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The Cincinnati, OH VA Medical Center is recruiting for a Licensed Practical Nurse - Patient Aligned Care Teams (PACT) to support the Primary Care Service. This LPN provides clinical and technical services to the Veteran demonstrating technical knowledge and understanding under the supervision of a RN or MD. The Licensed Practical Nurse works under the direction of a Registered Nurse (RN) or Primary Care Provider (PCP) and reports to the nurse manager assigned to his/her area of work. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. The LPN is a member of the larger Team. The LPN requires a general review of their work by a RN for appropriateness and conformity with license, policies and procedures. The LPN demonstrates active collaboration and communication with a Teamlet (Patient, PCP, RN Care Manager and Medical Support Assistant) and Larger Team (clinic, family/caregiver, internal and community ­ based services and disciplines involved in providing care to the patient). Nursing Practice/Technical Competence Demonstrates nursing practice within the scope of practice of license under the general supervision of the RN or PCP. Demonstrates the ability to assist RN and/or PCP to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or PCP of changes in patient's condition requiring higher-level intervention. Administers medication accurately and promptly under the general supervision of a registered nurse. Transcribes doctors' orders, when necessary, under the supervision of a RN, and administers medications, including immunizations, following VA Medical Center policy and procedure. Demonstrates understanding of the effects and/or reactions caused by medications, treatments, and procedures. Records and reports these observations. Reinforces instruction provided by other health care professionals. Instructs patients and family members on principles of health, self-care and protocols for treatments and /or medications. Utilizes teaching materials to promote self reliance and independence including methods to prevent complications and facilitate recovery. Takes and records vital signs and measurements, which includes temperature, pulse, respiration, blood pressure, height, weight and pain. In outpatient area records patients' chief complaint. Completes Clinical Reminders, documents and communicates results to team using established criteria. Contributes to the development of the personalized health plan through participation in patient care conferences, team meetings, and huddles. Utilizes motivational interviewing or similar techniques to promote patient self management using established criteria. Performs diagnostic and therapeutic procedures, which may include, but not limited to, bladder scan, spirometry, phlebotomy and EKG's Point of Care Testing (POCT). Utilizes educational resources to maintain clinical competency in areas described in the functional description, which may include EKG's, Telehealth modalities, and phlebotomy. Administers and records the results of PPD after successful completion of competency. Positions, turns, holds, ambulates, and transfers patients in and out of wheelchair, on and off litters and scales, using good body mechanics for safety of patient and self. Sets up and administers oxygen. Performs and participates in Telehealth activities which may include VA Video Connect (WC) Store & Forward, Clinical Video Telehealth and/or Home Telehealth Modalities. Reinforces or changes simple dressings, using aseptic technique. Applies and removes non-sterile bandages, slings, elastic bandages and stockings. Applies non-sterile hot or cold compresses, packs and soaks. Applies sterile dressings, such as decubitus dressings. Performs catheterization when assigned. Initiates Foley catheter care, according to procedure, and applies external catheter, as directed. Performs personal care, diagnostic support duties and treatments according to procedure under the direction of the RN in a timely manner. Responds to patient's nursing needs, including physical comfort, and emotional needs and recognizing deviations from the normal. Will involve patients and family to participate in the provision of care throughout the continuum. Assists in the orientation and competence evaluation of peers and students. Participates in unit Performance Improvement activities and assists with data collection. Work Schedule: Monday - Friday; 8:00 am to 4:30 pm Telework: not available Virtual: This is not a virtual position. Position Title/Functional Statement #:Licensed Practical Nurse - PACT/PD000000 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.