Summary

The Veterans Health Administration expands the provision of patient care to various institutional and non-institutional settings - such as the Dept of VAMC - Community-Based Outpatient Clinics - State Veteran Homes - Vet Centers - homeless shelters - Indian Health Services - Department of Defense & other affiliated organizations by utilizing innovative telecommunication technologies to enhance care coordination - access to care and to routinely & proactively manage diseases to prevent healthcare crises.

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
• Grade Determinations: In addition to the basic requirements stated above - the following qualification criteria must be met for the grade
• The candidate's qualifications must clearly demonstrate the level of competence required for the grade
• GS 3: None beyond the basic requirements
• GS 4: Six months of qualifying experience as an LPN/LVN OR 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 Graduation from an approved school of at least 24 months in duration
• AND LVN/LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level
• GS 5: Completion of at least one year of qualifying experience at the GS-4 level or equivalent
• AND Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems
• Demonstrated ability to serve as a responsible member of the nursing team and interact with patients - family members - professional and supportive personnel patient care
• 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
• 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
• Recognizes and appropriately responds to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies - promptly reporting to appropriate personnel for corrective action
• Completed work is under the general supervision of an RN or MD/DO
• GS 6: Completion of at least one year of qualifying experience at the GS-5 level or equivalent
• AND Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations
• Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions and to use judgment in selecting the appropriate order and sequence of procedures and treatments
• Ability to observe - identify and respond to the patient's needs for medication - equipment-assisted care and patient/family education
• Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular and/or intravenous) and performs treatments according to established policies/procedures
• 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
• 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
• Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication and socialization skills
• 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
• Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• Salary for this position ranges dependent upon applicant qualifications GS-03 Salary Range: $ 58 -187.00 to $ 75 -650.00 per annual GS-04 Salary Range: $ 65 -316.00 to $ 84 -916.00 per annual GS-05 Salary Range: $ 73 -078.00 to $ 95 -002.00 per annual GS-05 Salary Range: $ 79 -522.00 to $ 103 -377.00 per annual The full performance level of this vacancy is 6
• The actual grade at which an applicant may be selected for this vacancy is in the range of 3 to 6
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The population of male and female patients served ranges from the adult - age 18 - to the elderly adult - age 65 and over
• The San Francisco VA Health Care System is a health care facility - providing acute medical - surgical - behavioral health - physical medicine and rehabilitation - geriatric - and primary care services predominately to veterans - but in special cases - includes active duty military and civilian populations
• This position requires visual acuity (Correctable to 20/40) - hearing clear distinctive speech (correctable to 20db) - and manual dexterity to perform prescribed procedures/computer usage
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or during patient operative/invasive procedures
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - and is able to shift priorities based on patient needs.

Duties

• Duties and responsibilities of the Telehealth LVN/LPN include: Serves as a role model and mentor to other nursing staff in the application of more complex technology effectively guiding and directing their continuing practice in these areas
• Performs Store and Forward (SFT) imaging - to include
• Tele-Eye screening
• Tele-Dermatology
• Tele Spirometry: Tele-Wound care
• and any other required consultations
• Appropriately prioritizes patient care needs for Telehealth clinics - including ensuring Telehealth clinics are adequately covered during staff shortages and/or staff call-outs for Connected Care and may assist with coverage for Telehealth clinics in Primary Care and Specialty Care services
• Provides patient and clinical staff education regarding the SFT imaging process
• Conducts quality control procedures on equipment and maintains proper records for quality control reports and workload reporting
• Facilitates the clinical - business - scheduling - and technical aspects for real-time Telehealth applications
• Uses specialized equipment and video-conferencing technologies
• Coordinates and connects staff - resources - patients and providers to services - patient care - education - and training
• Performs a range of direct care duties that may include testing or physical assessment of the patient within the scope of practice - such as neurological tests Manages complex equipment malfunctions - either independently - or guided by the national telehealth help desk
• Serves as a telehealth subject matter expert
• trains and certifies all clinical staff in telehealth (Tele-presenting - store-and-forward) palpitation - auscultation - collecting vital signs
• Incumbent performs retrospective medical review of non-VA health care records to determine medical necessity of visit - differentiating between emergent and non-emergent situations
• Reviews medical record documentation for requests for service (RFS) of authorized community care consults to determine RFS indicated medical necessity and urgency
• Refers complex cases to the CCRNs for more in-depth review
• Analyzes submitted medical documentation to ensure all components necessary to aid in medical record review are present - thereby allowing quick review of inpatient stays by the Clinical Coordinators
• Requests additional medical documentation as needed
• Using professional standards of care regarding test results determination by elevation of abnormal tests and reporting any deviations from normal to RN or MD/DO
• Recognizes deviations from patient's baseline
• Demonstrates ability to respond to patient's immediate and long-term needs
• Utilizes knowledge of physical - social - and emotional factors when planning patient care - and uses this knowledge effectively in day-to-day interactions with patients and families
• Applies knowledge of Medical Center Policies and Procedures to his/her daily clinical functions and responsibilities
• Ensures actions and interactions are within the guidelines of VHA and Office of Community Care directives and policies- focusing on patient driven outcomes for Veterans
• Using clinical pathways to promote staff involvement in the team environment for patient centered care
• Using professional standards of care - scientific evidence - and practice to evaluate programs and/or service activities
• Communicate a plan with the patient and/or caregiver and referring and accepting provider
• Operate in an interactive way with all members of the clinical and administrative staff
• Perform consult review - consult routing - and completion of consults
• Indirect patient care: returning telephone calls - responding to patient emails/inquires - actively managing and renewing prescriptions - reviewing clinical data - communicating normal results to patients - communicating with other VA service departments for technical and equipment needs - and communicating with primary care providers and other referring specialists - as appropriate
• Applies the nursing process to systems or processes at the unit/team/work group level to improve care
• Demonstrates leadership by involving others in improving care
• Identifies and assesses resource utilization and safety issues - taking appropriate action
• Work Schedule: Hours may vary on patient care and department needs Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 07451F Relocation/Recruitment Incentives: Not Authorized EDRP: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized