Licensed Vocational Nurse PACT Sorrento Valley

Summary

The License Vocational Nurse will be responsible for providing care within the Patient Aligned Care Team (PACT) at the Community Based Outpatient Clinic for North County San Diego for the following location: Sorrento Valley, CA

Duties

LVN/LPN duties. This position requires flexibility in schedule and assignments, as this is a 1a complex healthcare system that encompasses a variety of Inpatient and Outpatient services to Veterans. Obtains/collects specimens as ordered. Provides direct patient care and support for the patient. Recognizes changes in patient's condition and deviations from baseline that require immediate intervention. Responds to emergent patient conditions in a safe and effective manner, i.e., effectively recognizes life- threatening situations and takes immediate action. Executes interventions in accordance with treatment plans. Completes Electronic Health Record (EHR) documentation and signs all patient related activity while following documentation timelines and protocols (i.e., within tour of duty, closing encounters per policy). Documentation is factual, objective, accurate, consistent, timely, and complete in electronic medical record. Maintains confidentiality of patient information. Provides timely patient follow-up. Administers medications and treatments to patients with complex nursing problems. Assists with coordinating care of patient. Implements nursing interventions/orders in a timely and complete manner. Provide patient education related to managing risk factors, medications, procedures, and other medical regimens related to disease process/specialty clinic, within scope of practice. Adheres to ethical principles and standards in delivering care. Collaborates and communicates effectively with the Interdisciplinary Care Team regarding patient care. Demonstrate mandatory and clinical competencies of the position. Educates patients on provided discharge instructions related to their disease process, ensuring the patient can ask questions. Apply infection control measures appropriately in delivering care. Alerts providers (physicians/nurse practitioners) of abnormal signs and symptoms and/or abnormal test results to expedite care. Recognizes changes in patient's condition and deviations from baseline that require immediate intervention. Participates in coaching and mentoring of colleagues or new employees. Participates in daily DMS huddles and unit specific staff meetings. Provides in-services related to team building or specialty care as needed. Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes. Seeks opportunity for self-improvement. Participates in continuous performance improvements. Performs bedside Point of Care testing, such as: nasal swabs, pregnancy testing. Recognizes potential urgent or emergent patient care situations, actively provide BLS care, and able to rapidly call a "Rapid Response Treatment (RRT)" or "Code Blue" emergency. The LVN/LPN must be able to recognize changes in a patient's condition, such as shortness of breath, changes in skin condition (i.e., diaphoresis, flushness), tachycardia, or sudden loss of consciousness. Knowledge of external regulatory standards relevant to the scope and protocols of the position, such as the Joint Commission to meet accreditation standards and the mission and goals of VASDHS. Demonstrate ability to be self-directed in clinical practice and works to the maximum of licensure scope. Actively participates in interdisciplinary committees, task forces or other groups to improve organizational performance through collaboration with other health care providers across service lines for the betterment of the patient. Performs other duties, as assigned. Addition requirements for Patient Aligned Care Teams: LVN/LPN is responsible for providing direct patient care to and assisting with care coordination of Primary Care patients within Patient Aligned Care Teams (PACTs), supporting services and clinics throughout the VA San Diego Healthcare System. PACT clinics operate Monday through Saturday, with variable hours to support Veteran care needs Gather additional data (face to face, via phone or video conferencing) related to patient needs for treatment determination PACT. Participates in PACT performance measure activities such as, but not limited to, non-complex 2-day post-discharge calls, clinical reminder compliance, aspects of chronic disease management. Assists with coordinating care of patients, including patients consulted through Clinical Video Tele-Health visits. Assure patients have pre-appointment requirements completed prior to PCP appointment. Work Schedule: Monday - Friday, 0700-1730 Telework: Not Available Driving: Required Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Exceptions include health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN. Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. 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 (which may be waived as provided in paragraph 4 of Section C) 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-05 Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients, family members, professional and/or other support personnel involved in the delivery of patient care. Know