Licensed Practical Nurse - Primary Care

Veterans Health Administration•Montrose, NY
•Onsite

About The Position

The VA Hudson Valley Health Care System is hiring a Licensed Practical Nurse (LPN) at its Franklin Delano Roosevelt (Montrose) Campus. The LPN serves on the Primary Care Patient Aligned Care Team (PACT), providing clinical and administrative support across a range of patient care activities. The role applies practical nursing knowledge and skills to complex nursing assignments in Primary Care under the guidance and supervision of a Registered Professional Nurse. The LPN supports safe, effective, patient-focused care for patients of all ages and reports to the Primary Care Nurse Manager, who oversees work performance and evaluation to ensure established health care standards are followed. The position is full-time, with a split-shift schedule: Monday, 10:00 a.m.–7:30 p.m.; Thursday and Friday, 8:00 a.m.–4:30 p.m. Telework and virtual work are not available. The full-performance level is GS-6, and the selection grade may range from GS-03 to GS-06.

Requirements

  • U.S. citizenship, subject to the stated VA policy exception for non-citizens when qualified U.S. citizens cannot be recruited.
  • Proficiency in spoken and written English.
  • Graduation from an approved practical or vocational nursing school, or qualifying military training or licensure exception as described in the announcement.
  • Full, active, current, unrestricted LPN or LVN licensure in a U.S. State, Territory, Commonwealth, or the District of Columbia, subject to the stated grandfathering provision for qualifying current VHA employees.
  • Meet the grade-specific qualification requirements for the grade sought. GS-03 requires no experience beyond the basic requirements. GS-04 requires qualifying experience or qualifying education as specified. GS-05 requires at least one year of qualifying experience at GS-04 or equivalent and the stated practical nursing knowledge and abilities. GS-06 requires at least one additional year of qualifying experience at GS-05 or equivalent and the stated technical proficiency and competencies.
  • Demonstrate ability appropriate to the grade to provide practical nursing care, recognize and report changes in patient condition, respond to urgent or emergency situations, communicate and work with patients and care teams, and follow established procedures.
  • Complete a pre-employment physical evaluation and required background/security investigation; comply with the seasonal influenza vaccination program and, if selected, urinalysis screening for illegal drug use.
  • Complete required application and online onboarding steps and provide acceptable identification for employment verification.
  • Serve a one- or two-year trial period, during which continued employment is evaluated.
  • Meet the physical requirements described in VA Directive and Handbook 5019.

Nice To Haves

  • Two to three years of experience in outpatient clinic, medical-surgical, home-based, or community-based clinic settings.

Responsibilities

  • Address patient care issues in accordance with VA practice standards and LPN licensure requirements.
  • Maintain the knowledge and skills required to care for patients with acute and chronic illnesses in a clinic setting.
  • Provide practical nursing care to patients with varied physical and behavioral conditions, applying knowledge of disease processes and nursing interventions.
  • Room patients, interview patients and/or significant others, and document intake data according to policy.
  • Obtain vital signs, weight, and height; complete required nursing clinical reminders by their due dates, including suicide, alcohol use, tobacco use, pain, and frail/elderly screenings; and share findings with the provider and PACT team to develop and implement action plans.
  • Follow VA protocols, VHA Directives, and local SOPs and policies for clinic management, documentation, and procedures, including reusable medical equipment storage, use and precleaning, time-outs, and specimen processing and delivery to the laboratory.
  • Recognize and intervene effectively in potential or emergent situations, including Rapid Response and Code Blue/Green events.
  • Adjust or modify patient care as needs change and notify the RN or provider for concurrence.
  • Participate in PACT huddles; respond to secure and Outlook messages for the PACT team and nurse triage messages; and conduct discharge and urgent-room follow-up calls.
  • Apply standard precautions, medical asepsis, and sterile technique in the clinic.
  • Collaborate with the interdisciplinary PACT team to develop, implement, and evaluate treatment plans that promote patient participation and self-management, involving patients and/or families in treatment planning and goal setting.
  • Communicate calmly, courteously, and professionally with patients, staff, and visitors while protecting confidentiality under HIPAA and VA HVHCS policies.
  • Use advanced communication skills and PMDB principles with disruptive patients or visitors, follow Code Green procedures, and maintain current PMDB training.
  • Follow established lines of authority and the chain of command.
  • Complete mandatory education, including obtaining and maintaining Basic Life Support certification.
  • Request leave appropriately and in a timely manner.
  • Perform other duties as assigned.

Benefits

  • Competitive salary and regular salary increases.
  • 37–50 days of annual paid time off per year, comprising 13–26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
  • Up to 12 weeks of paid parental leave after 12 months of employment in connection with the birth, adoption, or foster care placement of a child.
  • Eligible full-time employees may qualify for a childcare subsidy after 60 days of employment, subject to income and other eligibility limits.
  • Traditional federal pension with five-year vesting and federal 401(k) with up to 5% in VA contributions.
  • Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs may be carried into retirement.
  • Selected applicants may qualify for prior-service credit toward annual leave accrual, subject to request and approval before appointment and not guaranteed.
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