Clarification from the agency

This position will give first priority to current VA Loma Linda Employees. To be considered you MUST submit a current SF-50.

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Participates in orientation of new patients to ACC Specialty Clinics and contributes to the development of and updates to their plan of care in consideration of patient status and policy changes.

- Perform vitals and clinical reminders as appropriate for scheduled and unscheduled patients

- Perform EKGs for emergent/urgent patients or pre-operative patients

- Supports data driven activities to identify patients for ACC Specialty Clinic

- Completes clinical documentation in the electronic medical record

- Assist in the data collection (including physical, psychosocial, emotional, spiritual, cultural and educational) for patients about to be and currently undergoing Medical Specialty Clinic treatments.

- The LVN/LPN assists in screening of telephone calls, and alerting providers of lab results and diagnostic tests for further review.

- Notifies the clinic manager of problems and assists in problem resolution efforts as requested.

- Participates in the education of patients regarding telehealth opportunities and facilitates that process for those patients interested in telehealth including but not limited to VA Video Connect (VVC).

- Prepares and administers prescribed medications (oral, topical, subcutaneous, and/or, intramuscular) and performs treatments according to established policies/procedures; Observes for physical and/or emotional changes in patient's health condition, including responses to prescribed medications/treatments, and promptly and accurately documents identified changes, and reporting deviations from normal to the team RN, NP or MD.

- Accurately and consistently identifies, documents and reports subtle changes to veteran changes in condition

- Is skilled at encouraging and communicating with challenging psychological and physical behaviors to promote optimal functioning. Uses treatment modalities and implements appropriate practices and procedures with complex patients. Utilizes skills to influence and communicate with difficult and challenging veterans and families.

- Demonstrates the ability to work to the capacity of his/her scope of practice and communicates effectively with the veteran, families, caregivers, professionals and other supportive staff.

- Maintain, order and refresh stock and supplies required for ACC Specialty Clinics.

- Exhibits skill, creativity and initiative by contributing to the overall veteran care delivery, and improving satisfaction, through active participation on committees, task forces and groups.

- Participates in the provision of care in the Medical Specialty Clinics at the Loma Linda VA Medical Center, and Ambulatory Care Center, as appropriate and within the LVN/LPN Scope of Practice.

- Collaborate with Pharmacy services for medication supply. - Screen patients in clinic and via telephone calls.

- Ability in accurately performing Accu-cheks

- Encounter nurse clinic visits.

- Recognizes potential urgent or emergent patient care situations, and able to rapidly call a "Rapid Response Treatment (RRT)" or "Code Blue" emergency.

- Recognizes signs of potential or active disruptive behavior and quickly intervenes with appropriate therapeutic interventions, including notifying a provider to rapidly call the BHIP provider on-call via pager.

- Demonstrates ability to use "Safe Patient Handling" equipment and techniques, able to transport, turn and move patients using proper equipment.

- Recognizes and appropriately responds to breakage/malfunction of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

- Provides Situation, Background, Assessment and Recommendation (SBAR) report to team member

- Clean exam and procedure rooms in between and after patient usage.

- Check for expired supplies and medications

- Provide input for annual self-assessment

- All clinic daily opening duties:
o Ensure rooms are open and verify clean status of rooms
o Accu-chek controls o Medication Fridge temperature check (note this is checked twice per day) o Code Cart check o Safe Patient Handing

Equipment check:
HoverJack
HoverMatt
Ceiling lift

o EKG machine check
o Clean and Dirty Utility Room checks

- All clinic daily closing duties
o Clean exam rooms for use in the AM, prepare exam tables by placing in lowered position
o Stocking rooms with supplies
o Verify no patients are remaining in clinic
o Lock all exams rooms

and many others not listed above

Work Schedule: M-F 7:30 - 16:00, subject to change based on clinic and hospital needs.
Financial Disclosure Report: Not required

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

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Education - Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.
• Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia.

• Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.
• Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients, family members, professional and/or other support personnel involved in the delivery of patient care.
• Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular and/or intravenous medications. This includes observing and documenting patient responses to medication and reporting noted changes in the patient's condition.
• Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest.
• Recognize and appropriately respond to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies.

• Proficiency in initiating, performing, and completing assigned duties in providing care to variable patient populations.
• Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions, using judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognizing, reporting, and recording relevant patient information.
• Ability to observe, identify, and response to a patient's needs for care including medication, equipment-assisted care, and patient/family education.
• Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for, documents, and reports physical and/or emotional changes in the patient's condition from prescribed medications/treatments.
• Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed.
• Knowledge and understanding of human behavior, patient motivations and reactions to situations and the ability to appropriately utilize this knowledge in working effectively with patients, family members and other staff.
• Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which includes preparing the patient and 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.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.