The VA is opening a new Community Living Center (CLC) within the Papillion - CHI Midlands Hospital Campus on 11111 south 84th street, on the 5th and 6th floors. The new CLC will support a skilled nursing and dementia unit with a total of 34-beds. The CLC will provide services to eligible Veterans needing skilled healthcare, rehabilitation, or dementia/ neurocognitive support requiring an extended short-term stay, ranging from 30 to 90+ days of care. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/27/2022. Basic Requirements: Citizenship: Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Education: 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. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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). Preferred Experience: Prefer a minimum of one year nursing experience in the following areas: Acute care, short-term care, long-term care, wound care, memory care, rehabilitation, skilled nursing, hospice, or palliative care. Basic Life Support Certification (BLS) GRADE DETERMINATIONS: GS-03: None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-04: (a) Six months of qualifying experience as an LPN or LVN; OR (b) Graduation from an approved school 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. GS-5: (a) Completion of at least one (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 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 from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RNor 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. References: VA Handbook 5005/3, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD ["This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until April 25, 2022 and may be extended until all vacancies are filled. The initial cut-off date for referral of eligible applications will be February 16th. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. We are looking for Licensed Practical Nurse (LPN) applicants that would like the opportunity to grow, develop and learn with us. We currently have full-time and part-time opportunities; with various shift availability in both the Skilled Care Unit and the Dementia Unit. This announcement will be used to recruit for both units. Duties: The CLC is focusing on a team approach to produce specialized nursing staff, to be knowledgeable in a variety of areas from standard nursing care, wound care, rehab, pain management, restorative care, hospice care, palliative care, and extended care services. The incumbent will be expected to perform all the required duties within their functional statement in training: Prioritize patient care needs, support care plans, seeks assistance and guidance by informing the CLC RN or the CLC providers of changes in patient's condition, and be a valued team member in providing care for the complex aging veteran population. Exhibit independent technical judgement, critical thinking skills, use appropriate judgement to carry out their assigned duties, follow policies and procedure guidelines, and coordinate the care of CLC residents with the CLC interdisciplinary team. Establish effective communication or rapport with patients, families, visitors, and the interdisciplinary team. Demonstrates an understanding of dynamics of aging, as well as the performing assessments and interventions necessary for the CLC in the areas of health promotion, wound care, basic physical/psychological/social assessments, support care plans, palliative care, hospice, supporting policies and procedures, and managing changes in health status. Accurately documents data and assessments into the medical record following established guidelines including identifying the designated RN as a co-signer to notes entered in CPRS. Accurately documents the care of Veterans into electronical medical record platforms: CPRS, BCMA, Caribou, and other charting systems. Safeguards Veteran privacy and confidentiality. Supports isolation precautions, infection control guidelines, adheres to the Covid-19 guidelines for personal protection equipment, and swabbing. Recognizes and supports suicide prevention initiatives and works closely with the Behavioral Recovery Outreach (BRO) team. Have a desire to want to learn more, and establish effective communication or rapport with patients, families, visitors, customers, and the interdisciplinary team. Promotes flexibility to float to other areas in the CLC. Work Schedule: Full-time, 80 hours bi-weekly, including weekends and holidays. 7:30am-8pm/7:30pm-8am. There will be six (6) -twelve (12) hour shifts and one (1) - eight (8) hour shift per two weeks' pay period. Part-time opportunities, with varied shift availability.\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Licensed Practical Nurse- Papillion CLC/PD000000, PD000000, PD000000, and PD000000\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Contact VHAVISN23edrp@va.gov, the EDRP Coordinator for questions/assistance.\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required *This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program.* ** The full performance level of this vacancy is GS-06 ** The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06."]
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.