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Veterans Affairs, Veterans Health Administration Practical Nurse Endoscopy in Fort Harrison, Montana

Summary The Endoscopy GS-6 LPN practices within PCS for the Endoscopy Department of MTVAHCS at Fort Harrison, Montana and supports the mission and vision of PCS and the Health Care System. This LPN serves adult and elderly Veterans needing Endoscopic Services. Responsibilities Duties include but are not limited to: Appointment preparation- Pre-calls a week before. (Confirming patient is aware and still agrees to appointment, instructions for location, request for current medication list, instructions for labs and confirmation of lab orders, asks the patient if they have been to any outside facilities that we would need to get records from and procures medical records and reviews Joint Legacy Viewer or similar.) Appointment- Check-in, vital signs, assessment, medication reconciliation, procedure prep/assistance, immunizations and patient education. Also includes, the use of MyHeatleVet/Secure messaging. Set up endoscopy equipment, ensuring endoscopes and ancillary equipment functions properly. Maintain specialty critical reusable medical equipment (RME), following approved Standard Operating Procedures (SOPs) and universal precautions. Manually clean and disinfect non-critical reusable equipment and surfaces, dispose of one-time-use equipment and trash per facility policy, and restock supplies such as linens, suction equipment, and cleaning products. Assists the physician with standard and routing procedures such as colonoscopy and esophagogastroduodenoscopy (EGD). Operates endoscopy equipment and assists medical staff with diagnostic procedures. Performs the full range of complex endoscopic procedures using specialized endoscopic equipment that requires precise adjustments to respond to individual patient conditions or test sequences. Sets up all equipment, accessories, or supplies. Monitors patient's condition and recognizes deviations in patient's condition and takes appropriate action. Performs patient care procedures such as collection of specimens, adjusting simple supportive equipment. Takes tissue cultures or specimen samples which require difficult specialized procedures, under direct supervision of a physician. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular, and /or intravenous) and performs treatments according to established policies/procedures. Observes for physical and /or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD. Proficient use of computer systems as well as specialized endoscopy software programs and programs to record patient and endoscopic data, adhering to patient privacy and information security policies. Troubleshoots as necessary. Communicates with customer service and Biomed departments. Secures patients' confidence/cooperation during procedures. Explains the endoscopy procedure within scope. Answers patients' questions during procedures. Position patients for desired results and cushions and shields patients as appropriate. Varies procedure or position to adjust to patients' medical condition. May administer medications within scope of practice under close supervision and direction of physician. Operates and maintains medical instruments and equipment for diagnostic and treatment procedures. Provides general clerical/administrative support coordination work for the unit. Performs direct patient support work to include phone calls to patients, scheduling procedures, collecting information from patients, providing personal patient care and providing effective education to patients on pre-testing and post procedure activities. Maintains patients' records, and files individual documents or information in records. Records interventions, results, and ensures they are part of the permanent record. Properly identifies patient and data to avoid medical errors related to mistaken identity or patient and/or study data. Ensures proper identification process is followed for procedures and data recording. Demonstrated knowledge and ability to provide a full range of care to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD to appropriately orient/train less experienced endoscopy staff in relation to acceptable standards of practice in promoting optimal patient care delivery. Demonstrates ability to serve as a responsible member of the gastroenterology team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. Other duties as assigned by the Nurse Manager. Work Schedule: Monday through Friday, 6:30am - 3:00pm Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Practical Nurse Endoscopy/PD536830, PD536820, PD536810, and PD536800 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment 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. Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or [accredited by] the (NLNAC)] at the time the program was completed by the applicant OR meet one of the following 3 exceptions: 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. VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Licensure: Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. English Language: Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English. 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:GS-03: None beyond the basic requirements. GS-04: 6 months of qualifying experience as an LPN or 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 duration. GS-05: One year of experience equivalent to the next lower grade level or equivalent and must meet the following knowledge, skills and abilities: Works with the RN and/or MD/DO to appropriately train less experienced LPNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes. Demonstrated ability to serve as a responsible member of the nursing team and interact in, an appropriate manner, with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. 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. Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO. 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 .Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer higher-level review. GS-06: Completion of at least one year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN, and has the following knowledge, skills and abilities: 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; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant patient information. Completed work should need only a general review by a registered nurse RN or physician (MD/DO) for appropriateness and conformity with established policies/procedures. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. In organizing and delivering care, the LPN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO. 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. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. 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. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Preferred Experience: Minimum of 1 year experience as Licensed Practice Nurse References: VA HANDBOOK 5005/3 PART II APPENDIX G13The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: See VA Directive and Handbook 5019. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required exception from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.