Licensed Vocational Nurse- Patient Aligned Care Team (PACT)
Veterans Affairs, Veterans Health Administration
Location: Santa Rosa, California
Internal Number: 621529800
The PACT is responsible for providing for all of a patient's health care needs or appropriately coordinating care with other qualified professionals. 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: U.S. citizenship: Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education or Training: 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); OR Received health care education/training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualified for full LPN/LVN licensure 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. Physical Standards: Must pass a pre-employment examination, if selected. 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), 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). Preferred Experience: Grade Determinations: GS-3 Experience and Education. None beyond the basic requirements. GS-4 Experience: Six (6) months of qualifying experience as an LPN or LVN. OR Education and Experience. Graduation from an approved school and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures. OR Education: Graduation from an approved school of at least 24 months duration. GS-5 Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-4 LPN/LVN.In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following: Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes. Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies and procedures. Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO, and assist in resuscitation procedures in cardiac and/or pulmonary arrest. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. GS-6 Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-5 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-5 LPN/LVN. In addition to meeting the basic requirements and grade determinations, applicant must demonstrate 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 (oral, topical, subcutaneous, intramuscular and/or intravenous) 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. 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. Physical Requirements: Physical qualifications require the ability to stand. walk, bend. and move freely. Must be able to utilize good body mechanics in lifting or restraining patients. Must have good hearing, eyesight, and physical dexterity. Must be clean and neat in appearance. Must be emotionally stable and cooperative. Work is accomplished predominantly on the nursing unit and through escorting to various clinics or hospital areas. The physical surroundings involve working with the acute and chronically physically and mentally ill patients, which may cause discomfort related to negative verbal and physical activities from these patients. ["Employee complies with Department of Nursing/Unit specific and Medical center policies, procedures standards and protocols regarding direct care of patients, including medication administration, patient care planning, assessment and documentation of patient condition and response to treatment. Employee establishes work priorities and completes assignments in a timely manner with minimal supervision. 1. Provides/assists patients in keeping with Department of Nursing standards, to accomplish a full range of personal care with attention to preserving personal dignity, autonomy, religious preferences, cultural values, and age appropriate needs.\n2. Observes, recognizes and reports significant or adverse changes in patients' condition in a timely fashion and responds appropriately to emergency situations.\n3. Prepares and administers prescribed medications and performs treatments according to established policies procedures. Observes for physical and or emotional changes in patients' conditions from prescribed medications/treatments promptly and accurately documents noted changes reporting any deviations from normal to RN or MD/DO.\n4. Administers all appropriate respiratory therapies for example: oxygen saturation, aerosolized medications, inhalers, oxygen via nasal prongs or mask, and others as assigned.\n5. Provides additional patient care responsibilities including consistent special efforts and quality in wound care, pulmonary care, skin care, and other measures to prevent complications as directed.\n6. Assists with diagnostic and therapeutic procedures such as applying and reading skin tests, utilizing doppler to check pulses, urinary drainage devices maintenance and removal with trial voiding, ostomy maintenance and care.\n7. Observes, recognizes and reports significant or adverse changes in patients' condition in a timely fashion and responds appropriately to emergency situations.\n8. Initiates patient /family interactions daily which provide emotional and psychological support.\n9. Demonstrates knowledge and correct usage of skills in intervening and managing potentially violent and /or suicidal patients. Demonstrates knowledge of and correct usage of medical and psychiatric terminology/diagnosis.\n10. Monitors and helps of patient traffic to ensure minimal wait times for patients and to keep providers daily schedules on time.\n11. Complies with all universal precaution and infection control policies and procedures.\n12. Completes PACT Sweeping/Scrubbing.\n13. Attends and participates in huddles, pre-visit planning and team meetings.\n14. Makes pre-visit calls for PACT.\n15. Participates in Secure Messaging.\n16. Communicates effectively with outside providers and organizations.\n17. Completes discharge calls when needed.\n18. Completes nursing care activities and covers other teams' assignments as directed. Work Schedule: Monday - Friday 8:00 a.m.- 4:30 p.m.\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.