The Licensed Practical Nurse (LPN)/Vocational Nurse (LVN), is responsible to the Registered Nurse for administering specialized nursing care activities to veteran in the Outpatient Geriatric Extended Care & Rehabilitation Clinics (primarily Physical Medicine & Rehabilitation). NOTE: This position is located in Geriatrics - Patient Aligned Care Team. The LPN or LVN will have the knowledge and skills necessary for self-direction in carrying out the most complex practical nursing care assignments in the outpatient clinics. Duties include but are not limited to: Responsible for performing non-standard and specialized practical nursing activities. Practices good customer service in all work activities. Includes such action as treating all customers with courtesy and fairness; considering the impact of work decisions on customers; and incorporating customer feedback in job and work modifications. Good customer service must be the central theme of all work- related activities. Adheres to VA Directives, CAVHCS Policies & Procedures, and Clinic Standard of Practices. Provides nursing care for adults and elderly with age-related needs by incorporating pertinent physical, psychological, and cultural needs into the plan of care. Contributes to the interdisciplinary team in the development, implementation and evaluation of the patient's treatment plan and promotes patient's participation in the therapeutic community by fostering self-reliance and independence. Communicates effectively giving pertinent information about assignment, etc. Discusses, promotes, initiates Whole Health care. Assists the registered nurse and physician with complex procedures per policy, scope of practice, and competency. Performs support duties for diagnostic procedures, which include preparing the patient, preparing emergency requisitions, assisting in the diagnostic examination, preparing and passing instruments, and monitoring the patient's condition. Uses CPRS efficiently for documentation entry and retrieving data (EKG, Lab, Medication, x-ray, etc.) from patient's records. Maintains a positive, safe, quiet, aesthetic environment. Performs nursing procedures as appropriate as delineated in the Nursing Procedure Manual/Protocols. Demonstrates self-direction in applying knowledge of National Patient Safety Goals, fire, safety, emergency and disaster regulations, practices and procedures; initiates and maintains standards of infection control, cleanliness and safety in patient/resident environment independently; exercises proper use and maintenance of patient care equipment. Monitors and collects data for Performance Improvement (PI)activities benchmarking with best practice to improve process and promote quality outcome. Ensures current (PI) data is posted and able to explain. Prepares, administers, and documents medications according to policy, observing for actions and reactions; reviewing order & checks with the nurse, pharmacist or his/her designee, to ensure accuracy of medications before administering to patients (as needed). Provides administrative and clinical support to the Registered Nurse and clinic as needed on tour of duty assigned. Re-educate patients on medical equipment and chronic illnesses; completed wellness call/conduct nursing clinic visits. Recognizes the need for and initiates emergency measures in psychiatric crises, assists in controlling patients during "Code Green" episodes. Recognizes changes in the patient's condition/care and report to Registered Nurse &/or provider/initiates code as needed. Responds to fires/fire drills, disasters/disaster drills, and Emergency/Rapid Responses according to Medical Center policies. Recognizes the need for and initiates emergency measures in life threatening situations (Code Blue /Rapid Responses); assists in cardiac monitoring/resuscitation procedures during cardiac/respiratory arrests and with the choking victim. Assists with orientation of new personnel and patients. Performs other duties. Work Schedule: Monday-Friday, 8:00 AM - 4:30 PM, Subject to change based on agency needs. Financial Disclosure Report: Not required
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.