The Syracuse VA Medical Center is currently recruiting for one LPN position in the Anticoagulation Clinic. The LPN Delivers fundamental, knowledge-based care to assigned patients at the VHA Syracuse HCS while developing technical competencies. The LPN demonstrates unit/department specific competencies, and competency in caring for adult Patients. Preferred Experience: Anticoagulation monitoring, especially INR monitors, as well as experience with Microsoft Office and Biscom. Basic Requirements: Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens Education: Graduate of a school of practical or vocational nursing approved 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. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. [Additional information may also be obtained from the NLNAC Website. 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. Physical Requirements: All applicants must meet physical requirements for this position. See VA Directive and Handbook 5019. 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) Grade Requirements: GS-3 None beyond the basic requirements. GS-4 Employees may be appointed at or advanced to GS-4 if they meet any of the criteria: Six months of qualifying experience as an LPN or LVN; or 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 Graduation from an approved school of at least 24 months duration. GS-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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. 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. 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. 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 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. 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. 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. 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. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. 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. 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References: VA Handbook 5005, Part II, Appendix G13 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. ["Screens patients by obtaining vital signs, weight/height, oximetry, finger sticks as well as confirming demographics. Assesses for bleeding or thromboembolic symptoms, and obtains other clinically relevant information Communicates with AC providers regarding status of patients Recognizes and quickly responds to emergency situations and makes appropriate and timely interventions Assists clinic providers with patient care issues such as dressing changes and exams as needed Triages phone calls, documenting calls in the VA's Computerized Patient Records System (CPRS) Serve as a nursing liaison to primary care nurses, specialty nurses, and inpatient services regarding AC issues Facilitates access and communication when multiple services are involved; monitor activities to ensure that services are being delivered and meet the needs of the patient, and coordinates with services to avoid duplication Tracks traveling veterans and assists providers in placing traveling consults Tracks patient self-testers Obtains and tracks down outside records for new and follow up patients Assists providers with paperwork to scan outside records Maintain accurate patient records and patient confidentiality Provides education, information, direction, and support related to safe use of anticoagulants to patients and caregivers as per patient education handouts and videos. This includes patient training on self-injection for outpatient parenteral anticoagulants and documents this education in CPRS Maintains adequate supply of patient handouts and educational materials Facilitate disease prevention and health promotion with patients and families/caregivers Acts as a patient advocate and assists with problem solving and addressing barriers to care or compliance with care plan Stocks supplies and maintains cleanliness of clinical exam rooms, and maintains equipment inventory clinic list Operates in accordance with all established policies, procedures and techniques. Engage in professional development activities to keep abreast of nursing issues related to patient care Performs other duties as assigned Work Schedule: Monday- Friday 7:30 AM-4:00 PM Functional Statement #:21S37"]
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.
