Vocational Nurse (ACC Delta Clinic)

Veterans Health Administration•Redlands, CA
•Onsite

About The Position

The Primary Care Licensed Vocational Nurse (LVN) provides high-quality, evidence-based, patient-centered care to a culturally diverse Veteran population, ages 18 and older, in an outpatient setting at the ACC Delta Clinic. The LVN promotes a safe environment, including for patients with altered sensorium due to medication or acute or chronic illness. As a member of the Patient Aligned Care Team (PACT), the LVN provides direct and indirect care to an assigned group of patients under the direction of a Registered Nurse or Nurse Manager. Care considers patients’ physical, psychosocial, spiritual, cultural, emotional, and educational needs and is delivered safely and promptly using evidence-based practices. The full performance level is GS-6; selection may be at GS-3 through GS-6. The work schedule is to be determined. Telework is not available, and the position is not virtual.

Requirements

  • Graduate of an approved practical or vocational nursing program.
  • Hold a full, current, active, and unrestricted LPN or LVN license in a U.S. state, territory, commonwealth, or the District of Columbia, unless qualifying under the applicable grandfathering provision for current VHA employees.
  • Proficient in written and spoken English.
  • Meet the experience or education criteria applicable to the grade selected: GS-3 requires no additional criteria beyond basic requirements; GS-4 may be met through six months of qualifying LPN/LVN experience, specified nursing-care experience plus approved-school graduation, or graduation from an approved program of at least 24 months; GS-5 requires at least one year of qualifying experience at GS-4 or equivalent; GS-6 requires at least one year of qualifying experience at GS-5 or equivalent and meeting GS-5 performance requirements.
  • Demonstrate practical nursing knowledge and ability appropriate to the grade, including patient care, medication administration and documentation, recognition and reporting of changes in condition, and responding to urgent or emergency situations.
  • Be a U.S. citizen, except that non-citizens may be appointed when qualified U.S. citizens cannot be recruited in accordance with VA policy.
  • Pass a pre-employment physical examination and required background/security investigation; selected applicants are subject to required onboarding procedures.
  • Submit to urinalysis for illegal drug use if tentatively selected for a testing-designated position; refusal results in denial of VA employment.
  • Meet Selective Service registration requirements if applicable to males born after December 31, 1959.
  • Participate in the seasonal influenza vaccination program.
  • Serve a one- or two-year trial period, as applicable.
  • Meet the stated physical demands, including heavy lifting, carrying, pushing, pulling, reaching, use of fingers and both hands, walking and standing, intermittent kneeling, repeated bending, use of both legs, rapid mental and muscular coordination, specified vision and color discrimination, and hearing (hearing aid permitted).
  • Provide acceptable identification and complete all application and pre-employment documentation requirements.

Nice To Haves

  • One to two years of Patient Aligned Care Team (PACT) experience.
  • Inpatient and outpatient clinic experience.
  • Skilled Nursing Facility experience.

Responsibilities

  • Collect data and document findings for newly assigned and established PACT patients in the electronic health record Computerized Patient Recording System (CPRS) and other appropriate forms.
  • Administer, prepare, and document medications within the scope of the license and applicable nursing policies and procedures; monitor for actions, side effects, adverse reactions, contraindications, and patient responses.
  • Perform EKGs.
  • Recognize patients in distress and seek or provide appropriate immediate intervention.
  • Recognize potential or active disruptive behavior and intervene with appropriate therapeutic measures, including activating the Crisis Action Team (CAT).
  • Use safe patient-handling equipment and techniques to transport, turn, and move patients.
  • Gather and record data about patients’ and families’ physical, psychosocial, emotional, spiritual, cultural, and educational needs.
  • Identify and report equipment breakage, malfunction, or loss, safety hazards, and supply deficiencies to appropriate personnel.
  • Document care in a timely, accurate, and concise manner.
  • Identify common physical and emotional changes relevant to a patient’s health status.
  • Participate in planning nursing care for patients with a variety of physical and behavioral problems.
  • Provide patient-related data to the care team.
  • Observe patients for changes related to prescribed medications or treatments and report relevant changes or deviations to an RN or physician.
  • Recognize urgent or emergent situations, seek assistance, and initiate appropriate emergency measures as directed.
  • Support diagnostic tests and specialized procedures, including preparing patients and equipment and monitoring patients before, during, and after procedures, as applicable to the role.
  • Promote patient and family privacy, dignity, respectful communication, and positive relationships.
  • Participate in orienting, educating, or training less experienced nursing staff when appropriate to grade and assigned duties.

Benefits

  • Federal employee benefits package; specific benefit eligibility depends on position type and other conditions.
  • Potential credit toward annual leave accrual based on prior work or military service, subject to request and approval before appointment and not guaranteed.
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