Licensed Practical Nurse - Residential Rehabilitation Treatment Program
Veterans Affairs, Veterans Health Administration
Location: Saint Cloud, Minnesota
Internal Number: 684460300
This LPN position delivers patient care and education in a variety of means within the Mental Health Service Line, Residential Rehabilitation Treatment Program (RRTP), performing a variety of uncomplicated, Veteran-centered, physical and behavioral interventions. 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 the Accreditation Commission for Education in Nursing (Formerly: National League for Nursing Accrediting Commission). See "Education" section for additional requirements and exceptions. 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. Physical Standards: See VA Directive and Handbook 5019. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: 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. In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. Human Resources will determine eligibility and qualifications and recommend the appropriate grade level to the selecting official. This determination will be made based on the information in your application. To receive full consideration at the GS-5 and -6 levels, your application must clearly demonstrate the Knowledge, Skills, and Abilities (KSAs) described below. GS-03. None beyond the basic requirements. GS-04: Six months of qualifying experience as an LPN or LVN; 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-05. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent that demonstrates the following KSAs: 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 registered nurse (RN) and/or physician (MD/DO) to appropriately orient/train less experienced LPNs 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 in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of 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. GS-06. Completion of at least 1 year of additional qualifying experience at the GS-5 level or equivalent that demonstrates the following KSAs: 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 RN or 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/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. 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 G13. ["The Mental Health RRTP provides a 24-hour therapeutic setting utilizing professional and peer supports. The primary goal of the Mental Health RRTP is to provide treatment and rehabilitation services to Veterans who have mental health and substance abuse disorders that are often complex and co-occur with other medical concerns and psychosocial needs such as employment and housing. The RRTP LPN performs care of Veterans through the implementation of assigned interventions targeted towards maximizing self-care management ability. Major duties include, but are not limited to: Provides physical and emotional care to Veterans with mental illness, behavioral and physical needs within the scope of practice while under the direction of an RN. Considers lifespan issues and provides care to young adults through geriatric patients, inclusive of all gender designations and needs. Completes patient focused assessments, recognizing signs and symptoms of withdrawal. Completes clinical reminders and reports of data findings to the clinician, provider, or RN. Administers medications and injections to patients accurately, timely, and according to facility policy. Keeps patient care areas and medication room clean and free of clutter and restocks supplies as needed, anticipating workflow. Reviews and maintains room and refrigerator temperatures as assigned. Performs urine specimen collections, use of breathalyzer and other point of care specimen collection as ordered. Participates in nursing reports and other care team meetings to ensure continuity in Veterans care that is provided in the mental health setting. Initiates therapeutic communications with Veterans and families utilizing formal and informal communication processes. Initiates and evaluates Veteran's participation in the mental health setting such as nursing led groups and community meetings. Report and record observations and information related to the care of the patient and integrate the use of health care technology into the provision of nursing care. 18. Completes documentation accurately, timely and completely addressing Veteran's complaints and care provided. Participates in patient/family teaching programs related to health promotion and reinforces instructions provided by the registered nurse and physician and documents in approved format. Collaborates with team members to provide seamless care to the Veteran. Mentors/ precepts new LPN's and other new employees to the LPN duties. Collects quality improvement data as directed by the Quality Coordinator or Nurse Manager and provides input to charge nurse or nurse manager regarding unit workflow and suggests improvements through Quality Improvement processes. Participates in committees at the unit level and at the facility level and accurately represents the LPN profession and the LPN position within the organization. Work Schedule: The RRTP provides 24-hour care. 8- and/or 12-hour, rotating schedules available. Rotating weekends and holidays required. Actual tour of duty to be discussed during interview. Additional Pay: Shift Differential - 10% of basic pay for work performed during regularly scheduled hours between 6pm and 6am. Weekend Premium - 25% of basic pay for work performed between the hours of midnight Friday and midnight Sunday. This includes continuous service connected to work performed during these hours. Holiday Pay - 2 times basic hourly rate for regularly scheduled, non-overtime work on a designated holiday. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Recruitment/Relocation incentive of up to $12,000 authorized for eligible, highly qualified applicants. A service agreement is required for all relocation incentives. Student Loan Repayment Program (SLRP): This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Physical Requirements: Heavy lifting (45 lbs. or more), moderate carrying (up to 45lbs.), reaching above shoulders, use of both hands and legs, use of fingers, prolonged walking and standing, intermittent crawling, kneeling and bending, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13\" to 16\" to Jaeger 1 to 4, far binocular correctable to 20/40, vision, hearing (aide permitted), mental and emotional stability."]
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.