The incumbent will be assigned to the Community Living Center (CLC) on the Vancouver, WA campus of the VA Portland Health Care System (VAPORHCS). The Licensed Practical/Licensed Vocational Nurse (LPN/LVN), functioning in the Community Living Center (CLC), demonstrates the ability to carry out assigned patient care based on the patients' conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report, and record relevant patient information. The incumbent is an integral member of the CLC interdisciplinary care team, with span of services including acute rehabilitation, skilled care, hospice and palliative care, respite and long-term care. As a member of the interdisciplinary care team, he/she is self-directed in delivering individualized care to adult and elderly patients under the direction of the Registered Nurse (RN). The incumbent performs a variety of routine and complex patient care procedures based on the work assignment and the needs of the nursing unit to which assigned. Major duties will include, but are not limited to: 1. Performs a range of treatment procedures which include application of complex sterile and non-sterile dressings, wound packing and irrigation, ostomy management, bladder catheter insertion and removal, tube feedings, IV starts, discontinuing of IV heplocks, enemas, tracheostomy suctioning and care, and EKGs. 2. Recognizes, reports and records relevant patient information as it pertains to the patient plan of care and/or changes in patient condition. 3. Demonstrates the ability to observe, identify and respond to the patient care needs, including medication and equipment-assisted care. 4. Provides comprehensive patient teaching; determines patient/family readiness to learn and adjusts teaching modalities appropriately. 5. Recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors and integrates these into the patient care interventions. 6. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. 7. Observes for physical and/or emotional changes in patient condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to the RN. 8. Demonstrates knowledge and ability to recognize urgent or emergent patient care situations, to seek assistance of the RN, and to initiate appropriate emergency interventions as directed. 9. Fosters an environment of respect for individual patient and family right to privacy and dignity in all aspects of care delivery. 10. Demonstrates skill in incorporating knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. 11. Performs support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, 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. 12. As staffing dictates, LPN's may be assigned to work the floor in the same capacity as a Nursing Assistant. 13. Performs aspects of nursing care to meet patient care for: Personal hygiene, physical comfort, activity, exercise, rest, nutrition, elimination, prevention of skin breakdown and rehabilitative aspects of care. Work Schedule: Mon-Fri, 2:00PM-10:30PM with rotating weekend shifts. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.