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Veterans Affairs, Veterans Health Administration Licensed Vocational Nurse (LVN) Ambulatory Care-PACT-Cedar Park, TX in Cedar Park, Texas

Summary The primary purpose of the LVN is to perform assigned duties in a manner that promotes quality health care, position customer service and the maintenance of an environment committed to serving the veteran. Responsibilities Develops and delivers virtual and digital technologies which help Veterans communicate synchronously and asynchronously with their health care teams and coordinate, track and manage their health care. These technologies may include, but are not limited to, Clinical Video Telehealth (CVT), Store and Forward Telehealth (SFT), Video Conferencing, VA Video Connect (VVC), VA Mobile, My HealtheVet (MHV), Home Telehealth (HT), and other telehealth applications. These technologies are used to deliver care to Veterans located at various institutional and non-institutional settings, such as the Department of Veterans Affairs Medical Centers (VAMCs), Community-Based Outpatient Clinics (CBOCs), State Veteran Homes, Vet Centers, homeless shelters, Indian Health Services (IHS) clinics, Department of Defense (DOD) facilities and other affiliated organizations as well as directly to Veterans in their home. These duties and responsibilities include (but are not limited to): 1. The LVN will have responsible duties as the Telehealth Clinical Technician for Clinical Video Technology (CVT) and Store and Forward (SFT) Telehealth programs for the Central Texas Veterans Health Care System (CTVHCS). 2. The LVN will be responsible for performing, recording, and reporting assigned nursing care and will use telehealth technologies to provide care, facilitate access, and improve the outcomes of Veterans through the application of various modalities. 3. The LVN will work collaboratively among various participating services in the administration, management and delivery of Telehealth services. 4. The LVN will be required to work under the supervision of appropriate licensed and/or credentialed provider(s) supporting various aspects of telehealth program(s) as required by (but not limited to) COPs, TSAs, and SOPs. 5. The LVN will maintain all required skills to perform CVT and SFT Telehealth; including (but not limited to) the scheduling, coordination and training as necessary, and the maintenance of proper documentation to record the training. 6. The LVN provides education and expectations to providers, staff, and patients as it relates to the Telehealth programs 7. The LVN will be familiar with the training, maintenance and operation of all Telehealth technology and equipment and remain current with all training guidance from the VA Center of Excellence for SFT Telehealth (Currently the Boston Training Center). The LVN will have laboratory duties in addition to the duties listed above. These include, but are not limited to: Performs phlebotomy (venipuncture) and urine specimen collection on patients ranging from minimally to critically ill who may be hard to draw. The LVN will obtain venous blood specimens from adults using knowledge of human anatomy, aseptic technique, and phlebotomy material selection (i.e. vacutainer, syringe, butterfly, etc.) Conveys to the patient the intention of performing a phlebotomy while showing understanding and empathy for the patient's condition. Assists in training other personnel (employees and student trainees) in proper phlebotomy and specimen collection techniques. Performs processing procedures ( centrifugation, splitting specimens into aliquots under the guidance of others, requiring knowledge of the correct type tube, amount of specimen needed, and procedure to be followed according to the test requested). Performs glucose tolerance testing by administering pretest substances, drawing blood at specific time intervals. Assists in disinfecting and closing the Phlebotomy Room at the end of the shift. Contacts Medical Staff in handling patients in cases of fainting, convulsions, and illness. Preferred Experience-1-2 years working as a Licensed Vocational Nurse, Experience performing phlebotomy but not required Work Schedule: 0730-4, 07-330,08-430,0830-5pm. May require later clinic hours based on clinic need. Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Basic Requirements: United States Citizenship: You must be a U.S. Citizen to apply for this job English Language: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Education: Graduate of a school of vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission at the time the program was completed by the applicant. Verification can be obtained from the State approving agency [or] the National League for Nursing [Accrediting Commission]. Exceptions include: Individuals granted a license by a jurisdiction that does not require graduation from an approved school. VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. 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. Licensure: Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia. Physical: Must pass a pre-employment examination if selected. Grade Determinations: GS-3: None beyond the basic requirements. LVN's 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: May be appointed at or advanced to GS-4 if you meet any of the criteria below: 6 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 & sterile techniques & procedures; OR Graduation from an approved school of at least 24 months duration. GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent and meet the following Knowledge, Skills and Abilities (KSA's): Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical & or behavioral problems. Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or NAs/HTs in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients & 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, & or intravenous medications as permitted by approved local facility policies and procedures. Observation and documentation will include patient's response to medication administered & 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, & assist in resuscitation procedures in cardiac and/or pulmonary arrest. Recognizes & 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: At least 1 year of qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements and meet the following Knowledge, Skills and Abilities (KSA's):: Technically proficient in initiating, performing & 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 & 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) & 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, & 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, & other staff. Establishes constructive relationships with individual patients and their families to elicit feelings & attitudes, & to promote positive relationships, communication & 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, & or other internal/external customers Knowledge & 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 & 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, & 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 & skills, sharing new knowledge gained with other staff to improve & advance nursing practice. Physical Requirements: Work in indoor and outdoor conditions, Heavy lifting, 45 pounds and over, walking and standing 8 hours, repeated bending, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Ability to distinguish basic colors; emotional stability Education References: VA Handbook 5005/3, Part II, Appendix G-13 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-3 to GS-6. IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: If your school has changed names, or is no longer in existence, you must provide this information in your application Note: (If your school was accredited by National League for Nursing Accrediting Commission at the time of graduation, but is no longer listed on the websites, or has changed names, you must provide documentation of accreditation with your application packet. Failure to do so will result in an ineligible rating) If your school has changed names, or is no longer in existence, you must provide this information in 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.

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