Summary The Licensed Practical/Vocational Nurse works under the direction of the Medical Director of the Canton CBOC Mental Health Clinic and designee in collaboration with designated Nursing Supervisor and designee. The LPN/LVN is responsible for observing, recording, and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven treatment plan. Responsibilities VA Canton CBOC is an interdisciplinary outpatient facility within the VA Ann Arbor Healthcare System, serving medical, surgical, and neurological outpatients. There is a large outpatient psychiatric population. The work is performed in the CBOC Mental Health Clinic areas and incumbent must be able to travel within/between clinical areas with ease as needed. This may also include travel to other sites within the VAAAHS as necessary in the performance of the incumbent's duties. A significant amount of time is spent working at a desk utilizing the computer or phone. It involves the frequent use of office equipment including the telephone, copier, personal computer, printer and mainframe terminals. The LPN is the technical expert for performing, reporting, and recording assigned nursing care, including, but not limited to: Utilizes basic nursing skills and techniques, of varying degrees of complexity, in a general care setting, to provide personal and general nursing care to adult patients, aged 18-85 and older, who require treatment for common mental health conditions Assists in performing nursing assessment Performs focused screening, assessments, observational, or event-focused assessments Collects and timely communicates data and information Determines immediate need for intervention Provides data to assist in development of a nursing diagnosis Contributes to the development of the nursing care plan Participates in data collection and implementation of care for all aged patients treated Verifies physician's orders by reviewing documentation Provides first aid or emergency treatment as required Implements the identified nursing care plan under RN supervision As a member of a multidisciplinary health care team, conducts patient interviews for assessment of treatment needs Participates in developing, implementing, and evaluating patient care treatment plans Monitors vital signs such as temperature, blood pressure, and pulse Collects and records information regarding patient's physical and psychological condition Summarizes and presents information to the treatment team Provides assistance to providers during appointments Assists the MHC RN in identifying case management needs Refers patients to appropriate resources based on the nursing care plan Completes clinical reminders with patients Utilizes Clinical Video Teleconferencing (CVT) equipment to facilitate patient visits with remote providers as a tele presenter Gathers necessary documents for chart preparation, charts and documents all medications, treatment, vital signs, progress, behavioral changes, and vital statistics (such as height and weight) Cleans and sterilizes equipment and instruments; cleans examination areas; maintains clinic equipment and supplies Provides within scope of practice direct patient care and consultation in the practice of nursing; nursing education to patients, guardians and relatives Assists with care coordination within agency and between the agency and community partners, hospitals, medical and nursing providers Maintains timely and accurate documentation in accordance with federal regulations, state statutes and rules, and agency policies Administers medications (including injections) Participates in patient teaching in both individual and group formats, such as education on medication or side-effect issues Work Schedule: Monday-Friday, 8:00a.m. to 4:30p.m. Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications BASIC REQUIREMENTS: a. Citizenship. Citizen of the United States. b. 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. Verification can be obtained from the State approving agency [or] the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. Exceptions include: (1) 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. (2) VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. (3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school. See paragraph 4, section C. c. Licensure. Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. d. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in [both] spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). GRADE REQUIREMENTS: Grade Determinations. In addition to the basic requirements, the following criteria must be met when determining the grade of candidates: GS-3: None beyond the basic requirements listed above. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:1. Six months of qualifying experience as an LPN or LVN; or2. Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; or3. Graduation from an approved school of at least 24 months duration. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.1.Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs//LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /