The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Roseville, California
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This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application.
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:
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)
Citizenship
Citizen of the United States
Education
Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the NLNAC at the time the program was completed by the applicant
Licensure
Full - active - current and unrestricted licensure as a [ ] licensed practical or vocational nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or District of Columbia
English Language Proficiency
Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English
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. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below:(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.(d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level
however - they are expected to exercise greater judgment - require less supervision - and to operate in accordance with all established policies - procedure - and techniques.] 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 4 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 5 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) 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
(i) 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.(j) 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: 1 year experience in a clinic setting as an LPN
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: See VA Directive and Handbook 5019 and local LPN/LVN physical standards.
Duties
Major Duties include - but not limited to: Prepares - administers - records - and communicates results of medications - vital signs - treatments - etc
Appropriately reports and records gross and subtle changes in patient's status
Recognizes and initiates appropriate response in emergent situations such as fire - disaster - bomb and/or hostage threats - cardiac and/or pulmonary arrests - and behavioral emergencies
Carries out emergency measures and initiating procedures for obtaining medical/other types of assistance
Initiates CPR and inserts an oral airway as needed
Completes pain evaluations - and on the basis of pre-formulated guidelines - either provides education - or refers for further evaluation
Reviews the patient's progress toward established goals and motivates the patient toward the achievement of these goals
Documents as appropriate
Manages workload effectively
Obtain and process blood - urine and other samples for laboratory testing as ordered by a provider and in accordance with unit and facility guidelines
Establishes and maintains an effective working relationship with peers - coworkers - supervisor - and other health care system personnel
Maintains ICARE core values and the mission statement of the VASNHCS
Work Schedule: M-F 8:00am-4:30pm Telework: Not available Virtual: This is not a virtual position
Functional Statement #: 40807 - 40808 - 40809 - 40810 Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
Contact Susan Bringel at susan.bringel@va.gov - the EDRP Coordinator for questions/assistance
Learn more Permanent Change of Station (PCS): Not Authorized
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.