Veterans Affairs, Veterans Health Administration Licensed Practical Nurse (Mental Health-Residential Rehabilitation Treatment Program) in North Little Rock, Arkansas
Summary The Licensed Practical Nurse (LPN) is responsible for the coordination and clinical care of Veterans admitted to the Residential Rehabilitation Treatment Program (RRTP). LPN's are responsible for providing a wide range of patient care, treatments and charting activities throughout RRTP. Possessing knowledge and skills necessary for concentrated efforts and self-direction in carrying out complex assignments. Responsibilities TO APPLY FOR THIS POSITION, YOU MUST SUBMIT A COMPLETE APPLICATION PACKAGE, OR YOU WILL RECEIVE AN ELECTRONIC NOTICE THAT YOU ARE RATED INELIGIBLE. SEE QUALIFICATIONS SECTION AND REQUIRED DOCUMENTS SECTION FOR DETAILS. KSAs MUST BE DEMONSTRATED IN YOUR RESUME. PLEASE READ THIS ENTIRE ANNOUNCEMENT AND REFER BACK TO IT OFTEN WHEN WRITING YOUR RESUME. Statement of Duties: The LPN performs duties in such a way as to encourage Veteran efforts towards goals for recovery and maintain a safe and therapeutic environment while promoting a sense of worth and dignity for the patient. Quality of Care is measured by Evidence-Based Clinical Reminders, and local Performance Measures. The LPN observes Veterans and prioritizes urgency of needs based on condition and information obtained from the patient. The LPN independently initiates emergency action in life threatening situations such as cardiac and/or respiratory arrest, disruptive behaviors, etc. and alerts others. The incumbent assists with admission of new Veterans to the unit (i.e. assist with new patient orientation, vital signs, height/weight, belongings inventory, breathalyzer, Urine Drug Screens (UDS), etc.). The incumbent is responsible for providing direct care and care coordination for Veterans, especially those receiving medication assisted treatments. The incumbent is responsible for observing, monitoring, reporting Vital Signs, Accu-Checks, symptoms; especially declines in physical, mental and emotional status to a Registered Nurse (RN) and/or Advanced Practice Registered Nurse (APRN). The incumbent provides Veteran care within scope of practice by administering medications, treatments and procedures; attending to Veterans' concerns; and documenting each medication and/or care provided. The incumbent assists the RRTP Interdisciplinary Treatment Teams in monitoring Veterans' adherence to treatment, symptoms/clinical status, medication side effects, treatment preferences, and barriers to treatment. The incumbent conducts and documents Environmental Observation Rounds for safety, documenting patient observations according to program guidelines. The incumbent, when necessary performs or assists with basic Nursing Care and Activities of Daily Living (ADLs) for Veterans with various Psychiatric or Mental Health and/or Substance Diagnoses. The incumbent is responsible to facilitate group activities and conduct appropriate individual conversation with the Veterans. Participates in patient education. Maintains appropriate professional boundaries. The incumbent assists with Health and Safety Checks, contraband searches, and room checks. Promotes a safe and therapeutic environment. The incumbent performs other duties as assigned. Work Schedule: Monday-Friday 7:30a.m. to 4:00p.m. w/ Rotation Required; Weekends, Holidays and Other Tours of Duty in Time of Need Monday-Friday 11:30p.m to 8:00a.m. w/ Rotation Required; Weekends, Holidays and Other Tours of Duty in Time of Need Monday-Friday 3:30p.m to 12:00MID w/ Rotation Required; Weekends, Holidays and Other Tours of Duty in Time of Need Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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. Education: Must have graduated from a school of practical nursing approve 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. Exceptions include: Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN licensure will be accepted as meeting the education requirements for VHA employment or VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. 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: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Preferred Experience: 1. Minimum of one year of LPN experience 2. Basic Life Support (BLS) Certification 3. A minimum of one (1) year of successful Mental Health LPN Nursing Experience. 4. Demonstrates sound judgment, nursing process and critical thinking skills. 5. Demonstrates ability to effectively communicate orally and in writing. 6. Knowledge of computer systems and standard software programs. 7. Demonstrates skills in managing complex systems, with advanced organizational skills. 8. Demonstrates a pleasant and respectful disposition. 9. Demonstrates the ability to respond in a positive manner with Residential Rehabilitation Treatment Program (RRTP) Veterans. Grade Determinations: In addition to the basic requirements, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-3. None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4. (a) Six months of qualifying experience as an LPN or LVN; OR (b) 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 (c) Graduation from an approved school of at least 24 months duration. GS-5. (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) 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. (c) 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. (d) 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. Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO. (e) 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. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (g) Completed work is under the general supervision of an RN or MD/DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer higher-level review. GS-6. (a) Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (c) 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. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures. (d) 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. (e) Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. (f) Knowledge and ability to recognize urgent or emergent patient care situations, (g) 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. (h) Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. References: VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification. Physical Requirements: Heavy carrying 45 pounds and over; Straight pulling (1-2 hrs); Pushing (1-2 hrs); Reaching above shoulder (1-2 hrs); Walking (2-4 hrs); Standing (2-6 hrs); Kneeling; Repeated bending (1-2 hrs); Use of fingers; Use of both hands; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable; Far vision correctable; Depth perception; Hearing (aide permitted); Work closely with others, as well as, protracted or irregular hours of work The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Education 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. IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.