As a member of the Prime Care team, the Licensed Vocational Nurse (LVN) provides optimal continuity of care for the veterans. The incumbent demonstrates understanding in delivering and improving holistic care through collaborative strategies with patients, family members/significant others, and members of the interdisciplinary team. Specific practice settings include Primary Care Clinics, Specialty Care Clinics, Community Based Outpatient Clinics, Outpatient Clinics, and Ambulatory Care Clinics Provides safe patient care and assists patients as needed Identifies significant changes in the patient's condition and reports to the provider and/or RN Care Manager/charge nurse Assists PACT team with clearing secure messaging within scope of practice and make post discharge phone calls as indicated. Other duties as assigned/delegated by Charge Nurse/RN. Takes vital signs, Height, and Weight with accuracy. For hypertension, records all 3 BP readings in CPRS and notifies provider/Charge Nurse. Instructs patients on FOBT procedure for colorectal screening and provides patients with tubes and labels to mail back to facility. Performs all Clinical Reminders during patient visit and notifies Provider of positive screens such as AUDIT-C alcohol screen and Tobacco screen. Implements nursing interventions based on scientific principles Performance of complex therapeutic procedures requires regular observation and guidance from the RN Care Manager/charge nurse. The LVN follows standard which cause the patient no harm by performing, reporting, and recording assigned nursing care including but not limited to: Vital signs including: Pain as a 5th vital sign; dressing change, simple and complex; oxygen administration; urinary catheterization; pulmonary hygiene and drainage; administration of delegated procedures and treatments; administration of premixed IV piggybacks; administration of medications; IV Starts; phlebotomy; allergy screen; EKGs; collection of specimens; nutritional support; tracheal suctioning; colostomy care Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy. Monitors patient during the procedure. Recognizes acute, subtle changes indicating patient distress and seeks assistance and effectively intervenes as directed causing the patient no harm. Adheres to principles of infection control, safety, and universal precautions. Recognizes and reports environmental safety hazards including biological, mechanical device, electrical and occupational. Correctly administers medications (including intravenous fluids) according to MEDVAMC policy and Therapeutic Methods Exhibits positive and courteous behavior at all times during customer and staff interactions using I-CARE principles. Records and reports according to MEDVAMC policy, pertinent clinical observation changes in the medical record. Interacts and communicates effectively with patient/family/significant others, multidisciplinary team members, and immediate staff co-workers Work Schedule: Monday - Friday, 6:30 AM to 3:00 PM 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.