Practical Nurse - Residential Rehabilitation Treatment Program (RRTP)
Veterans Affairs, Veterans Health Administration
Location: Fort Thomas, Kentucky
Internal Number: 678103000
The Cincinnati, OH VA Medical Center is seeking a well-qualified Licensed Practical Nurse to work as a Staff Nurse supporting veterans in Residential Rehabilitation Treatment Program (RRTP). The RRTP is comprised of 3 individualized treatment/rehabilitation programs designated as follows: Domiciliary Care for Homeless Veterans (DCHV), Substance Abuse (SA) Post Traumatic Stress Disorder (PTSD). If you are interested, we welcome you to apply to be part of the Cincinnati VA team! 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-7 To qualify for the GS-07 level, you must have completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all of the performance requirements for the GS-6 LPN/LVN that includes: Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans. Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice. Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas. Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff. Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. Actively seeks out educational opportunities to enhance nursing knowledge and skills and providing leadership in assisting other staff improve and advance their nursing practice. Preferred Experience: Previous experience in Mental Health Care Previous experience working in a medication program 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. This position 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. Cincinnati is a family friendly, affordable, metropolitan city with great parks, fine arts, and food scene. 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 LICENSED PRACTICAL NURSE (LPN) - SAFE MEDICATION PROGRAM\nThe Licensed Practical Nurse (LPN) works under the direction of a Registered Nurse (RN) or physician. The LPN is responsible for observing, recording, and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. The LPN is a member of the larger team. The LPN requires a general review of their work by a RN for appropriateness and conformity with license, policies, and procedures. The LPN demonstrates active collaboration and communication with the care team. Core Duties Interprets mental and physical changes based on theoretical and practice understanding of psychology, anatomy, and physiology. Prepares and administers prescribed medications. Measures and records vital signs including height, weight, and pain level. Routinely assesses patients for pain management following medical center processes to address any identified issues. Participates in care conferences and in development of treatment plans. Assists in the application and operation of specialized equipment for patient care such as applying appropriate, protective, or supportive devices. Assists with specialized treatments, therapies, and examinations. Documents data in the electronic medical record following established guidelines. Anticipates, recognizes, responds, reports and records early, subtle changing patient conditions and behaviors, both physical and emotional. Recognizes, responds, and assists in psychiatric or medical emergencies initiating cardiopulmonary resuscitation and therapeutic intervention for disturbed behavior. Conducts patient and family teaching as directed by the team leader. Assumes charge of a designated group of patients as directed by the RN for a specific task, group therapy or function. Responsible for helping to orient new employees assigned to the team. Establishes effective working relationships with nurses and physicians elsewhere in the medical center and is available for consultation and assistance as required. Communicates effectively with patients, families, and professional staff. Demonstrates knowledge and adheres to the policies on the use and security of computers Utilizes privilege of computer access to retrieve and input information necessary for patient care. The LPN is accountable to the Chief Nurse, Mental Health Care Line. The practical nurse works under the remote supervision of the Nurse manager or assigned supervisor and assumes responsibility for the patients as directed by the RN for management. The LPN receives written and verbal assignments from the RN and performs patient care without detailed instructions. He/she may give written and verbal instructions to staff under the supervision of the RN. The LPN functions independently with remote supervision and seeks guidance and direction when unsure of functions to be accomplished. The RN nurse manager provides periodic observation of work Work Schedule: straight night shift (11:30pm-8:00am) with rotating weekends and holidays\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.