The selectee will be expected to perform more complex nursing assignments within their setting, possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices for specialty care services including but not limited to cardiology, gastroenterology, orthopedics, endocrinology, rheumatology, neurology, renal, and more. The work is of considerable difficulty and responsibility is performed independently without the need for readily available supervision. Individuals in these positions are to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art, and science of practical nursing. Employees at this grade level demonstrate broader knowledge skill with respect to these responsibilities than employees at lower grades. They will be expected to implement and manage new incoming specialty clinics, hubs, and pilot programs that pertain to the WM including setting up clinical grids, daily meetings with specialists at other host sites within the WM, onsite patient visits, and more.This position will report directly to Manager, Medical Specialty Clinics. LPNs at this grade level are expected to provide direct patient care and perform all duties within the scope of their license (e.g., medication administration), actively seeking out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Incumbent must be technically proficient in initiating, performing, and completing assigned duties in providing care to variable patient populations. Duties will primarily be performed in the Medical Specialty Clinics; however, re-assignment may be required based on patient care needs. Duties include but not limited to the following: Provides a full range of care to patients with a variety of physical and psychological needs including Medical Specialty Clinics including but not limited to Cardiology, gastroenterology, orthopedics, endocrinology, rheumatology, neurology, renal, and more. The clinical specialty care needs may pivot. Has the ability to work independently and provide modalities to Veterans that have multiple complex medical and or emotional conditions. Demonstrates adherence to VA and Nursing policies/procedures and standards and maintains competencies consistent. Assists the RN/HCP and other staff in proactively identifying and addresses the Veteran's needs and is able to readily recognize the more subtle signs & symptoms of changes in the Veteran's condition and takes appropriate action.Participates in the development of educational material for providing Veteran, family and caregiver teaching.Teaches and documents health concepts to Veteran, including learning needs and readiness to learn. Demonstrates knowledge and skills necessary for concentrated effort and self-direction in carrying out the most complex practical nursing assignments, including assignments for selected acute care, long-term or ambulatory care, or psychiatric patients requiring skilled nursing care.Completes assigned duties and responsibilities.Demonstrates ability to use independent judgment. Prepares and administers prescribed injectable medications (non-controlled substances) according to policy and procedure. Correctly documents medications given or omitted according to established policy and procedures. Documents effects of medications.Provides or reinforces patient teaching related to medications, disease process, procedures, and self-care activities. Participates in more complex teaching for patient self-care.Adheres to and appropriately utilizes the Safe Patient Handling. Lifts, transfers, and repositions patients safely, according to policy and procedure, seeking assistance when appropriate, to prevent injury to the patient and self.Demonstrates ability to observe, identify and respond to the patient needs for nursing, medication, and equipment-assisted care and to recognize deviations from normal. Provides patient/family education in modifying patient care plans, considers physical, emotional, cultural, spiritual, socio-economic and age-related factors.Utilizes telehealth technology to service Veterans. Knowledge and skills 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. Recognizes test results outside established parameters and expedites timely notification to Provider.Performs diagnostic studies as ordered. Performing other specialized testing as directed by specialty service providers and veteran's needs.Adheres to and appropriately utilizes the Safe Patient Handling Program standards, practices and recommendations. Lifts, transfers, repositions patients safely, according to policy and procedure, seeking assistance when appropriate, to prevent injury to the patient and self.Demonstrates ability to observe, identify and respond to the patient needs for the nursing, medication and equipment-assisted care and to recognize deviations from normal Work Schedule: Monday-Friday, 730 am to 400 pm Telework: Position on station but telework ad-hoc Financial Disclosure Report: Not required
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.