The Ambulatory Care Patient Aligned Care Team (PACT) Lead Licensed Practical Nurse (LPN) GS-7 functions as a member of the health care team by demonstrating an exceptional degree of practical nursing knowledge and skills necessary for self-direction in carrying out complex practical nursing care assignments within the CBOCs/CPCs for a Veteran population with a variety of health care needs. The PACT team is comprised of a provider (MD, NP, PA, or DO), RN, LPN, and administrative support person (MSA or HT). Although this position partners with other PACT team members, PACT Lead LPNs successfully and consistently demonstrate independent technical judgment as well as comprehensive and thorough working knowledge of complex practices and procedures. Incumbent demonstrates knowledge, experience, skill, and self-motivation to carry out complex patient assignments, which include prioritization and coordination of clinical activities with minimal supervision. PACT team members have independent duties within the team to ensure that the patient panel is receiving high quality care and has access to care, including same-day access. Position requires completion of at least one year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all performance requirements for the GS-6 LPN. The incumbent collaborates with a PACT team to provide complex/specialized patient-centered care to a panel of approximately 1200 patients taking into consideration patients' ages, cultural backgrounds, education level, and any other special needs. The panel population is multi-faceted, including geriatric patients, patients from all war-time eras, female patients, and patients with complex psychiatric needs. The Lead LPN completes assigned duties and responsibilities that involve performing non-standard and specialized practical nursing activities requiring broad nursing knowledge, experience, and skills to address a wide range of care needs. In addition to performing the duties of a GS-6 PACT LPN, the incumbent demonstrates self-direction in performing an extensive range of nursing care according to established policies and procedures, which includes an expanded scope of practice (See Attached Expanded Scope of Practice). The Lead LPN has complex responsibilities above the level of a GS-6, including nurse health maintenance visits, panel management, data analysis, and performance/quality improvement roles. These responsibilities also include independent implementation of evidence-based nursing practice and demonstration of advanced competence that promotes quality patient care to improve outcomes, safety, and performance metrics. This grade level position requires broader knowledge and skills because supervision is more general, and employees are expected to be involved to a greater degree in PACT panel management, modification of treatment plans, and organizational performance improvement initiatives. The Lead LPN at the GS 7 level must exercise independent judgment and requires minimal supervisory oversight. Supervisory oversight for the PACT LPN is the CBOC or CPC Nurse Manager. The incumbent is expected to participate to a greater degree in prioritizing and, as appropriate, modifying patient care treatment plans. He/she must also possess the ability to observe subtle physical and emotional changes in patients, exercise sound nursing judgement, and demonstrate appropriate action based on those observations. The Lead LPN must possess the knowledge and skill to promptly recognize potential urgent/emergent patient care situations, seek team assistance as appropriate, and effectively intervene to assure the delivery of safe patient care. Work Schedule: Monday-Friday 0730-1600, 0800-1630, with extended hours on Tuesdays and early out on Fridays 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.