Summary The Nurse-Ambulatory Care is accountable for all elements of the nursing process when providing and/or supervising direct patient care. The outpatient population is managed via Primary Care (Patient Aligned Care Teams). The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. Responsibilities Providing competent, evidence-based specialty care to assigned patients in the ambulatory care clinic. Offering oversight and guidance to licensed practical nurses, health technicians, and medical instrument technicians within the clinic environment. Delivering direct patient care, including care coordination, health promotion, and education on wellness, disease prevention, and chronic care management specific to chronic care conditions. Assisting in the direction of nursing education, orientation, and competency evaluations for staff. -Contributing to quality improvement initiatives and tracking outcomes utilization in the ambulatory care setting. Demonstrating leadership in delivering and enhancing holistic specialty care through collaboration with interdisciplinary teams. Evaluating clinical practices on an ongoing basis, drawing from best evidence to inform care decisions. Providing informal constructive feedback to peers to foster professional growth and improve care delivery. Creating a safe and supportive environment that promotes the professional development of healthcare team members. Contributing a professional nursing perspective in interdisciplinary team discussions related to patient care plans. Partnering with colleagues to drive change and achieve optimal patient outcomes in ambulatory care services. Supporting team members by sharing knowledge to ensure safe, high-quality ambulatory nursing care. Disseminating educational findings, experiences, and innovative ideas with peers to advance practice. Questioning existing clinical practices to promote evidence-based care in the outpatient setting. Participating in activities and strategies aimed at sustaining a culture of evidence-based practice within the clinic. Performing additional duties as assigned, which may include patient intake, documentation, point-of-care testing, medication reconciliation, and coordinating patient readiness for procedures. PREFERRED EXPERIENCE IS LISTED BELOW. 2 to 3 Years of Pact Experience VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: TBD By Supervisor Location: NW Primary Care Clinic, 3968 North Rancho Dr, Las Vegas NV 89130 Telework: Not Authorized Virtual: This is not a virtual position Functional Statement: 593-08696-F Relocation/Recruitment Incentives: Not Authorized Financial Disclosure: Not required Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications 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. 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. [NOTE: YOU MUST PROVIDE YOUR LICENSE NUMBER OR SUBMIT A COPY OF YOUR CURRENT LICENSURE WITH THE APPLICATION PACKAGE]. 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). Physical Requirements: This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. GS-6 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. 1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 2. 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. 3. 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, socio-economic, and age-related] factors. 4. 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. 5. 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. 6. 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. 7. 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. 8. 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. 9. 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. 10. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. 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.References: VA Handbook 5005/3, Part II, Appendix G13 Licensed Practical or Vocational Nurse Qualifications Standard, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf Education 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 This job opportunity announcement may be used to fill additional vacancies. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application. Trial Period: As a condition of employment for accepting the position of LPN with the Department of Veterans Affairs, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider the following: Your performance and conduct; The needs and interests of the agency; Whether your continued employment would advance organizational goals of the agency or the Government; and Whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. If you do not receive certification for continued employment, you should receive written notice prior to the end of your trial period hat your employment will be terminated and the effective date of such termination.
