OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans? Applicants must meet the basic requirements by the closing date of this announcement. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education: Must be a graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. (TRANSCRIPTS REQUIRED) Licensure: Must possess a 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. (COPY OF LICENSE REQUIRED) Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met as well. The candidate's qualifications must clearly demonstrate the level of competence required for the GS-7 level. GS-7 Level: Must have completion of at least one (1) full year of additional qualifying experience that includes, but is not limited to: Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans. Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations. Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels. Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate. Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. This includes the ability to effectively deal with the above types of patients under very general supervision. Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice. Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas. Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff. Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice. References: VA HANDBOOK 5005/3, PART II, APPENDIX G13. The full performance level of this vacancy is GS-7. Physical Requirements: Walking, bending, stooping, and lifting in the direct care of patients; some extended periods of sitting and/or standing. ["This position is located at the Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, under the Chief of Staff, CLIMET Program, Telehealth Section. The incumbent functions as a Telehealth Clinical Technician Licensed Practical Nurse (LPN). The Telehealth Clinical Technician LPN serves in a generalist role to support and manage telehealth clinical encounters from the patient and provider location as the site Tele-presenter, imager for telehealth store and forward applications, and tele-presenter for real time telehealth events, including patient education activities, provision and installation of equipment for the CVT (Clinical Video Telehealth) program, technical and scheduling activities, and other program support duties, as assigned. Major Duties: Serves in a generalist role to support Telehealth clinic programs from the patient location. Provides a wide range of clinical and technical services to the patient, telehealth providers, and other VAMC providers. Assists in patient care under the direct supervision of an independent licensed healthcare provider cleans, performs routine minor maintenance, and requests service for all Telehealth technology. Performs telehealth imaging, including tele-dermatology, tele-retinal imaging, and tele-spirometry; and other telehealth programming as technology becomes available, as identified and referred by the primary care provider, other providers, and the imager. Serves as a patient site tele presenter and assists telehealth providers in their specialty clinics. Provides support to the VA Video Connect and Digital Divide Program. Installs, maintains, inventories and trains staff on all video-conferencing technologies, telehealth peripherals including stethoscopes, otoscopes, exam cameras, etc. and scheduling software used to coordinate, manage resources and connect staff, resources, patients and providers in the manner effective to delivery of services, patient care, education and training. Performs routine minor maintenance and able to provide troubleshooting techniques for telehealth equipment. Organizes and maintains a record keeping system for the program. Work Schedule: Full-time, Monday-Friday, 0730-1600. This is not a virtual or telework eligible position."]
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.