Practical Nurse- Primary Care

1 month ago

Gloucester, Massachusetts, United States Veterans Health Administration Full time

This position is for a Licensed Practical Nurse, located in the Primary Care Service at the VA Bedford Healthcare System in Gloucester, MA.

This position is full-time at 40 hours per week.

This position serves as a Licensed Practical Nurse for primary care.

The incumbent may serve in a medical center, community-based outpatient clinic (CBOC), mobile medical unit or may have virtual/remote assignments.

Major Duties in addition to basic LPN duties include, but are not limited to:

Performing observation-based screening and collecting patient information in collaboration with licensed personnel.

Completing clinical reminders, obtaining patient health history, chief complaints, medication history, and identification of health-related conditions that may impact the patient's health status.

Complete approved templates and tools, such as the outpatient intake form, normal result notes, and follow up treatment.

Assisting licensed personnel with crisis intervention, management of aggressive or suicidal psychiatric patients, by providing one-to-one observations and applying prevention and management of disruptive behavior techniques (PMDB).

Maintain a safe and therapeutic environment for the patient while promoting a sense of worth and dignity under the supervision of the licensed personnel.

Assists licensed staff with preparing patients for medical evaluation, setting up equipment, passing instruments and providing treatment during in-person or virtual visits.

Operates specialized medical equipment to obtain diagnostic and therapeutic outcomes.
Collecting a wide range of specimens and preparing them for transfer to processing. Observes patient status and
Clinical responsibilities include but are not limited to:

Vital signs

Examples:
vital signs, 12-lead electrocardiogram (EKG).
Point-of-care (POC)

Examples:
Abbott hand-held blood analyzer (I-STAT), glucometer.
Equipment and surgical instrumentation set up

Examples:
skin biopsies (excisional, shave, punch).
Treatments and interventions

Examples:
Cryotherapy, incision and drainage, ambulation, and Foley coude' catheter insertion.
Wound care

Examples:
bandaging, application of dressings and wound measurements.
Specimen collection and Preparation

Examples:
collecting and labeling venous blood samples and mucous specimens.
Assisting with patient exams and screening

Examples:
gynecology exams.
Mental health care

Examples:
Crisis intervention, performs behavioral/mental health screens, conducts interviews, and observes behavioral patients.
Preparation of lab specimens and transfer to the lab for processing

Examples:
Labeling, placing in the proper bin or tube system.
Assisting with patient exams and screening, utilizing technology such as telehealth peripherals

Examples:
primary care physical exams (heart, eye, ear, nose, throat (EENT); gait exams, and skin exams.
Patient education within scope of care or while providing an intervention

Examples:
postprocedural care, splint care and wound care.

Follow-up care:

Examples:
Suture removal.

Electronic Health Record (EHR):
Thoroughly and appropriately documents actions, interventions and procedures in the medical record

Examples:
Procedural notes, progress notes, screenings, photo-documentation and secure messaging.


Administration methods may include intramuscular, oral, topical, eye drops, ear drops, intranasal, rectal suppositories, local anesthetics, nebulized medications, subcutaneous, and intradermal.

Follows national and local pharmacy and facility guidelines for disposal of medications.

Work Schedule
:
Full-time.

Monday-Friday, 7:
30am-4:00pm

Telework
:
Ad-Hoc

Virtual:
This is not a virtual position.

Functional Statement #

: 518-F1967/518-F1968/518-F1969

Relocation/Recruitment Incentives
:
Not Authorized.

EDRP Authorized:
Contact Karen Chapman, , the EDRP Coordinator for questions/assistance.
Learn more

Permanent Change of Station (PCS):
Not Authorized.

Fi

nancial Disclosure Report:
Not required.
This position is in the Excepted Service.
Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement.
This position is a NAGE Bargaining Unit position.
This position is covered by a special rate.

Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment.

Veterans' preference does not apply for internal or other current permanent Federal agency employees.
Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.

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