Licensed Practical Nurse (Telehealth Clinical Technician)
Duties include but are not limited to:
- Determines from patient records the purpose of the visit and what tools, supplies are needed for the visit. - Collects information prior to visit (blood pressure, temperature, patient information and etc) determined by what clinic the patient is in, what the patient's states their need is and what the Telehealth Provider has asked for the technician to do. - Utilizes various resources to identify eligible and appropriate patients for telehealth procedures such as Teleretinal Images. - Exercises judgment to perceive patient's needs and evaluates clinical record to determine appropriateness of requests for telehealth. - Determines appropriate mode and circumstance for telehealth modalities (HT, SFT and CVT) of patient has been ordered based on evaluation of patient's needs. - Discusses difficult/complex telehealth concerns with medical providers, case managers, and social workers to include when requests are made for telehealth modalities or assistance. - Initiates and processes Telehealth consults and encounters as appropriate. - Works with staff from other locations (to include; main hospital, CBOC's and emergency facilities) to facilitate an effective, productive and safe visit for patient and staff. - As needed:
schedules, cancels or changes appointments (either patient or doctor request) if Service Line is unable to complete. - Coordinates scheduling of patient, room, and telehealth equipment. - Verifies that all patient encounters and Progress Notes of Technician side are completed prior to end of day and notifies medical professional responsible for patient that their side encounter is not complete. - Provides ideal customer service to all patients, family members and other employees. - Maintains current knowledge on local, VISN and national Telehealth policies, guidelines, operation manuals and relevant SharePoint sites. - Maintains regular contact with the Facility Telehealth Coordinator to work out all process issues of clinical, business and technical aspects for telehealth. - Provides basic information and education to patients related to telehealth services. - Ensures patient setting is clean and safe for exam. - Sets up required equipment and verifies that it is in proper working order prior to visit. - Installs, verifies equipment is in proper working order, maintains equipment and keeps a log of all equipment located at Technician work location. - Assists at site in coordination of patient visits and assists the medical professional in the exam, treatment and conference with patient (family member or caregiver) about care. - Utilizes peripherals such as exam cameras, digital stethoscope, etc as appropriate with guidance of the provider during the clinical visit. - Installs, maintains, inventories and trains staff on all video-conferencing technologies and telehealth peripherals. - Maintains daily telehealth schedule to assist in scheduling rooms, patients, technology and Telepresenters. - Clinic intake of patients:
intake vital signs, with special attention to blood pressure screening. Reports significant values to provider as indicated. - Performs other nursing interventions procedures according to hospital policy approved procedure protocols, or under the direction of the Telehealth provider as long as it is within the LPN-TCT scope of practice. - Performs patient education on topics such as medications, blood pressure, diabetes etc. and, as directed by Telehealth provider. Education should promote patients independence in their daily self-care or caregiver's ability to provide same. Work Schedule:
Monday - Friday, 7:
45am to 4:
15pm Financial Disclosure Report:
Not required 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. 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. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Applicants with the following certifications from American Heart Association (AHA) or Military Training Network (MTN) are highly preferred:
Basic Life Support (BLS). The selected employee will be required to receive certification prior to assuming clinical responsibilities and ensure current certification after employment is maintained. 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 3b(2)(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. Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO. (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. (g) Completed work is under the general supervision of an RN or MD/DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer higher-level review. GS-6 (a) Completion of at least one 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. References:
VA Handbook 5005, Part II, Appendix G13 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.
Estimated Salary: $20 to $28 per hour based on qualifications.
- Determines from patient records the purpose of the visit and what tools, supplies are needed for the visit. - Collects information prior to visit (blood pressure, temperature, patient information and etc) determined by what clinic the patient is in, what the patient's states their need is and what the Telehealth Provider has asked for the technician to do. - Utilizes various resources to identify eligible and appropriate patients for telehealth procedures such as Teleretinal Images. - Exercises judgment to perceive patient's needs and evaluates clinical record to determine appropriateness of requests for telehealth. - Determines appropriate mode and circumstance for telehealth modalities (HT, SFT and CVT) of patient has been ordered based on evaluation of patient's needs. - Discusses difficult/complex telehealth concerns with medical providers, case managers, and social workers to include when requests are made for telehealth modalities or assistance. - Initiates and processes Telehealth consults and encounters as appropriate. - Works with staff from other locations (to include; main hospital, CBOC's and emergency facilities) to facilitate an effective, productive and safe visit for patient and staff. - As needed:
schedules, cancels or changes appointments (either patient or doctor request) if Service Line is unable to complete. - Coordinates scheduling of patient, room, and telehealth equipment. - Verifies that all patient encounters and Progress Notes of Technician side are completed prior to end of day and notifies medical professional responsible for patient that their side encounter is not complete. - Provides ideal customer service to all patients, family members and other employees. - Maintains current knowledge on local, VISN and national Telehealth policies, guidelines, operation manuals and relevant SharePoint sites. - Maintains regular contact with the Facility Telehealth Coordinator to work out all process issues of clinical, business and technical aspects for telehealth. - Provides basic information and education to patients related to telehealth services. - Ensures patient setting is clean and safe for exam. - Sets up required equipment and verifies that it is in proper working order prior to visit. - Installs, verifies equipment is in proper working order, maintains equipment and keeps a log of all equipment located at Technician work location. - Assists at site in coordination of patient visits and assists the medical professional in the exam, treatment and conference with patient (family member or caregiver) about care. - Utilizes peripherals such as exam cameras, digital stethoscope, etc as appropriate with guidance of the provider during the clinical visit. - Installs, maintains, inventories and trains staff on all video-conferencing technologies and telehealth peripherals. - Maintains daily telehealth schedule to assist in scheduling rooms, patients, technology and Telepresenters. - Clinic intake of patients:
intake vital signs, with special attention to blood pressure screening. Reports significant values to provider as indicated. - Performs other nursing interventions procedures according to hospital policy approved procedure protocols, or under the direction of the Telehealth provider as long as it is within the LPN-TCT scope of practice. - Performs patient education on topics such as medications, blood pressure, diabetes etc. and, as directed by Telehealth provider. Education should promote patients independence in their daily self-care or caregiver's ability to provide same. Work Schedule:
Monday - Friday, 7:
45am to 4:
15pm Financial Disclosure Report:
Not required 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. 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. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Applicants with the following certifications from American Heart Association (AHA) or Military Training Network (MTN) are highly preferred:
Basic Life Support (BLS). The selected employee will be required to receive certification prior to assuming clinical responsibilities and ensure current certification after employment is maintained. 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 3b(2)(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. Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO. (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. (g) Completed work is under the general supervision of an RN or MD/DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer higher-level review. GS-6 (a) Completion of at least one 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. References:
VA Handbook 5005, Part II, Appendix G13 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.
- Department:
0620 Practical Nurse - Salary Range:
$38,362 to $60,220 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
