Career Center

The LPN functioning as a telehealth care technician (TCT) serves in a generalist role as the telehealth clinical technician to support and manage telehealth clinical encounters from the patient and provider location as the site telepresenter, imager for telehealth store and forward applications, clinic manager for real time telehealth events, including patient education activities, provision of equipment for the HT (home telehealth) program, technical and scheduling activities. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, . 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. 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. 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. 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 Determinations: GS-3. None beyond the basic requirements. GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below:(a) Six months of qualifying experience as an LPN or LVN; or(b) 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; or(c) Graduation from an approved school of at least 24 months duration. GS-5. (a)Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(b) 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 /or prescribed treatment regimes.(c) Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other] supportive personnel involved in the delivery of patient care, [incorporating acceptable, established customer service standards into practice.(d) Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies and procedures.(e) Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO, and assist in resuscitation procedures in cardiac and/or pulmonary arrest.(f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. GS-6. (a) Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN.(b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.(c) Knowledge and ability to appropriately 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. Completed work [should need] only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures.(d) Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. In organizing and delivering care , the LPN/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors.(e) Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO.(f) Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.(g) Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff.(h) Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers.(i) Knowledge and skill in performing 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. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures.(j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. References: VA Handbook 5005, Appendix G-13. Physical Requirements: The work is primarily sedentary but also requires some standing, walking, bending, lifting, and carrying of light items. The work requires above average agility and dexterity. The work may require heavy lifting of equipment or assisting patients. ["VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY VA Careers - Prosthetics: https://youtube.com/embed/3NUvF5jjErQ VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU 1.The Telehealth Care Technician (LPN) duties and responsibilities include the following: 1. Performs telehealth imaging, including tele-retinal screening, tele-dermatology, telewound care imaging and other telehealth programming as identified and referred by the primary care provider, other providers, and the imager. 2. Provides patient education related to telehealth care processes, disease processes, disease management and preventative health care. 3. Completes and initiates appropriate clinical reminders, consults, and alerts. 4. Utilizes CPRS Vista Imaging to document telehealth images. 5. Utilizes CPRS to document all clinical observations/information/patient education. 6. Appropriately seeks assistance and guidance from Registered Nurse or medical provider regarding changes in the patient's condition requiring higher-level intervention. 7. Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate. 8. Perform auxiliary testing such as visual acuity, papillary function, estimation of anterior chamber angle depth, intraocular pressure, dilation and visual field 9. Schedules, confirms and coordinates and provides technical support for telehealth services. 10. Reviews planned telehealth encounters to ensure appropriate resources are available (i.e. clinical peripherals, video conferencing) and appropriate mode and circumstance for telehealth modalities have been ordered based on patient's needs. 11. Prepares the telehealth patient room including equipment for examination, training, education, access, and establishing the online, video conferencing or other connections. 12. Provides \"hands on\" assistance to the provider and patient as part of the encounter, training or interaction as needed. 13. Serves as a liaison and coordinates information between image readers, primary care providers, specialty care providers, patients and other VA personnel 14. Initiates any indicated follow-up services based upon findings of readers (including scheduling patients with VA clinics) and communicates need for follow-up to the patient. 15. Installs, maintains, inventories and trains staff on all video conferencing technologies, telehealth peripherals (i.e. stethoscopes, otoscopes), and scheduling software. 16. Participates in performance improvement activities to improve patient care and telehealth care processes. 17. Conducts quality control procedures on equipment/products and maintains quality control reports and workload reports. 18. Assist with development of policies and procedures related to telehealth to ensure compliance with directives and regulatory guidelines. 19. Performs, reports and records assigned nursing care in the Primary Care or Specialty Clinics including but not limited to: - Initiate and monitor oxygen therapy as ordered - Administration of medication to include IV medication if certified (except 1 IV medication as per policy) - Adheres to standards of practice and safe technique in preparation and administration of medications « Check expiration dates of medications and supplies - Perform delegated procedures and treatments dose of - Assist with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy, monitoring patient during procedure. 20. Demonstrates understanding of age and population specific characteristics that affect health care needs of the Veteran. 21. Interacts and communicates appropriately with patients and family members. 22. Demonstrates professional behavior (i.e. respects others, coliegiality, ability to accept constructive criticism), effective communication and interpersonal skills. 23. Adheres to principles of infection control, safety and universal precautions. 24. Possesses knowledge of and complies with proper handling and cleaning of reusable medical equipment regulations and requirements. 25. Demonstrates competence related to equipment and procedures : required by position. 26. Adheres to policies/procedures related to safety and security 27. Assist in orientation and competency validation of clinical staff 28. Maintains patient confidentiality (electronic, written and/or verbal). 29. Maintains a work environment that honors diversity. Work Schedule: Monday - Friday 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]

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