The Licensed Practical Nurse at the GS 6 Level is a highly functioning member of the nursing team. The LPN GS 6 grade is restricted to individuals in complex work assignments. He/She is expected to be self directed. The LPN GS 6 works under the guidance of a Registered Nurse or M.D./D.O. and is responsible for his/her individual nursing actions within the scope of their assignments. Work Schedule: Primarily day shift, Monday - Friday 0730-1600, but subject to change based on the needs of the facility/service. Major Duties: A. Care Management: Knowledge and skills necessary to carry out patient care duties, including assignments inpatient and/or outpatient care settings. Possesses technically proficient skills in initiating, performing and completing assigned duties in providing care to variable patient population. l) Data Collection - Accurately collects all pertinent admission information and documents on the patient database. - Observes, recognizes, reports and responds appropriately to physical, emotional, and behavioral changes. - Recognizes deviations from the norm and acts immediately, by consulting with the RN and documents findings. - Prioritizes and reorganizes workload based on unit needs. - Independently and consistently recognizes co-worker's need for assistance and offers appropriate help. - Demonstrates good judgment in decision making with minimal guidance. - Demonstrates the knowledge, skills and ability to recognize emergency situations and seeks assistance and initiates appropriate interventions. - Observes, identifies and responds to the patient's need for care, medication, equipment assisted care, and patient/family education. - Recognizes and considers emotional cultural, spiritual, socio-economic and age related factors. II) Planning - Contributes to the development of the treatment plan. - Modifies patient treatment plans considering physical, emotional, and social factors. - Participates in both nursing and interdisciplinary team conferences for patient care. Contributes to the development, implementation, and evaluation of the patient's treatment plan. - Actively supports the team concept and functions as a facilitator of the team concept/team leader. Contributes to team initiatives and continuously strives to improve the effectiveness of the teams to which they are assigned. III) Implementation - Demonstrates the knowledge and skills in carrying out the most complex practical nursing assignments. - Adheres to Medical Center and Nursing Service policies and procedures. - Provides a variety of physical and/or behavioral nursing care duties which include but are not limited to: assisting with activities of Daily Living (ADL) i.e., bathing, toileting, ambulating, feeding, positioning, assists with oral hygiene care; takes vital signs, measures intake and output, height and weight, leads nursing groups and unit level therapeutic activities (if applicable to clinical setting/unit).** - Upon successful completion of certification and when assigned: initiates and monitors IV sites. Changes peripheral IV dressings. Hangs and monitors large volume premixed IV fluids and IV medication piggybacks. Monitors large volume IV infusions. Discontinues peripheral IV access. All of the above to be done according to established policies and procedures (if applicable to clinical setting/unit). ** - Administers and records oral, topical, rectal, IV and/or injectable medications, including controlled substances, adhering to medication administration policies and procedures (if applicable to clinical setting/unit). - Observes, reports and documents patient's response to medications including side effects, adverse or allergic reactions. - Assumes responsibilities in the area of patient education: Reinforces patient health education in relation to common disease processes, medication and or treatment regimes. - Provides patients with health education materials and directs patients to appropriate resources available in the Medical Center. - Provides instructions to patient for planned procedures and explains the rationale for specific patient preparation. - Performs complex technical procedures utilizing sterile and/or aseptic technique. i.e.: oral, laryngeal and tracheal suctioning, changing dressings, administration of oxygen, colostomy care and change, decubitus care/wound care (Stage I, II, III & IV), NG/PEG feedings, respiratory treatments, phlebotomy, EKG/ECG glucose meter monitoring (if applicable to clinical setting/unit). - Independently leads therapeutic nursing groups and unit level therapeutic activities. - Accurately documents on each patient's group interactions. - Other duties as assigned. Functional Statement Title: Licensed Practical Nurse, Health Advocate/Scribe GS-6
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.