The LPN Lead will supervise and oversee the daily tasks and work load of all COVID 19 in their assigned location. The COVID 19 Services provides care to Veterans in non-traditional ambulatory care settings, and provide nursing support throughout the facility to care for Veterans with acute and chronic health conditions, with age ranges from young adult to older/geriatric and diverse in culture and religious/gender orientation. Basic Requirements: United States Citizenship: Must be a US Citizen. Licensure: Eligible candidate must possess current, full, active, and unrestricted registration as a LPN/LVN in a US State, Commonwealth, Territory, or the District of Columbia. Education/Experience: Candidate must be a graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) at the time you completed the program. Exceptions include: (1) Health care education in the military service or training in the military service that is accepted by the licensing body in the jurisdiction in which licensed as qualifying for full LPN/LVN licensure meets the education requirements. (2) Individuals granted a license by a jurisdiction that does not require graduation from an approved school Language Proficiency: Eligible candidates must be proficient in English (spoken and written). Grade Determinations: GS-7 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment.NOTE Determinations concerning placement of positions at this grade level shall take into consideration the skill mix and the availability of supervision in the work unit.Although these positions are under the supervision of an RN and/or MD, employees in such settings successfully and consistently demonstrate the exercise of independent technical judgment (without the need for readily available supervision), as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures.Such individuals may also serve as leaders or co-leaders in a nursing unit or for a specifically identified group of patients.(a)Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all of the performance requirements for the GS-6 LPN/LVN.(b)Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans.(c)Ability to assist RN and/or MD to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations.(d)Ability to proactively assist the RN or MD in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.)Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels.(e)Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate.(f)Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. This includes the ability to effectively deal with the above types of patients under very general supervision.(g)Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media.Actively promotes and effectively incorporates established customer service standards in all aspects of their practice.(h)Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas.(i)Supports the RN or MD in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD. In addition to responsibilities at the lower grade level, the LPN is responsible for monitoring the practice of non-licensed nursing and medical staff.(j)Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision.(k)Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their 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. The full performance level of this vacancy is GS-7. Physical Requirements: The employee is regularly required to stand and walk. The work requires long periods of standing and walking. There is some bending while using the telehealth equipment and for positioning patients. Patient mental status and physical habitus will require the incumbent to be able to assist patients during transfer that is required for examinations. The position may require up traveling to other community based outpatient clinic sites to provide patient care with prolonged sitting during the travel time. ["The incumbent exhibits independent technical judgment, critical thinking skills, and the use of independent judgment to carry out their assigned duties which include; the ability to prioritize and coordinate the care of the Veterans with minimal supervision; plans and carries out the successive steps and manage problems and deviations in the work assignment in accordance with instructions, policies, previous training, or accepted practices in the occupations. The Lead (GS-7) Licensed Practical Nurse (LPN) is directly responsible to the duties as listed below and other duties as assigned: Works as the lead LPN for the shift and in the team huddles; initiating/assisting with emergency care, assessing work area needed and ensuring coverage for staff who are absent and balanced workloads, offering assistance in busy areas to ensure timely completion of patient care and work responsibilities The LPN/LVN GS-7 performs and leads nursing duties to support COVID 19 Services (screening, testing, phlebotomy, immunizations etc.) in non-traditional settings Assist staff in the delivery of complex patient care within the clinical associate role scope, to include implementing evidence-based nursing practices, reviewing clinical documentation to identify practice improvements, and collaborating with nursing management daily to address unit quality measures Assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery Monitors scheduled leave requests for clinical associates (LPN,ICT, NA etc.) assigned to the COVID 19 Services and provides coverage for critical areas during staff leave time The LPN/LVN GS-7 may provide or organize coverage for other areas of the facility within the nursing labor pool (providing coverage to inpatient, outpatient nursing care areas as needed) The LPN/LVN GS-7 leads team to provide care that is consistent with the Annual Skills Competency Checklist Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. This includes the ability to effectively deal with the above types of patients under very general supervision Complete assigned duties and responsibilities which involve performing nonstandard and specialized practical nursing activities, requiring broad work experience and demonstrated nursing skill sufficient to resolve a range of complex nursing problems Prepare and perform a wide range of nursing tasks consistent with policies and procedures, such as personal nursing care, medication/treatment, support for diagnostic services, documentation, teaching, leadership, and environmental of care duties All other duties as assigned within of scope of practice Work Schedule: Monday - Friday 7:30am - 4pm\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: A $6,000 recruitment incentive with a 2 year commitment is authorized\nFinancial Disclosure Report: Not required\nPay Schedule: VA73"]
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.