inquiries regarding the Veteran's condition, need for treatment, medication, procedures, appointments, eligibility, etc., and provides requested information or makes appropriate referral; input/ retrieves appropriate data (lab, xray, etc.)via computer. Participates in quality improvement processes for the Specialty Clinic. Assists with minor procedures and exams, including obtaining and arranging necessary equipment, positioning Veteran, ensuring comfort and privacy. Monitors Veteran before, during and following procedure/ exam. Collects urine samples. Prepares lab specimens for transport (Le. urine, PAP smears). Adheres to standards of practice and safe technique in preparation and administration of medication. Demonstrates understanding of age and population-specific characteristics that affect the health care needs of the Veteran. Promptly recognizes urgent or emergent Veteran care situations, seeks assistance and initiates appropriate emergency interventions. References: This can be found in the local Human Resources Office. VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is GS-6. Physical Requirements: Incumbent is required to spend a large portion of the work day standing. ["Major Duties: Assignment involves working independently, providing direct care, assessing Veteran's health needs, and assisting provider with complex procedures. Decisions regarding Veteran's needs are based on the incumbent's knowledge of nursing. Close concentration is required to recognize and respond to deviations from normal conditions so that care may be given immediately. The purpose of the work is to assist in obtaining an effective initial assessment of the Veteran in the Specialty Clinic/outpatient section. The initial Veteran-nurse contact will influence the attitude of the Veteran and his/her family, therefore, the incumbent must provide prompt, courteous, quality Veteran-centered nursing care upon the Veteran's entry into the health care system. The purpose of contact is to render nursing care to Veterans in need. This involves giving and receiving health care information, Veteran and family teaching and functioning as a Licensed Practical Nurse in the Specialty Clinic. Work is performed in the Specialty Clinic/outpatient section to include Surgery Clinic, Gynecology Clinic, Podiatry, Urology, Cardiology, Neurology, Pulmonology, and Audiology. Work requires transporting Veterans to all areas within the medical center. There may be recurring exposure to infections, and incumbent must be knowledgeable of unusual and normal safety precautions. Work involves almost constant physical activity (walking, standing. sitting, lifting, bending,transferring, and assisting Veterans with any activity). The incumbent must be alert and able to cope with Veterans with unpredictable behavior due to emotional illness. Has knowledge and skills to carry out nursing care assignments. Has knowledge and skills to adjust therapies and procedures, based on Veteran's condition to meet moderately complicated needs. Has knowledge and skills to recognize basic health teaching needs and to participate in health teaching plans for selected Veteran's. Has knowledge and skills of human behavior to understand motivations and reactions of stress and applies this to promote effective relationships with Veterans, families, and visitors. Work Schedule: 7 pm - 7:30am, rotating weekends\nTelework: Not available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May Be Authorized for a Well-Qualified Applicant\nFinancial Disclosure Report: Not required"]
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.