Licensed Practical Nurse

2 weeks ago

Charlotte, North Carolina, United States Veterans Affairs, Veterans Health Administration Full time
Job Summary

The Licensed Practical Nurse (LPN) is a vital member of the Surgical Specialty Clinics team at the Veterans Affairs, Veterans Health Administration. As an extension of the Podiatry Nursing team, this role requires a high level of autonomy, critical thinking, and self-direction to provide exceptional patient care in the Ambulatory Care setting.

Responsibilities
  • Provide safe, timely, and individualized nursing care to patients in the Ambulatory Care setting.
  • Function independently in the clinic setting, managing a nursing podiatry clinic and responsible for patient flow under the general supervision of the Podiatrist.
  • Recommend footwear to protect feet from problems, ensuring low-level diabetic patients have two serviceable pairs of shoes for the year.
  • Evaluate shoes on each visit and recommend returning to the vendor if feet show signs of redness over bony prominences.
  • Incorporate information from foot screenings to determine if care needs are specific to foot care, including ankle brachial indexes (ABI) or vascular studies ordered by the Podiatrist.
  • Use special pressure-relieving devices to protect patients' feet from harm and pad feet from reddened areas.
  • Perform wound cleansing, dressing changes, and educate patients on proper use of creams, wound cleansers, or antiseptics.
  • Debride toenails by cutting along the natural line of the nail, using mycotic nippers as needed.
  • Evaluate patients with prior low-level foot wounds for proper healing, changing dressings as appropriate per VA protocol and notifying the PCP or Podiatrist if problems arise.
  • Determine the frequency of Podiatry nail care needed by the patient and schedule appointments accordingly.
  • Recognize potential urgent/emergent patient care situations and take appropriate action to quickly obtain a higher level of care for the patient.
Requirements
  • Active, full, current, and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth of the United States or the District of Columbia.
  • Completion of at least one year of additional qualifying experience at the GS-06 level or equivalent, fully meeting all of the performance requirements for the GS-06 LPN/LVN.
  • Knowledge and skills necessary to care out more specialized patient care duties, including assignments in more complex inpatient and/or outpatient care settings.
  • Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery.
  • Ability to proactively assist the RN or MD/OD in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments and appropriately recording patient's response to medications/treatments received.
  • Knowledge and skill to promptly recognize potential urgent or emergent patient care situations.
  • Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive outcomes.
  • Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions.
  • Comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care.
  • Ability to support the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery.
Preferred Experience and Certifications
  • Basic Life Support (BLS)
Physical Requirements

Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others.

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