This is an Open & Continuous Announcement & will remain open until 12/30/2022 to fill current & future Spinal Cord Injury, LPN vacancies for various shifts at the Bronx VA Medical Center. Applications will be accepted on an ongoing basis & qualified candidates will be referred for consideration as vacancies are available. 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. Licensure: Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. 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). Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. (See education section of this announcement) 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-6: Completion of at least one year of additional qualifying experience (total of 2 years) at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. Must also meet the following: Technically proficient in initiating, performing and 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 and record relevant patient information. 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, socio-economic, and age related factors. Prepares and administers prescribed medications and 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, and 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, and other staff. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and 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, 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 patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs 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. Preferred Experience: Experience caring for Spinal Cord Injury, ALS, MS References: VA Handbook 5005, Appendix G13The 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: The position may require prolonged standing and/or sitting for greater than 4 hours. The position may require lifting of 45 pounds. The position may require repetitive stooping, bending, kneeling, squatting, and or carrying items from one area to another. ["Duties include but are not limited to: Makes astute observations and thoroughly documents in CPRS care provided and the patient's response. Appropriately seeks assistance and guidance by informing RN and medical provider of changes in the patient's condition requiring higher-level intervention. Performs, reports, and records the assigned nursing care in the Ambulatory Care Primary Care and sub-specialty clinics including but not limited to: Vital Signs including pulse, blood pressure, respirations, temperature, pain level Perform diabetic foot screening including visual screening, pulses and sensatio Pulses; apical, carotid, pedal Height/weight Administers influenza, pneumococcal and tetanus vaccinations per protocol. Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening, Glucometer measurements Neurological status Obtaining EKG Obtaining pulse oximetry Oxygen therapy Adheres to standards of practice and safe technique in preparation and administration of Medication. Specimen collection Elastic bandage, hose, and unna boot application Cold non-sterile compresses Sterile dressings and irrigation Completes encounter forms Successfully cares for patients of different ages, including young adult, middle aged adults and older adults, demonstrating understanding of how age affects the health care needs of patients Participates with minor surgery procedures including positioning patient and monitoring patient during the procedure Correctly labels and delivers biopsy specimens to pathology Initiates and completes clinical reminders in CPRS as appropriate for each patient. Urethral catheterization including post void residuals Place PPD and Candida skin tests Care of established colostomies and ileostomies and application of bag Performs ear irrigation safely Demonstrates knowledge and skill necessary to carry out more specialized patient care duties in their assigned clinics. Knowledge base promotes incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and carrying out assigned nursing interventions. Be professional and respectful to all stakeholders. Respect patient's privacy and maintain confidentiality at all times. Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate. Provides patient and family education reinforces health teaching and takes an active role in promoting healthy lifestyles. Exercises skill in influencing and communicating with unusually difficult patients under general supervision Maintains precise adherence to basic principles of asepsis, safety, and universal precautions to provide a safe environment for patients, families, and employees. Incumbent possess knowledge of proper handling of instruments including cleaning and sterilization. Utilizes special equipment such as IV infusion pumps, Doppler units, pulse oximetry, dermatology instruments needed to perform job duties including computer terminal and printer. Provides one to one nursing care to assigned outpatients whose care requires close observation during procedures. Work Schedule: Monday - Friday (8:00am - 4:30pm)\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.