Licensed Practical Nurse
This is a 12 month Not to Exceed Appointment for current, permanent employees with the West Palm Beach VA Medical Center only. This appointment may be non-competitively extended to meet patient care needs. Duties and Responsibilities may include, but are not limited to:
Prepares CVT rooms, cameras & microphones at start of each day; verifies equipment is operational, adjusting, troubleshooting & resolving issues before or during individual encounters &/or throughout the day as needed. Monitors clinic schedules and maintains Outlook calendars as necessary to ensure patients are scheduled per telehealth requirement; clinics flow smoothly and do not conflict with another Telehealth or CBOC clinical event. Obtains vitals, completes clinical reminders &/or activities which are pertinent to the type or purpose of visit and/or required by a program; for example (not all inclusive) MH visits - Depression, Suicide risk, ETOH screens etc. MOVE - weights and waist measurements at defined intervals Cardio PharmD - BP, weights Pain Mgt - full vitals, urine collection Directs or escorts the patient to the appropriate CVT room following appt check-in by clinic MAS. Explains to patient CVT processes, equipment used, expectations and/or limitations of Telehealth. Confirms with and documents patient's understanding and willingness to participate in CVT encounter with a VA provider. Utilizes the Clinical Video Telehealth Nursing note template, modifying as needed for each program or service, to document patient care activities or any variations encountered. Monitors CVT clinic workload daily for completeness and takes actions necessary to correct or resolve variances so workload capture is consistent with Telehealth requirements. Works within existing clinic processes to ensure appropriate follow-up scheduling is made per the Telehealth provider recommendation (TCT may, at times, assume the scheduling role if necessary or indicated). Cleans and maintains CVT equipment and peripherals per manufacture recommendation and schedules. Completes Store & Forward imaging as requested by VA/CBOC providers per established processes and protocols. Informs Providers &/or Clinic Leaders of any clinical or administrative issues or abnormalities and works directly and indirectly to resolve or facilitate a resolution. Monitors consults for TRI and TDI, screens (TRI), schedules (TRI), and ensures consults(all) are completed according to VA Policy. Work Schedule:
7:
30 am to 4:
00 pm, subject to agency needs. Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements and submit all required documentation by the closing date of this announcement, 01/15/2020. 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. Must be currently licensed to practice as practical or vocational nurses in a State or territory of the United States or the District of Columbia This position is being offered above the full performance level and requires 1 year of experience equivalent to the GS-6 grade level. The 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/DO, 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/DO 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/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN 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/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response 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/DO 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/DO 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/LVN 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/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. (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/DO 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/DO. In addition to responsibilities at the lower grade level, the LPN/LVN 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. Preferred
Experience:
Experience as a licensed practical nurse in a telehealth or similar program is preferred. Grade Determinations:
This position is being offered a a GS-7 above the full performance level. The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the grade at which the candidate will be placed. For internal selectees eligible for promotion, the board will determine grade and HR will determine step in accordance with policy. References:
VA HANDBOOK 5005/3 PART II APPENDIX G-13 This position is being filled at the GS-7 level which is above the full performance level. Physical Requirements:
See VA Handbook and Directive 5019
Estimated Salary: $20 to $28 per hour based on qualifications.
Prepares CVT rooms, cameras & microphones at start of each day; verifies equipment is operational, adjusting, troubleshooting & resolving issues before or during individual encounters &/or throughout the day as needed. Monitors clinic schedules and maintains Outlook calendars as necessary to ensure patients are scheduled per telehealth requirement; clinics flow smoothly and do not conflict with another Telehealth or CBOC clinical event. Obtains vitals, completes clinical reminders &/or activities which are pertinent to the type or purpose of visit and/or required by a program; for example (not all inclusive) MH visits - Depression, Suicide risk, ETOH screens etc. MOVE - weights and waist measurements at defined intervals Cardio PharmD - BP, weights Pain Mgt - full vitals, urine collection Directs or escorts the patient to the appropriate CVT room following appt check-in by clinic MAS. Explains to patient CVT processes, equipment used, expectations and/or limitations of Telehealth. Confirms with and documents patient's understanding and willingness to participate in CVT encounter with a VA provider. Utilizes the Clinical Video Telehealth Nursing note template, modifying as needed for each program or service, to document patient care activities or any variations encountered. Monitors CVT clinic workload daily for completeness and takes actions necessary to correct or resolve variances so workload capture is consistent with Telehealth requirements. Works within existing clinic processes to ensure appropriate follow-up scheduling is made per the Telehealth provider recommendation (TCT may, at times, assume the scheduling role if necessary or indicated). Cleans and maintains CVT equipment and peripherals per manufacture recommendation and schedules. Completes Store & Forward imaging as requested by VA/CBOC providers per established processes and protocols. Informs Providers &/or Clinic Leaders of any clinical or administrative issues or abnormalities and works directly and indirectly to resolve or facilitate a resolution. Monitors consults for TRI and TDI, screens (TRI), schedules (TRI), and ensures consults(all) are completed according to VA Policy. Work Schedule:
7:
30 am to 4:
00 pm, subject to agency needs. Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements and submit all required documentation by the closing date of this announcement, 01/15/2020. 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. Must be currently licensed to practice as practical or vocational nurses in a State or territory of the United States or the District of Columbia This position is being offered above the full performance level and requires 1 year of experience equivalent to the GS-6 grade level. The 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/DO, 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/DO 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/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN 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/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response 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/DO 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/DO 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/LVN 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/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. (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/DO 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/DO. In addition to responsibilities at the lower grade level, the LPN/LVN 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. Preferred
Experience:
Experience as a licensed practical nurse in a telehealth or similar program is preferred. Grade Determinations:
This position is being offered a a GS-7 above the full performance level. The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the grade at which the candidate will be placed. For internal selectees eligible for promotion, the board will determine grade and HR will determine step in accordance with policy. References:
VA HANDBOOK 5005/3 PART II APPENDIX G-13 This position is being filled at the GS-7 level which is above the full performance level. Physical Requirements:
See VA Handbook and Directive 5019
- Department:
0620 Practical Nurse - Salary Range:
$47,922 to $62,298 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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