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This Licensed Practical Nurse position is located in Northfield, NJ at the Community Based Outpatient Care Clinic. The position is within the Patient Care Services. 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: U.S. Citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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). Licensure. Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Common wealth (i.e., Puerto Rico) of the United States, or District of Columbia. Education. Graduate of a school of practical or vocational nursing approved by the appropriate State Board agency and/or [accredited by] the Accreditation Commission for Education in Nursing (ACEN) [formerly the Accrediting Commission (NLNAC)] at the time the program was completed by the applicant. 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 as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment. Grade Determinations: GS-6 (Full Performance Level) (a) Completion of at least one (1) year of qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN; AND demonstrate the following knowledge, skills and abilities: (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 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 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 patients 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: 2 years Primary Care and or Ambulatory Care Nursing References: VA Handbook 5005/3, Part II, Appendix G13, Qualification Standard. Physical Requirements: 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. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. 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. ["The LPN, GS-6 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 GS-6 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). Work Schedule: Monday - Friday 8:00am-4:30pm Financial Disclosure Report: Not required"]

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