Veterans Affairs, Veterans Health Administration Licensed Practical Nurse (Orthopedics) in Boston, Massachusetts
Summary The Licensed Practical Nurse (LPN) provides the technical assistance needed to assist Orthopedic providers in the Surgical Service, VA Boston Healthcare System, West Roxbury and Jamaica Plain campus. Orthopedic providers examine and treat outpatients, preoperative and postoperative patients, consults, inpatient and emergency room consults, and or scheduling. Responsibilities Some duties include but are not limited to: The Licensed Practical Nurse (LPN) central role will be to serve as a primary or secondary assistant in the operating room for a variety of orthopedic surgical cases. Cases include joint replacement, arthroscopy, fracture fixation, and hand surgery. This involves preparing and draping the patient for surgery, holding retractors or arthroscopic instruments, assisting in the closure of surgical wounds, and assisting with the application of all immediate post-operative plaster splints and dressings. The LPN will work with prosthetics, logistics and OR staff to ensure materials required for special techniques, casting and bracing are available as needed, and be familiar with these techniques, brings necessary portable equipment for the removal of casts. Sets up plaster equipment and tables for patients requiring special devices for the applications of casts, assist with placement of patients onto these tables maintaining their comfort. In the clinic areas, brings necessary portable equipment for the removal of casts and application of casts and splints. Under a physician's direction, removes casts and necessary strapping to permit x-ray investigations out of plaster in the clinic settings. The LPN maintains the inventory and stocking of the Plaster room as well as the plaster requirements in the Operating Room and Sticking in the clinic areas. In addition, maintains the condition and inventory of all orthopedic equipment distributed from Orthopedic Section throughout the Medical Center. Maintains an up-dated inventory of materials and keep abreast of changes in available material. A projected needs list must also be maintained for future budgeting purposes. Assist with transportation for patients to and from the operating room bot pre-operatively and postoperatively. Assists the orthopedic team in the operating room, the cast room, and on the inpatient wards when necessary. Performs other duties as assigned. Preferred Experience: Must be familiar with orthopedic equipment used in OR, how it is set up, maintained, and used to ensure proper application of casting and splinting materials and safe effective use of equipment. Must understand body mechanics and anatomy as he/she must apply plaster casts, splints, and molds to properly position and immobilize patients' injuries without causing further injury or nerve/vessel harm and properly apply casts and splints without causing pressure sores. Be familiar with materials used in specialized techniques and skill to assist physicians in the application and skill to assist physicians in the application of these techniques to determine the need for plaster vs fiberglass for treatment of post op patient and fractures and have appropriate stock on hand. LPN should possess prior experience in an operating room environment and needs to be familiar with surgical technique and sterile procedure in order to provide first and second assist orthopedic procedures. It is essential for the LPN have sensitivity and good interpersonal relations in order to communicate effectively with other staff to accomplish required tasks. Familiar with the policies and procedures of Department of Veterans affairs and the VA Boston Health Care System, including DHCP/VISTA, the electronic record, and safety policies and procedures per employment requirements. LPN will need to stay current in BLS and all TMS requirements. Work Schedule: Monday - Friday, 7:30am - 4:30pm Telework: Not available Virtual: This is not a virtual position. Functional Statement #: F04925 Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications 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. Must be proficient in spoken and written English. Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the Accreditation Commission for Education in Nursing at the time the program was completed by the applicant. 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. Must possess a current, full and unrestricted registration as practical/vocational nurse in a State, Territory, or Commonwealth (i.e. Puerto Rico) of the U.S. or in the District of Columbia. Grade Requirements: GS-6 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 the knowledge, skills and abilities (KSAs) at the grade 6 level. GS-7 Completion of at least one year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all performance requirements for the GS-6 LPN/LVN and the knowledge, skills and abilities (KSAs) at the grade 7 level. GS-7 KSAs (a) Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans. (b) Ability to assist RN and/or MD/DO 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 MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations. (c) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels. (d) Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery. At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate. (e) Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient 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. This includes the ability to effectively deal with the above types of patients under very general supervision. (f) Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice. (g) Possesses 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. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas. (h) Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff. (i) Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision. (j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice. References: VA Handbook 5005/3, Part II; Appendix G13 Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring Veterans and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected Veterans and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, resident rooms, exam rooms, or inpatient wards. The incumbent may occasionally be exposed to Veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The incumbent who provides care in home settings or other off-site locations may be required to travel. 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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. 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 accommodation 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.