Job Description
Veterans Affairs, Veterans Health Administration
Madison, Wisconsin, Wisconsin, This is an Open Continuous Announcement that will be used to fill vacant positions at the Madison VAMC. Resumes will be referred to hiring managers as a vacancy occurs. If you are a current, permanent VA Nationwide Employee, you should apply under the announcement CAZP-11786537-23-CG. A recruitment incentive has been authorized for highly qualified full-time/part-time (not intermittent) individuals. 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. 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. OR Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/L VN licensure will be accepted as meeting the education requirements for VHA employment. OR VHA employees who were converted to appointments under 38 U.
S. C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U. S. C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U. S. C. 7401(3) or 7405 after these conversions.
OR Individuals granted a license by a jurisdiction that does not require graduation from an approved school. See paragraph 4, section C. 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[/L VN] 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. 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 Determinations: In addition to the basic requirements, the following qualification criteria must be met for each grade. The candidate’s qualifications must clearly demonstrate the level of competence required for the grade.
GS-3. None beyond the basic requirements. GS-4. Six months of qualifying experience as an LPN or L VN; 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/L VNs 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 with patients, family members, professional and other supportive personnel 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. References: VA HANDBOOK 5005/3 PART II APPENDIX G13 The full performance level of this vacancy is GS05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS03 to GS05. Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing.
The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must comply with any Employee Health requirements as a condition of employment. In the performance of duties, the incumbent may be required to drive and/or ride in GSA-vehicles. [“Major Nursing Assistant duties include, but are not limited to: Assists or provides patients with personal hygiene, i. e. , bathing, shaving, teeth brushing, nail care, hair combing, etc. Provides patients with the appropriate level of assistance with activities of daily living, bathing, dressing, transferring, ambulating, feeding, and toileting. Obtains blood pressure, pulse, respiration, and blood glucose (finger stick) and records them appropriately in the medical record. Weighs patients and records them appropriately in the medical record.
Assists during emergency treatment situations obtaining equipment as necessary and running errands as needed. Maintains positive and constructive professional working relationship with patients, families, medical staff, volunteers, and co-workers. Transports patients as assigned off the unit for various diagnostic and therapeutic interventions. Assists the team in reinforcing educational needs with patients. Performs other duties as assigned, such as phlebotomy and 12-Lead EKGs. Understands and demonstrates behavior that reflects that each patient is an individual with needs that vary, particularly according to his/her age. Understands the appropriate body mechanics to safely move patients using a variety of lifts/transfer devices. Applies and operates specialized equipment for residents (patients), e. g. , prosthetic appliances, patient mobility devices, etc.
Recognizes and reports potential safety hazards. Initiates emergency measures to protect patients. Maintains patient rooms and unit areas in a clean and orderly fashion. Participates in problem-solving activities to maintain a safe environment Assists in provision of a safe environment for patients with memory deficits, orientation problems and acting-out behavior. Cleans various pieces of patient equipment as needed and directed by responsible nurse. Select Nursing Assistants will be trained to perform Health Unit Coordinator tasks and will manage patient admissions, discharges, post discharge appointments, and other clerical tasks. Nursing Assistant / Video Monitor Safety Assistant is responsible for providing constant patient/resident observation and monitoring of assigned high risk patients to support safety and prevention of injury. Observation includes more than one patient at a time at the monitoring station. The Video Monitoring Safety Assistant must be able to clearly see all the patients for which the team member is responsible for at all times. Major Video Monitoring Safety Assistant duties include, but are not limited to: Demonstrates understanding and proficiency of electronic systems for role of Telecare Video monitoring.
Takes direction from the Registered Nurse Troubleshoots monitoring difficulties with central stations, alert vendor/ Ol&T/BioMed of any software or hardware problems. Reports any physical or behavioral changes promptly to nursing staff responsible for the care of the patient/resident and ensures follow-up actions. Documents interventions and patient data Always maintains patient confidentiality Respects patient privacy needs Conducts self in a professional manner, using accountability in communication to resolve problems in an open, timely manner. In addition to the above job responsibilities, other duties may be assigned. Understands and demonstrates behavior that reflects that each patient is an individual with needs that vary, particularly according to his/her age. Recognizes and reports potential safety hazards and/or issues. Initiates emergency measures to protect patients. Participates in problem-solving activities to maintain a safe environment Assists in provision of a safe environment for patients with memory deficits, orientation problems and acting-out behavior. Seeks assistance with removal of any potential safety hazard from room and reports findings to appropriate staff member Consistently reports to the team leader/licensed staff observations of the patient’s physical condition and behavior. Participates with the nursing team to provide input in the formulation and implementation of the care plan.
Records appropriately in the medical record. Consistently addresses the patient, family, and staff with respect and dignity. Will report any suspected abuse to the appropriate licensed nurse (charge nurse, supervisor, manager). ”]
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