Licensed Practical Nurse - Telehealth/Connected Care
Veterans Affairs, Veterans Health Administration
Location: Cincinnati, Ohio
Internal Number: 678100200
The Cincinnati, OH VA Medical Center is seeking a Licensed Practical Nurse to work in the Telehealth Connected Care service at our facility. If you are interested in a career that offers professional/work life balance in a supportive clinical learning environment, providing integrated patient-centered, state-of-the-art care to Veterans, we welcome you to apply to be part of the Cincinnati VA team! Cincinnati is a family-friendly metropolitan city with great parks, fine arts, and food scene. 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 Determination: In addition to the basic requirements stated above, the following qualification criteria must be met. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-3 None beyond the basic requirements. GS-4 (a) Six months of qualifying experience as an LPN or LVN; or (b) 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 (c) Graduation from an approved school of at least 24 months duration. GS-5 (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) 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. (c) 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. (d) 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. (e) 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. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (g) 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-6 (a) Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (c) 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 registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures. (d) 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/LVN recognizes and considers emotional , cultural, spiritual, socio-economic, and age-related factors. (e) Prepares and 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. (f) 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. (g) 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. (h) 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. Preferred Experience: Previous Telehealth experience Previous outpatient care experience Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity and requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The LPN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The LPN may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The LPN must be capable of working effectively in stressful situations and able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["The VA has been named one of the Top 5 Best Places to Work in the federal government. With both an urban energy and southern charm, the Cincinnati region has a vibrant and unique culture that flows from the Ohio River to the things to do, landmarks and events all around town. With rich cultural offerings, award-winning family adventures, an ever-expanding art scene, a foodie's paradise, and breweries galore, this is one picturesque river region with much to explore! With major league sports, big-city arts, fun festivals, and award-winning attractions, it can be hard to decide what to do in our dynamic river region!\nhttps://www.frommers.com/destinations/cincinnati TELEHEALTH CLINICAL TECHNICIAN (TCT) LPN/LVN The Telehealth Clinical Technician (TCT) LPN/LVN serves in a generalist role to support Telehealth clinical programs from the patient location. The LPN/LVN provides a wide range of clinical and technical services to the veteran that demonstrates complex technical judgment under general supervision of a registered nurse or MD. The complexity of duties include: Serving as the site imager for Telehealth store and forward applications Facilitator for real time Clinical Video Telehealth (CVT) encounters, including: Patient education activities Primary Care and specialty care remote visits Providing equipment for the Care Coordination Home Telehealth (CCHT)program Provides technical and scheduling support Other program support duties as assigned The Telehealth Clinical Technician LPN/LVN: Demonstrates nursing practice with remote supervision of a registered nurse or physician. Administers medication accurately and promptly under the general supervision of a registered nurse. Demonstrates understanding of the effects and/or reactions caused by medications, treatments, and procedures. Records and reports these observations. Demonstrates the ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Demonstrates the independent technical knowledge and skills that are complex in nature and that contribute to the veteran's treatment plan and support the successful completion of the Telehealth visit. Performs Telehealth imaging, including: Teleretinal screening Teledermatology Telewound care Other Telehealth programming as technology becomes available, as identified and referred by the primary care provider, other providers, and the imager. Initiate consultations for patients on behalf of the primary care provider, who retains responsibility for patient care. Is responsible for the patient site facilitation of the clinical, business, scheduling, and technical aspects for real-time Telehealth applications, including, but not limited to: Telemental health Primary Care Telehealth Telerehabilitation Telepatient education clinics. Uses video-conferencing technologies, Telehealth technology and scheduling software. Is responsible for any patient, staff education/ training, documentation, and assistance with workload capture that is basic for the completion of the visit and/ or training. Assists in patient care under the direct supervision of an independent licensed healthcare provider. The LPN/LVN will be crossed trained to perform a range of direct care duties that may include, collecting vital signs and other clinical components of a primary care visit as directed by policy or clinic standard. Conducts quality control procedures on equipment and products and maintains proper records for quality control reports and workload reporting. Performs personal care, diagnostic support duties and treatments according to procedure under the direction of the professional nurse in a timely manner. Demonstrates the ability to provide a full range of care to patients' requiring complex treatments and care with remote supervision by the Registered Nurse/Physician. Demonstrates the ability to plan and organize assignments independently. The Licensed Practical Nurse (LPN) is directly responsible to the professional nurse for providing direct care within his/her scope of practice. The Nurse Manager/designee is responsible for the supervision and performance evaluation. Work Schedule: Monday through Friday, 8:00am to 4:30pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial 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.