Licensed Practical Nurse-Hospice

Summary This position is located within the Nursing Services, Geriatric and Extended Care service line at Lebanon VA Medical Center. Under the supervision of a licensed registered nurse, the licensed practical nurse functions as a member of the nursing team and assists the RN in the care of patients in acute, subacute, or chronic states of illness. The LPN delivers fundamental, knowledge-based care to assigned patients while developing technical competencies. Duties Major duties include, but are not limited to: Performs support duties for diagnostic procedures, which include preparing the Veteran and monitoring the Veteran's condition. Assists with discharge planning of Veterans to more appropriate level of care. Promotes Veteran participation in the therapeutic community by fostering self-reliance and independence. Promotes the values of cultural transformation and Veteran-centered care to nursing staff in the community living center (CLC). Administers prescribed medications, performs clinical procedures and performs more complex treatments in accordance with hospital policy and procedure and standard operating procedures (SOPs). Verifies physician orders in compliance with hospital policies and procedures and SOPs. Identifies, initiates, and acts as a leader in the area of maintaining and/or improving current functional status through consideration of therapy programs such as Nursing Restorative Therapy, Resistance Therapy, Kinesiotherapy. Performs nursing care to the unit's Veterans including all aspects of personal care and grooming, including rounding per facility SOP. Monitors bladder and bowel functioning, tracking of I&O and hydration, and initiates intervention when it is indicated. Performs rehabilitative and restorative nursing care, as applicable. Supports and enhances Veteran self-determination. Advocates for the Veteran in regard to decisions made about the types of treatment provided during the end-stage disease process and at the end-of-life. Serves as a resource for Veterans and staff in addressing ethical issues that arise on the unit. Treats the Veteran with dignity and respect. Consistently follows policies, SOPS, and procedures applicable to reusable medical equipment (RME) and infection control. Monitors staff compliance with RME procedures/policies.

• Reports required information for hand-off communication to the oncoming shift and at other times to applicable staff and departments. Completes the necessary documentation for these duties. Educates Veterans on their care needs. Communicates with families and significant others, as appropriate. Monitors Veterans for risk behaviors including, but not limited to:
• Elopement
• Wandering
• Suicide
• Fall
• Behavior
• Pressure ulcer Completes all required documentation in timely fashion with accuracy. Additional duties as assigned VA Careers
• Licensed Practical Nurse: Total Rewards of a Allied Health Professional Work Schedule: six 12-hour shifts of 6:45am-7:15pm and one 8-hour shift of 6:45am-3:15pm or 3:00pm-11:00pm within a two-week period. Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases.When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). 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) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. 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 #: 000000 Permanent Change of Station (PCS): Not Authorized Qualifications 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. 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 only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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: 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: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below: Six months of qualifying experience as an LPN or LVN; or Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. 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/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. 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