The Lead LPN/LVN assigned to the Primary Care Clinics functions as a team lead under the supervision of the Clinic Nurse Manager, and works under the direction of a RN. They are responsible for having knowledge and skills to carry out more specialized patient care duties in more complex care settings. They have the knowledge base that promotes incorporation of current patient care data in contributing to the patient's overall health plan and in carrying out assigned nursing interventions ***If you are not a current federal employee, please apply to announcement CBSU-11223998-21-AS *** Duties include but are not limited to: Complete a system of nursing tasks that are age/era appropriate for the Veteran and orders that include but are not limited to the following: Injections, giving medication and vaccines as ordered Airway and breathing treatments EKG's, bladder scans, pulse oximetry, Snellen Chart Eye exams, wraps, catherizations, woman's health exams, wound observations and documentation, Dopplers of legs, foot exams (monofilament exams), skin observations, hygiene and simple nutrition teaching, medication teaching, suture removal glucose meter reading and transmission into the medical record. Complete a system of tasks that are specific to Primary Care Services which includes but is not limited to: Vital signs collection, completion and interpretation, specimen collections and phlebotomy as prescribed by policy, administers and participates in team assignments, determines a medical emergency and assists with care provided. Completes clinical reminders with appropriate consults and alerts. Assists with procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy Data collection and documentation intervention of patient visit. Assists in medication reconciliation. Notifies the provider of changes. Closes encounters daily Adheres to principles of infection control, safety, and universal precautions Provides patient and family health education. Properly handles, reprocesses, and maintains reusable medical equipment according to unit policy, Standard Operating Procedures, and VHA directives. Maintains confidentiality and privacy of electronic, written, and/or verbal patient information (HIPPA) Demonstrates initiative in assisting the PACT team and other multi-disciplinary teams Makes observations and thoroughly documents care and the patient's response. Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention. Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills. Assists in the orientation and competency validation. Serves as an advocate in the protection of patient and family rights. Completes mandatory reviews, including motivational interviewing, in order to promote patient self management toward individualized life plan of care. Supports patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles. Carry out assigned patient care based on the patients' conditions. Recognizes and appropriately responds to breakage, malfunction, or loss of equipment, safety hazards, and supply deficiencies. Appropriately utilizes the computer and various computer packages to enter and retrieve electronic data. Identifies and participates in process improvement initiatives. Maintains Joint Commission standards related to patient care Completes annual nursing mandatory reviews as well as competencies and continuous learning requirements. Utilizes correct body mechanics and assistive devices and equipment appropriately when providing patient care. Complies with safety rules and regulations for safe job performance and fire protection. Notifies supervisor promptly of unsafe or unhealthy environmental situations/conditions. Ensures that working conditions and work practices within the worksite are such that the possibility of an on-the job injury is minimized. Reports any work-related injuries or illnesses and completes appropriate documentation. Initiates patient calls and patient care follow-up. Monitors and restocks exam room medical/clerical supplies. Performs other tasks as requested by providers or supervising nursing personnel within the scope of training and abilities Work Schedule: Mon - Fri 8am - 6:30 pm Telework: N/A Title/Functional Statement #:Practical Nurse/PD51120O Financial Disclosure Report: Not required 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 a weight of 35 pounds in accordance with the Safe Patient Handling Program Directive 2010-032. Transferring patients and objects may be required. May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. May occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient and clinic needs.
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.