Hybrid Specialty Care Vocational Nurse presso Department of Veterans Affairs

Specialty Care Vocational Nurse

Department: Department of Veterans Affairs

Location(s): San Francisco, California

Salary Range: $50553.0 - $89005.0 Per Year

Job Summary: The LVN/LPN has the knowledge and skills necessary for care coordination and carrying out complex practical nursing assignments within Nursing, Specialty Care . The Outpatient/Ambulatory Care LVN/LPN cares for adult psychiatric, medical, and geriatric patients.

Major Duties:

• Duties and responsibilities of the LVN/LPN include: Provides/assists patients in keeping with Department of Nursing standards, to accomplish a full range of personal care with attention to preserving personal dignity, autonomy, religious preferences, cultural values, and age-appropriate needs. Rooms patients, obtains vital signs, documents appropriately Completes clinical reminder screenings as indicated Organizes/prioritizes routine and non-routine nursing care activities. Observes, recognizes, and reports significant or adverse changes in patients' condition in a timely fashion. Responds appropriately to emergency situations Independently assumes additional patient care responsibilities and other measures to prevent complications. Provides emotional patient and family care Complies with all universal precaution and infection control policies and procedure Maintains a safe/clean work environment and completes assigned environmental duties. Reports unsafe equipment and working conditions to appropriate individuals and intervenes appropriately. Participates in Quality Improvement activities and offers suggestion to improve care Delivers care to Veterans/clients in a respectful, non-judgmental manner Demonstrates and maintains competency as defined by unit and department criteria Adheres to VA Nursing Service, Medical Center policies, procedures, and standards. Utilizes judgement and establishes work priorities and completes assignments in a timely manner with minimal supervision. Observes, recognizes, and reports significant or adverse changes in patients' condition in a timely fashion and responds appropriately to emergency situations. Ability to triage, perform chart scrubbing, respond to department phone calls, secure messaging, patient education, and participate in team huddles and meetings. Ability to assist in obtaining outside records, Community Care medical records, upload, and communicate with providers. Ability to place and coordinate HOPTEL and Beneficiary Travel Requests Utilizes judgement when communicating with patients regarding requests for labs, medication refills, and directs requests to the appropriate Licensed Provider Evaluates and documents patient response to interventions and progress towards attainment of goals and expected. Uses the Computerized Patient Record System (CPRS), Clinical Procedures, and Bar-Coded Medication Administration (BCMA) software per policy, as well as any future patient documentation programs. Communicate with patients via secure messaging and VA Video Connect. Coordinate care for his/her panel of patients such as connecting them to all available resources. Collaborate with Providers to devise individualized patient care plans including assisting Providers with time outs, room setting and rooming in patients on clinic days. Communicating/coordinating care & appointments pre-& post-operatively with local VAs for patients who live far.) Assist in clinic, cast, application, cast removal, suture removal, staple removal. Treats patients and colleagues with respect for all types, levels and variations of personal and professional differences Coordination of care, focusing on patient transition through the continuum of care, patient and family health education with a focus on self-management based on the patient's goals. Functions under the supervision of RN and maintains ongoing collaboration with physicians, peers, and others on the healthcare team as well as within the community as indicated. Work Schedule: 8:00am-4:30pm; Monday thru Friday Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Exceptions include 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/LVN licensure will be accepted as meeting the education requirements for VHA employment OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN. Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia. Grade Determinations: In addition to the basic requirements stated above, 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/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 in duration. AND LVN/LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level. GS 5: Completion of at least one year of qualifying experience at the GS-4 level or equivalent. AND Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel patient care. 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. 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. GS 6: Completion of at least one year of qualifying experience at the GS-5 level or equivalent. AND 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 and to use judgment in selecting the appropriate order and sequence of procedures and treatments. Ability to observe, identify and respond to the patient's needs for medication, equipment-assisted care and patient/family education. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Knowledge and 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. 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Preferred Experience One to two years of LVN/LPN experience with care coordination in an Outpatient/Ambulatory Care Setting. Salary for this position ranges dependent upon applicant qualifications GS-03: $50,553-$65,711 annually GS-04: $56,746-$73,778 annually GS-05: $63,488-$82,527 annually GS-06: $68,468-$89,005 annually The full performance level of this vacancy is 6. The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 6. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The population of male and female patients served ranges from the adult, age 18, to the elderly adult, age 65 and over. The San Francisco VA Health Care System is a health care facility, providing acute medical, surgical, behavioral health, physical medicine and rehabilitation, geriatric, and primary care services predominately to veterans, but in special cases, includes active duty military and civilian populations. This position requires visual acuity (Correctable to 20/40), hearing clear distinctive speech (correctable to 20db), and manual dexterity to perform prescribed procedures/computer usage. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or during patient operative/invasive procedures. 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, and is able to shift priorities based on patient needs.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 03/24/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12706930. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Application Deadline: 2025-03-24