This Licensed Practical Nurse - Patient Aligned Care Team (LPN PACT) serves at the VA Montana Health Care | Veterans Affairs in Missoula, MT.
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: Citizenship. Citizens of the United States. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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 Accredited Programs | NLN CNEA. 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. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). GRADE REQUIRMENTS 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 (6) months of qualifying experience as an LPN or LVN. OR b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one (1) 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 one (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 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-06. a) Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent and is technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. b) In addition, the candidate must demonstrate the following Knowledge, Skills and Abilities (KSAs): 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 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. Reference: For more information on this qualification standard, please visit: https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: See VA Handbook 5019.
VA offers a Comprehensive Total Rewards package: Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse Total Rewards package: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf This Licensed Practical Nurse - Patient Aligned Care Team (LPN PACT) is located at VA Montana Health Care | Veterans Affairs, practices within Patient Care Services for Primary Care Services of Montana VA Healthcare System and supports the mission and vision of Patient Care Services and the Healthcare System. The PACT LPN serves adult and elderly Veterans needing Primary Care Services. The duties include but are not limited to the following: Using the PACT Model of Care, the PACT LPN provides full range of practical nursing care for primary care. Provides effective education to patients and/or family members in relation to medication, prescribed treatment regimens, and chronic care management. Interacts with patients, family members, professional and other supportive personnel involved in delivery of patient care. Prepares, administers, and appropriately documents actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and intravenous medications as permitted by approved local policy. Documents all observations, treatments and nursing care provided in the computer record. Recognizes the need for and to institute emergency measures, when indicated, promptly seeking assistance of RN or MD, recognizes and responds to breakage/malfunction of equipment, safety hazards, and supply deficiencies. Assists in maintaining a safe and therapeutic patient centered environment. Practices consistently at an expert level of responsibility and appropriate independence. Responsible for observing, recording, changes in patient's condition as well as assisting in the development and revision of the patient driven holistic plan of care. Demonstrates active collaboration and communication with the Teamlet (Patient, Primary Care Provider, RN Care Manager, Medical Support Assistant), and the larger team (family/caregiver, internal and community-based services, ancillary services, and other disciplines involved in providing care to the patient. Work Schedule: Monday to Friday | 8:00am to 4:30pm. Recruitment Incentive (Sign-on Bonus): Not Authorized. Permanent Change of Station (Relocation Assistance): Not Authorized. Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). Telework: Not Available. Virtual: This is not a virtual position. Functional Statement #: 436-52840-A. Permanent Change of Station (PCS): Not Authorized.