Please Note: Microsoft has ended support of its older browsers as of January 2016. If you are seeing this message, you are viewing the site on an unsupported version of Internet Explorer (IE9 or older).
Geriatrics and Extended Care provides outpatient care for Veterans with acute and chronic health conditions with diverse culture and religious/gender orientation. Veterans may need dementia, rehabilitation, long term, palliative and/or hospice care. The LPN must practice resident centered care and participate with the health care team in balancing Veterans requests and conventional clinical care. Nursing Care: The LPN has the ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. Knowledgeable of elder abuse and the heightened risk for abuse in the geriatric population, observe for subtle signs and symptoms, and reports immediately to the outpatient RN/MD if there are reason or evidence of abuse. Accountable to adhere to external-reviewer standards (The Joint Commission), policies, procedures, standards of care, and standards of practice. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Always remains current with maintaining required licensing, required education, and required skills (BLS) and competencies. Role-models, responds to, and delivers care to Veterans in a respectful, non-judgmental manner. Always maintains Veteran privacy in all manner; written or spoken communication or documents, protecting passwords, keeping required education current and intervening appropriately if Veteran information is left exposed. Maintains appropriate boundaries in the nurse/Veteran relationship by not obtaining personal gain at Veterans' expense, and refrain from inappropriate involvement in the Veterans' personal relationships. Demonstrates knowledge and skill 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. Assists with the scheduling of patient care within the service line and/or medical center. This includes helping schedule Veterans as needed, refers for timely scheduling and after training, might include helping obtain a Primary Care Management assignment and/or entering the Veteran into and electronic wait list. Collects Veteran data including observation of Veteran status and offers information for the plan of care to include: Checks in Veterans with Vital Signs, oxygen saturation, and weights. Completes clinical reminders as appropriate. Recognizes subtle deviations from normal and/or changes in the Veteran's resident's condition or response to nursing care. He/she reports changes in Veteran's resident's condition or response to nursing care to the RN or Licensed Independent Practitioner. Documents Veteran I resident information. Performs aspects of Veteran education as delegated by the RN which may include Blood Pressure machine, finger stick blood glucose machine and nebulizer machine. Helps prioritize routine Veteran care activities, maximizing the Veteran's dignity and personal needs while enhancing smooth clinic operations. Orients/trains less experienced LPNs and/or Nursing Assistants (NAs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform these 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. TheLPN-GS6: Administers medications according to the 5 Rights; the right patient, drug, time, dose, and route. Demonstrates ability to monitor and identify patients' response to drugs through documentation Reports all discrepancies promptly to the RN. Demonstrates knowledge of routine medications, as well as those requiring special monitoring. Withholds medications when indicated by change in patient condition or behavior. Administers a variety of pain control measures and records effectiveness. Identifies Veterans needing immunizations and administers them as needed. Maintains medications and medication cart per policy. Performs the following tasks: chaperoning exams, suture removal, oxygen administration, respiratory treatments, oral/pharyngeal suctioning, ostomy care, utilizes Bladder Volume instrument appropriately, neuro sign checks as assigned, implementing seizure precautions and urinary retention catheter insertion, and/or removal. Work Schedule: Monday through Friday 7AM - 3:30PM Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Practical Nurse - Geriatric Outpatient/PD000000 Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized 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.