The LPN works under the direction of an RN Care Manager and reports to the Nurse Manager of Primary Care. The LPN, in Primary Care (PC)/Community Based Outpatient clinic (CBOC) provides skilled and individualized practical nursing care to all levels of patients including most complex patients who are acutely and/or chronically ill in the outpatient care setting. The Licensed Practical Nurse (LPN) clinical associate position is located within a Patient Aligned Care Team in Primary Care Service, at Wilmington VAMC. Care is provided to patients who exhibit a variety of most complex physical and/or behavioral problem. This person is functions under the direct supervision of the Team RN who is responsible for the coordination of the patient's care. The LPN has the knowledge and skills necessary for self-direction in carrying out simple to the most complex practical nursing care. The incumbent serves as a member of a health care team] teamlet in Primary Care. The LPN recognizes the need for and seeks guidance when necessary to ensure quality patient care. In organizing and delivering care, the LPN recognizes and considers emotional, cultural, spiritual, and age related factors. The LPN actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. The incumbent is accountable for all patient care given and functions within the LPN scope of practice as it relates to Primary Care polices. 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 life care plan. The LPN demonstrates active collaboration and communication with the Core Team (Patient, Primary Care Provider, RN Care Manager and Clerical Associate) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient). LPN provides nursing care to patients with chronic, acute, and terminal health problems, with minimal supervision of a registered nurse/provider. Implements basic and advanced LPN procedures as defined by policies and procedures, of WVAMC: - Collects data on the physical (vital signs, weight, blood work, etc.) and psychological needs of assigned patients and assists in prioritizing immediate needs. - Recognizes and applies data related to the physical, emotional, social, spiritual and cultural needs from - patient, family, significant others, health care providers, and/or agencies in the community. - Safely handles, prepares, administers and records medications and treatments in accordance with policy. - Recognizes subtle abnormal signs and symptoms and/or changes in patients' condition and notifies the RN Care Manager (RNCM); promptly seeks the assistance of the RNCM or provider. - Demonstrates knowledge, skill and ability to recognize and respond appropriately to emergency situations, and to institute emergency measures when indicated. - Based on the patient's goals, provides patient and family health education, and executes skills, such as motivational interviewing to promote patient self-management, prevention and wellness. Work Schedule: 0800-1630 Monday - Friday Financial Disclosure Report: Not required Physical Standards: 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. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/.invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Please Note: In accordance with Office of Human Resources Management (OHRM) bulletin (dated 10/1/2019), Human Resources Management Letter NO. 05-19-12, although hybrid title 38 occupations follow title 5 Veterans' preference rules, as required by the Merit Systems Protection Board (Graves v. VA, 117 M.S.P.R. 697 (2012)), 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference to external applicants for appointments made during FY 2020 to hybrid title 38 occupations reported among the occupations with the largest staffing shortages. FY 2020 VHA Shortage Occupations Approved for Waiver of Veterans' Preference are as follows: Diagnostic Radiologic Technologist, 0647; Medical Instrument Technician, 0649; Medical Records Technician, 0675; Medical Supply Aide and Technician, 0622; Medical Support Assistant, 0679; Medical Technologist, 0644; Practical Nurse, 0620; Psychologist, 0180.
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.