Practical Nurse Government - Middletown, RI at Geebo

Practical Nurse

Attends meeting with the inter-disciplinary treatment team and contributes to the development and changes in the comprehensive treatment plans. Demonstrates the ability to vary the order and sequence of assigned procedures based on the knowledge of the patient's condition. Assumes the responsibility for patients, in accordance with The Joint Commission (TJC) Standards and recommendations, with the RN ultimately responsible. Identifies environmental hazards and initiates appropriate intervention. Identifies potential emergencies and collaborates with CBOC Clinic members in affecting an appropriate disposition. Performs diagnostic support duties accurately and proficiently. These duties include, but are not limited to the taking of vital signs, screening patients, performing EKGs, obtaining specimens, vaccine administration, injections, medication reconciliation, data gathering, phlebotomy and application of equipment as necessary. Assists the specialty clinic provider in the performance of physical examinations. Prepares, administers and documents prescribed medications according to nursing service policies and procedures. Instructs Specialty Clinic patients and their families in the action, administration and side effects of medications and the procedure for medication refills while utilizing available educational materials. Provides coverage for administrative aspects of patient care, including:
access, and scheduling/coordinating appointments using advance clinical access principles. Work Schedule:
The work schedule will be determined based on the needs of the Medical Center. The Providence VA Medical Center is an acute care facility operating 24 hours a day 7 days a week. While most tours of duty are scheduled during the day, the possibility of working evenings, nights and weekends does exist. Shift changes will be considered based on patient and facility needs. Compressed/Flexible:
Not available. Telework:
Not available. Virtual:
This is not a virtual position. Relocation/Recruitment Incentives:
Not authorized. Financial Disclosure Report:
Not required. 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. English language proficiency:
Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Education:
Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant. (Valid transcripts required to complete application). License:
Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia. (Valid license required to complete application). Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. GS-6 Grade Determination:
In addition to meeting the basic requirements, candidates must possess at least one year of qualifying experience at the GS-05 level or equivalent and should fully meet the Knowledge, Skills and Abilities (KSA's) at the GS-05 level. Qualifying experience includes:
knowledge of and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems; ability to interact with patients, family members, professional and supportive personnel related to patient care; ability to prepare, administer, and appropriately document actions taken specific to medications and observe patient's response to medication; ability to recognize the need for emergency measures; ability to respond to breakage/malfunction or loss of equipment, safety hazards and supply deficiencies; broad working knowledge of practical nursing procedures. Applicants must all meet all KSAO's or Knowledge, Skills, Abilities and Others as detailed below:
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 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office. 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. The full performance level of this vacancy is 6.
  • Department:
    0620 Practical Nurse
  • Salary Range:
    $51,022 to $66,330 per year

Estimated Salary: $20 to $28 per hour based on qualifications.

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