Veterans Affairs, Veterans Health Administration Licensed Practical Nurse - NEW GRAD in Sioux Falls, South Dakota
Summary The Sioux Falls VA Health Care System is currently recruiting for multiple Full-Time, Permanent, NEW GRAD - Licensed Practical Nurses. These positions are located in the Rehabilitation and Extended Care (REC) Service Line. A recruitment incentive may be eligible for a highly qualified candidate Responsibilities As a NEW Grad LPN, you are responsible for the following major duties to include, but not limited to: Serve as a responsible member of the resident care team and interact with residents, family members, professional and supportive personnel, who provide resident care with members of other services. Possess the ability to assess data reflective of the resident's status and interpret the appropriate information needed to identify each resident's requirements relative to the age-specific needs. Make pertinent observations of the resident's physical and emotional reactions to hospital care and treatment for purposes of communicating with the RN and recording in the resident's record in the approved charting format. Perform a moderately difficult range of nursing care activities, which have been acquired through training and experience. Participate in the assessment, planning, implementation, and evaluation of the nursing care that expedites the resident's return to, or maintenance of, optimal functioning by providing continuity of care of each resident's individual needs. Recognize and properly use equipment, materials and supplies to carry out procedures and other assignments with supervision by the RN for technical soundness, appropriateness, and conformity with established policies and procedures. Perform a variety of nursing care activities that include activities of daily living, which include, but not limited to: vital signs, intake and output, and pain screening with supervision from RN. Assist with range of motion, ambulating, lifting, positioning, and self-help activities using mental and physical rehabilitative techniques to help residents reach their optimum levels of functioning with RN supervision. Perform procedures as deemed competent under the supervision of a RN, which may include brace/splint application, ear irrigations, tracheotomy/respiratory assistive devices, culture specimen collection, care of surgical drains (Jackson-Pratt, hemovac, penrose, etc.), complicated dressing changes, non-weighted nasogastric tube insertion and irrigation, tube feedings, gastrostomy, acute replacement of displaced tubes (Foley), suprapubic catheter replacement, irrigation of new and established colostomies/ileostomy, suture/staple removal, and chest tube site/dressing assessments. Provide nursing care to residents requiring close and continual observation and monitoring of technical equipment under supervision of the RN. Participate in resident/family teaching programs related to activities of daily living and reinforces instructions provided by the RN and provider and documents in approved format. Demonstrate knowledge of pharmacology and skill sufficient to calculate dosages and administer medications as prescribed by the provider and authorized in policies and procedures. Ability to use practical knowledge of human behavior, motivation, and reaction to situations in working effectively with residents, family, and other staff members. Knowledge of infection control and sterile technique to safely carry out assigned duties including the resident in isolation. Assesses and identifies usual and unusual psychosocial and physiologic changes in resident's condition, interventions, and their responses to therapy and teaching. Work Schedule: Full-time, 80 hours bi-weekly, including weekends and holidays. There will be six (6) - twelve (12) hour shifts and one (1) - eight (8) hour shift per two week pay period. Employees never work more than 3 days in a row, unless requested by the employee. There are 10 paid holidays, regardless if an employee works, for full-time employees. Overtime shift opportunities available. Additional information will be provided during the interview process. Financial Disclosure Report: Not required This position is eligible for the Education Debt Reduction Program (EDRP), a student loan reimbursement program. To participate in the program, you must meet specific individual eligibility requirements in accordance with VHA Policy 1021 and submit your application within four months of appointment. The final award amount (up to $200,000) and eligibility period (one to five years) is determined by the VHA Education Loan Repayment Services office. The EDRP Coordinator, Patricia Hummel, can be reached at email@example.com Requirements Conditions of Employment 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. 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. Licensure: 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. 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). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-3 None beyond the Basic Requirements. GS-4 Education/Experience Required: 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-5 Experience Required: 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 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-6 Experience Required: Completion of at least 1 year of qualifying experience at the GS-5 level or equivalent. 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 Registered Nurse (RN) or Physician (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/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. 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. 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. 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, which can be found in the local Human Resources Office. 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. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity and potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring Veterans and objects may be required. The LPN may be exposed to infected Veterans and contaminated materials, and may be required to don protective clothing in isolation situations or operative/invasive procedures. The LPN may occasionally be exposed to Veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The LPN must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on Veteran needs. Education IMPORTANT: A transcript must be submitted with your application. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.