The incumbent is located at one of the sites of care for the Sierra Nevada Health Care System, including the main Reno campus, and may require periodic travel to the CBOCS; Auburn, Carson, Susanville, Fallon, and Winnemuca, Future locations may be added or deleted based on organizational need. The incumbent supports the Veterans Health Administration (VHA) expanded provision of patient care to various institutional and non-institutional settings, such as the Department of Veterans Affairs Medical Centers (VAMCs), Community-Based Outpatient Clinics (CBOCs), State Veteran Homes, Vet Centers, homeless shelters, Indian Health Services (IHS), Department of Defense (DOD) and other affiliated organizations by using innovative telecommunication technologies to enhance care coordination, access to care, and to routinely and proactively manage varied health states to prevent healthcare crises. These programs include Clinical Video Telehealth (CVT), MyHealtheVet (MHV), Home Telehealth (HT or CCHT), and Store and Forward (SF) as described below.
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The incumbent provides clinical oversight, training, and assists with clinical and administrative processes with all Telehealth programs. The incumbent speaks to the administrative processes and clinical oversight of store and forward programs. The incumbent acts on behalf of the Facility Telehealth Coordinator, if not available. They will not directly supervise the Telehealth Clinical Technicians, but will be responsible for their training and competency development. The incumbent will lso be responsible for any other staff and provider training competencies with
new programs and clinical service staff other than telehealth doing telepresenter or telehealth provider activites.
The complexity of duties include serving as the site imager for Telehealth store and forward applications, facilitator for real time Clinical Video Telehealth (CVT) encounters, including patient education activities as described in detail below, Primary Care and specialty care remote visits, and providing equipment for the Home Telehealth (HT) program. Incumbent provides technical and scheduling support as described below, and other program support duties, such as assisting in the coordination and implementation of new clinics, required for successful program
operation. The incumbent may be asked to work from a different site of care to cover leave, mechanical failure, or other circumstances to meet patient care needs.
GS-0620-7 LPN Tele-Health Clinical Technician (TCT) is a member of the healthcare team that serves in a generalist role to support a wide range of clinical Tele-Health programs and directly reports to the Facility Tele-Health Coordinator (FTC). The LPN TCT in the GS-7 grade functions under the supervision of a RN and/or MD, but must successfully and consistently demonstrates the exercise of independent clinical and technical
judgment (without the need for readily available supervision),as well as a comprehensive and thorough working knowledge of the most complex or difficult practices and procedures. Such individuals may also serve as leaders or co-leaders in a nursing unit or for a specifically identified group of patients.
Work schedule: Normal work schedule will be the day tour of duty, 8:00a.m-4:30 p.m. Monday-Friday.
Alternate tours: may be required as dictated by patient care needs, as well as the possible need to provide weekend coverage. (Management reserves the right to determine and/or change tour of duty).
Compressed/Flexible Schedule: NOT AVAILABLE
Telework: NOT AVAILABLE
Virtual: This IS NOT a virtual position
Recruitment/relocation incentives: Recruitment/Relocation incentives are not authorized for this position.
Probationary Period: May be required.
Financial Disclosure Report: Not required
### Travel Required
25% or less - You may be expected to travel for this position.
##### Supervisory status
##### Promotion Potential
* #### Job family (Series)
0620 Practical Nurse
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### Conditions of Employment
* You must be a U.S. Citizen to apply for this job
* Designated and/or random drug testing may be required
* Selective Service Registration is required for males born after 12/31/1959
* You may be required to serve a probationary period
* Subject to a background/security investigation
* Must be proficient in written and spoken English
* **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. 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.]
* **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:** Grade Determination. In addition to the basic requirements stated above, the following qualification criteria must be met for the GS-7. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.
(a) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent, fully meeting all performance requirements for the GS-6 LPN/LVN.
(b) 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.
(c) 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 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.
(d) 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.)
(e) 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.
(f) Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive patient outcomes.
(g) 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 standards in all aspects of their practice.
(h) Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resou...