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Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

The Medical Support Assistant (MSA) is responsible for scheduling appointments, including interpreting, and verifying provider orders in accordance with VHA national scheduling guidelines. Employee plans and organizes work general assistance from the supervisor as to meet local and VA - wide time frames to complete analysis requirements, reports and special assignments and only refers to the non-routine and high technical problems to his/her supervisor. The incumbent is responsible for reporting backlogs, difficulties in meeting deadlines, uncooperative physicians, or difficulty in securing information from clinicians or the record. Employee is responsible for maintaining the confidentiality of information obtained to carry out required duties. Routinely communicates with physicians, case managers, and other allied health professional staff using sound interpersonal skills and is constantly aware of the sensitive information. Otherwise, works independently making decisions based on guidelines, precedents and regulations and performs duties in such a manner that only minimal supervision is required.

Work Schedule: Multiple Tours. Work Schedule will be dependent on the needs of the service.
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year.
Selected applicants may qualify for credit toward annual leave accrual, based on prior military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: PD000000, PD000001, and PD70614F

The Medical Support Assistant (MSA) is responsible for scheduling appointments, including interpreting, and verifying provider orders in accordance with VHA national scheduling guidelines. Employee plans and organizes work general assistance from the supervisor as to meet local and VA - wide time frames to complete analysis requirements, reports and special assignments and only refers to the non-routine and high technical problems to his/her supervisor. The incumbent is responsible for reporting backlogs, difficulties in meeting deadlines, uncooperative physicians, or difficulty in securing information from clinicians or the record. Employee is responsible for maintaining the confidentiality of information obtained to carry out required duties. Routinely communicates with physicians, case managers, and other allied health professional staff using sound interpersonal skills and is constantly aware of the sensitive information. Otherwise, works independently making decisions based on guidelines, precedents and regulations and performs duties in such a manner that only minimal supervision is required.

Work Schedule: Multiple Tours. Work Schedule will be dependent on the needs of the service.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 40854-F
Recruitment/Relocation Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

The incumbent serves as an Advanced Medical Support Assistant (AMSA) who is responsible for assistance to Veterans providing a smooth process for the management of his/her outpatient appointments as well as support work in connection with the care and treatment given to the Veterans by performing a variety of support duties that facilitate the work of an interdisciplinary coordinated care delivery for specialty care, ensuring that the clinic setup is closely monitored to effectively support the needs of the clinic, and make any necessary adjustments, working in collaboration with the appropriate clinic, develops and maintains effective and efficient communication with the patient, interdisciplinary team, VA medical centers, and other agencies. The AMSA will work with the Lead AMSA in setting priorities and deadlines, providing input in problem solving on operational issues or procedures. The York Campus is a network referral center for mental health services, long term psychiatric care, geriatrics, and extended care.

TVHS provides a full range of specialized medical services including MRI, electrophysiological studies, catheter ablations, atherectomies, stent placements, laser surgery, dialysis, CT scanning, cardiac catheterization, cardiac surgery, thoracic surgery, otolaryngology, anesthesiology, percutaneous angioplasty, diagnosis and surgical intervention of head and neck tumors, peripheral vascular surgery, digital angiography, ambulatory surgery, brainstem auditory invoked response testing, major joint prosthetic surgery, arthroscopic surgery, alcohol and drug treatment, intermediate and geriatric medicine, a geriatric evaluation management program, mammography, preventive medicine, and podiatry. The AMSA was established to ensure assistance to Veterans providing a smooth process for the management of his/her outpatient appointments as well as support work in connection with the care and treatment given to the Veterans by performing a variety of support duties that facilitate the work of an interdisciplinary coordinated care for specialty care services.

The AMSA will review the clinics appointment schedule to ensure that clinic utilization is optimized and effectively supports the needs of the clinics as well as the needs of the Veterans. Develop and maintain effective and efficient communication with the patient, interdisciplinary team, VA medical centers, and other agencies. This position includes, but is not limited to, work that requires a practical knowledge of computerized data entry and information processing systems, setting priorities and deadlines, participating and providing input in problem solving on operational issues or procedures in team meetings, performing administrative follow up actions; evaluating patient information and clinic schedule lists to determine whether a patient is vested; educating providers about shared patients who may be receiving care at multiple VA's or in the community, the medical facility's organization and services, rules and regulations governing eligibility and treatment, practical knowledge of the standard procedures, medical records, medical terminology, security of sensitive electronic files, process improvement, and customer service. Perform other duties as assigned. The Clinic AMSA GS-0679-6 will be given direction and guidance by the Clinic Lead MSA, GS-0679-7 and/or the Clinic Supervisory MSA, GS-0679-8.Meets the needs of customers while supporting the VA mission. Consistently communicates and treats customers (Veterans, families, Veteran representatives, all VA staff) in a courteous, tactful and respectful manner. Provide the customer with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately.


Work Schedule: Monday - Friday, 7:30am -4:00pm
Telework: Approved on an Ad-Hoc basis.
Financial Disclosure Report: Not required
Virtual: This is not a virtual position.
Functional Statement #:PD70865F and PD70865F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

This is a temporary promotion, not to exceed one year and may be extended at the needs of management. This specific announcement will not be able to be made permanent. Upon termination of the promotion, you will be returned to your original position of record, or to a different position of equivalent grade and pay. Temporary promotions may be terminated at any time based on the needs of management.

If you are currently employed at a grade equivalent to, or higher than the advertised position, the action will be considered a detail for processing purposes, and no salary increase will be associated with accepting the position. Upon termination of the detail, you will be returned to your original position of record. Details may be terminated at any time based on needs of management.

Major duties include but are not limited to:

• Develops various reports, guidance documents, legislative proposals, rulemaking documents, and executive correspondence, all of which have national VHA impact and may impact both internal and external audiences and stakeholders.

• Develops a workforce succession plan to identify specific needs for staff with specialized experience and credentialing.

• Establishes work objectives, set priorities, assign tasks, coordinate operations, monitor work progress, and initiate corrective actions as required to ensure that the work assigned is accomplished efficiently and in a timely manner.

• Participates in department-wide studies that involve organizational planning and staffing and recommends changes in and deviation from approved organizational patterns.

• Identifies and proposes solutions to management problems which are of major importance to planning program direction, prepares recommendations which impact the way in which planning is carried out.

This position is part of the Veterans Integrated Services Network (VISN-12) for the Veterans Health Administration (VHA). The Lead Human Resources Specialist position is aligned under the Shared Service Unit (SSU) with Recruitment and Placement (R&P) and will be assigned to provide services to any of the 8 facilities in VISN 12 which are located in Illinois, Wisconsin, and Michigan.

Major Duties:

• Responsible for the general working oversight of HR Specialists, GS-0201 series, in regard to Recruitment and Placement (R&P).
• Operates independently and receives assignments in terms of overall goals and objectives.
• Distributes and balances workload among employees in accordance with staff workflow.
• Instructs employees in specific task and job techniques and makes available written instructions, reference materials, and supplies.
• Provides on the job training to new employees in accordance with established procedures and practices.
• Identifies management problems and analyzes them from the management viewpoint.
• Provides technical advice and assistance to the human resources staff and management officials in all areas of staffing and recruitment.
• Troubleshoots and resolves difficult and controversial internal and external staffing and placement problems.
• Responsible for the quality review of Staffing, Recruitment and Placement information management systems and its management to ensure compliance with regulations and interpretation of the organization's Personnel Accountability, HR policies and procedures to address issues that require substantial interpretation.
• Reviews and analyzes problematic or potentially controversial situations and provides expert advice to management to resolve those situations (pay, Professional Standards Boards, records and processes compliance).
• Advises staff on difficult and unusual recruitment, placement and pay issues or problems.
• Performs other duties as assigned.

Work Schedule: Full-Time; Monday through Friday; 8:00am to 4:30pm
Compressed/Flexible: May be Authorized
Remote: Authorized
Position Description/PD#: Lead Human Resources Specialist - Recruitment and Placement/PD99974S
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

MAJOR DUTIES AND RESPONSIBILITIES

• Provides Cardiology consultative and continuity care services at underserved or understaffed VISN facilities through a combination of virtual and in-person care when needed.
• Participates in the expanded use of clinical video telehealth (VVC and CVT)/electronic consultation (e-Consult) to improve access to cardiology care.
• Participates in the referral management process for cardiology consults with patient follow-up, as appropriate.
• Provides cardiology consultation to other health care providers, (nurse practitioners/physician assistants, medical students, and residents/fellows).
• Provides comprehensive patient care in the form of non-invasive, consultative, and inpatient/outpatient cardiology care. Expertise in the interpretation/reading of EKGs, Holter monitors, stress tests, Zio, Echo, loop records, tilt testing, non-invasive ICD stimulation, pacer and ICD evaluation and programming, as appropriate to the telehealth setting, are required.
• Provides clinical assessment and evaluation of Inpatients and Outpatients, reading and interpretation of cardiac studies.
• Manages health care of assigned Veteran patients with acute and chronic illnesses.
• Orders and interprets laboratory and diagnostic studies.
• Evaluates the patient to assess changes in the physical status during inpatient or outpatient care via in-person exams or telemedicine care.
• Documents the appropriate level of detail, assessment and plan for ongoing care into the electronic medical record.
• Works effectively with patients, families, co-workers, and other health care professionals.
• Promotes health and disease prevention through patient, family, and staff education and counseling.
• Performs other duties as assigned.

**The salary range listed on this announcement only reflects the General Schedule incorporating Rest of U.S. basic pay. Upon selection, the salary will be adjusted to include the special salary rate and locality adjustment for the specific location.

**Duties of the position include, but are not limited to:

• Supervising multiple pharmacists and technicians.
• Manages people, maintains effective interdepartmental relations, and cooperates with other services to accomplish the medical facility's mission and goals.
• Develops performance standards and assures that the program area is compliant with all regulatory and/or accrediting body requirements.
• Designs, implements orientation and training programs for staff, and develops and maintains systems to monitor the performance of staff activities.
• Develops policies and procedures relative to their assigned area.
• Communicate orally and in writing to persuade, influence clinical and management decisions.
• Expert understanding of regulatory and quality standards pertaining to pharmacy.
• Managing people or programs.

A Clinical Pharmacy Specialist is responsible for planning, implementing and operating the medicine drug monitoring and utilization programs. He/she is the internal medicine expert in all areas related to medications utilized in general medicine patient care areas and functions as a consultant to other health care professionals. The incumbent functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients.

Duties include, but not limited to:

Clinical Functions

• Maintains clinical practice through provision of direct patient care during new patient and/or follow-up visits. Coordinates care for patients with other healthcare providers.
• Provides and coordinates comprehensive medication management services for patients in designated clinic(s) according to broad scope of practice focused on chronic disease state management.
• Performs prospective panel reviews and actively participates in population management.
• Maintains an in-depth clinical knowledge of chronic disease state management.

• Serves as a preceptor and shares responsibility for training, guidance and evaluation of Ambulatory Care Students and Residents.
• Assumes an active role in staff development of peers and provides educational opportunities to nursing, medical staff and to other ancillary services.
• Collaborates with residents or other medical staff in process improvement or research, when appropriate.
• Assists in training new employees.
• Maintains knowledge and completes continuing education in therapeutic areas of expertise.

• Independently manages medication management services for patients referred to the Cardiology Clinic.
• Manages quality improvement programs for medication management services in cardiology clinic(s) and coordinates activities with the other Tomah medication management services. This may include participation in Medical Use Evaluations (MUE).
• Evaluates pharmacy related performance measures for a designated group of patients and initiates program changes to achieve measures.

• Maintains excellent working relationship with department and organization staff.
• Courteous and professional at all times.
• Effectively promotes teamwork among staff, residents and students.
• Provides prompt and personal attention to each patient.
• Demonstrates responsiveness to customer needs and is empathetic to their problems.

MRTs (Coder) perform the full scope of inpatient and outpatient coding duties. These coding practitioners analyze and abstract patients' health records and assign alphanumeric codes for each diagnosis and procedure. MRT's possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRTs (Coder) select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification systems to both inpatient and outpatient records. Duties include, but are not limited to:

• Provide coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations.
• Initiate, prepare, and maintain various reports, and analyze data.
• Coordinate, assign, and monitor workflow.
• Provide input for performance evaluations and hiring.
• Orient and instruct new coding personnel and/or students on coding, abstracting, and use of the electronic health record and encoder software.
• Ensure audit findings and claim denials related to coding errors are resolved and/or daily coding rejects corrected for accurate billing and data collection.
• Monitor trends and/or changes in regulatory and policy requirements affecting coding practices and identify educational needs.
• Develop coding training materials and present a curriculum encompassing ongoing training initiatives.
• Provide assistance with coding inquiries from providers, MRTs (Coder), billers, and other facility staff.
• Select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification systems.
• Directly consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record.
• Abstract, assign, and sequence codes into encoder software to obtain correct diagnosis-related DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered.

The Patient Safety Program Manager (PSPM) Registered Nurse (RN) Supervisor executes position responsibilities that demonstrate leadership, experience, and creative approaches to the management program aspects. The PSPM Supervisor demonstrates performance and leadership that is broad enough to impact the standard of care and safety of staff while caring for all patients throughout the continuum of care. The PSPM is the facility's key person to help build and implement patient safety systems and promote the culture of safety within Veterans Health Administration (VHA) facilities and for Veteran patients in all healthcare settings. The position reports directly to Chief of Quality and Patient Safety with direct access to the Medical Center Director (MCD)

The Registered Nurse PSPM role will include, but is not limited to the following duties:

• Assesses, plans, implements, and evaluates care based on age specific components.
• Implements quality staff education, orientation, competencies
• Provides quality improvement and outcomes utilization consultation related to the Patient Safety program
• Coordinates and implements patient safety policies and Joint Patient Safety Reporting (JPSR)
• Ensures Root Cause Analysis are completed per NCPS guidelines
• Accountable for planning, organizing, directing and evaluating Quality program and staff
• Recommends actions to VA Medical facility director related to patient safety
• Collaborates with HRO coordinator and System Redesign Specialist to implement patient safety performance activities
• Provides training and coordinates patient safety activities
• Serves as Subject Matter Expert and provides documented outcomes
• Translates policies, theories and strategies into action within the facility
• Supervises Quality and Patient Safety Staff

The Scheduling Site Manager ls responsible for working collaboratively with the Deputy Chief of Business Office, Chiefs of all clinical services, as well as the Executive Leadership Team (EL T) to ensure appropriate coverage for smooth clinic operations on a daily basis, and adherence to national policy regarding the timely and accurate scheduling of Veterans for outpatient appointments and procedures. The Scheduling Site Manager, Business Office also has responsibility for the enterprise-wide program that addresses the elevation and resolution of Veteran complaints. The duties will include but are not limited to:

• Collaborates with leadership to provide input, ideas, or changes that they believe would improve work processes.
• Uses working knowledge of computing technology, medical information, communication skills, and leadership qualities.
• Provides avenues in enhancing the outpatient packages, implementing changes to the programs, and makes viable recommendations to management.
• Provides supervisory authority over first and second-level Supervisory MSAs in five organizational units including: PACT; Surgery: Specialty: Medicine: and Mental Health subordinate levels.
• Coordinates and supports mechanisms for successful data entry designed to ensure accurate, timely, and consistent data is entered into the Medical Center database.
• Collects data concerning patient care activities makes computations as required and reports monthly, quarterly, or annually to management.
• Develops detailed plans, goals, and objectives for short and long-range implementation and administration of the program.
• Uses working knowledge and experience in the field of patient administration, inpatient and outpatient, medical records, and related fields of medical administration.
• Develops policies and procedures for workload management.
• Applies working knowledge of interrelationships between scheduling requirements and other medical care services is used to evaluate and change or adapt new local procedures to meet regulatory requirements and healthcare practices in compliance to VA directives, laws, or polices.
• Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, VA statues and polices.
• Protects all data from unauthorized release or from lose, from alteration, or from unauthorized deletion.
• Prioritizes issues/problems and or situations.
• Resolves problems or copes with issues which directly affect the accomplishment of principal agency goals and objectives.
• Provides analysis of interrelated issues of effectiveness, efficiency, and productivity of substantive mission-oriented programs.Identifies and correct problems as they pertain to capturing accurate workload information.
• Identifies and correct problems as they pertain to capturing accurate workload information.
• Meets the needs of customers while supporting the VA mission.
• Provides customers with consistent information according to established policies and procedures.
• Handles customer conflicts and problems constructively and appropriately.
• Conducts special studies for identifying opportunities to improve customer service and process quality.
• Other duties as assigned.

As a facility financial expert, the incumbent shares full responsibility with the Chief, Fiscal Officer, providing technical advice and executing processes and making decisions on all matters relating to budget formulation, execution, and management. Performs analysis of workload and budget data to identify trends and irregularities and makes recommendations for improvement. Incumbent has overall responsibility of the Medical Center's Budget operations and in establishing budget policies and procedures. Also provides instruction to management officials during budget formulation and execution processes. Often performs special analysis projects, which will significantly affect the operation of the medical center and clinics. Major duties include but are not limited to:

• Review policies and procedures and reports relating to financial performance data to provide management accurate tools and information.
• Interpret and assess the impact of new and revised Congressional legislation on the formulation and execution of budgets.
• Develop local policies for use by operating officials in preparation of budget estimates for individual services.
• Supervise and oversee the effective implementation of new accounting and budget systems.
• Design automated and hard-copy report formats for facility wide reporting.
• Prepare working papers, spreadsheets, share-point sites for control and analysis by service chiefs and management using a variety of software applications such as Excel, Access, Word and Power Point.
• Assist in the development, review, and execution of the financial plans for the operation of a medical center or other large multi-faceted corporate entity.
• Establish financial and budgetary goals against which the relative costs and benefits of agency program achievements can be measured.
• Develop and present operating budgets to department managers and executive leadership.
• Communicate with a variety of individuals from varying backgrounds (medical center staff, volunteers, patients, visitors) in a courteous, tactful and respectful manner.
• Render technical advice and assistance in the areas of budget, accounting, payroll, travel & revenue activity
• Verbally present financial and technical findings to executive leadership in a clear and concise manner.
• Project and analyze the potential effects of budgetary actions on program viability and attainment of program objectives.
• Develop specific objectives and devise new methods, techniques and criteria in relation to acquiring information, analyzing data, modifying systems and developing solutions. Present findings.
• Review and analyze automated financial and performance data to monitor for accuracy, trends, and process variation.

This position performs duties such as:

• Experience using polices, practices and procedures governing budget administration to develop policies and procedures to control the use of funds for salary and expenses.
• Evaluates data submitted for consistency with previous estimates, current levels of program operations, and anticipated changes in staffing and/or funding levels.
• Reviews requests for allocation of funds for compliance to rules, regulations and procedures prescribed by department headquarters.
• Prepares a monthly cost distribution report to monitor budget execution and provide future year funding data, by using worksheet inputs and ensuring discrepancies are resolved.
• Prepares worksheets, budget forms, and statistical summaries needed to formulate the organizational budget for submission to headquarters.
• Prepares a wide variety of recurring and ad hoc statistical reports on the status of funds, expenses, obligations, and staffing.
• Prepares fund distribution worksheets from basic budget submissions and verifies that decreases or increases are reflected accurately.
• Responsible for the execution of one budget year while preparing the formulation of another budget cycle.
• Independently plans, interprets and carries out assigned budget activities and coordinates work efforts as necessary.
• Must meet rigid deadlines in the budget process.
• Performs in-depth analysis of budget requests and continually analyzes and compares objectives, programs, and activities.
• Develops forecasting techniques, programming and reprogramming during budget cycles based on the instability of budget programs and provides advice on effective and efficient use of funds.
• Continually reviews the propriety of obligations and expenditures, planned versus actual and provides technical guidance on the use of funds for programs.
• Closely monitors use and rate of expenditure of funds through daily contact with operating officials.
• Conducts cost studies of programs on a quantitative and/or qualitative basis to track and analyze effectiveness and prepares status reports for review at all levels.
• Develops procedures for estimating budgets and meets with operating officials to discuss and interpret projected requirements.
• Provides historical data, objectives, and workload statistics to assist officials in developing estimates of funding needs.

VA LPN Specialty Pay Scale V03J

The LPN, Primary Care GS-7 is under the supervision of the Nurse Manager at the Clarksville Outpatient Clinic in Clarksville, TN., yet demonstrates independent technical judgment without the need for readily available supervision.

The LPN GS-7 must demonstrate an exceptional degree of practical nursing knowledge and skills necessary for concentrated effort and self-direction in carrying out the most complex practical nursing care assignments within the Primary Care Clinics for a Veteran population with a variety of health care needs. Exhibits independent technical judgment, critical thinking skills, and the use of independent judgment to carry out complex practices and procedures. Employees at the GS-7 grade level demonstrate broader skill with respect to these responsibilities. Demonstrates knowledge, experience, skill and self-motivation to carry out complex patient assignments, which include prioritization and coordination of clinical activities with minimal supervision. Patient Aligned Care Team (PACT) members have independent duties within a team to ensure that the patients are receiving high quality care and have timely access to care. Collaborates with a Specialty team to provide complex/specialized patient-centered care to patients' ages, cultural backgrounds, education level, and any other special needs. The panel population is multi-faceted, including geriatric patients, patients from all war-time eras, female patients, and patient with complex psychiatric needs.

Performs direct patient care activities, as appropriate to assignment, (includes, but is not limited to):

• Manages patient care problems and deviations using self direction in accordance with VA Nursing Practice and LPN licensure standards.
• Lab duties
• Assesses, records, and reports vital signs, neurological signs, weight, and blood glucose levels. Appropriately triages and prioritizes patient needs as routine, urgent, or emergent in the clinic setting and modifies patient care/treatment as needed.
• Checks patients into the clinic, interviews patient and/or significant other, and documents intake data as per policy. Possesses comprehensive knowledge of VA protocols and VHA directives related to clinic management, documentation, and computer technology.
• Serves as a resource for complex/specialized procedures (i.e. suture removal, staple removal, wound care, blood draws, and clinic specific procedures, such as ear irrigation, performing EKGs, nebulizer treatments or assisting for set up of joint injections).
• Assists with diagnostic procedures that include preparing the patient, setting up sterile field and instrumentation, and monitoring the patient's condition.
• Collaborates with the PACT team and other interdisciplinary services in the development, implementation, and evaluation of patient care. Exercises independent technical judgement and possesses a comprehensive working knowledge of the principles and science of practical nursing. Duties include following up on abnormal results with the provider and educating patients/families on disease management and anticipated plan of care.
• Serves in a leadership role within the PACT team to promote holistic care and optimize clinic efficiency. Assists other staff to improve and advance their practical nursing practice as appropriate. Serves as a resource person and Super User for frequently used equipment in the clinic setting ( i.e. PYXIS, EKG and Car Lift) and utilizes appropriate protocol for equipment repair and maintenance. Functions as a role model for co-workers in guiding clinical practice. Coordinates clinical work assignments with the RN to ensure patient care needs are met. Assist in completing staff competencies on frequently used equipment.
• Functions as a team leader for other LPNs and non-licensed staff (as needed). Provides feedback to NM or designee including but not limited to observations of care provided by team members.
• Assists Nurse Manager with planning and organizing specialized unit projects e.g. Mobile flu clinic , injection clinic, and walk-in clinic.
• Other Duties as assigned

RN Pay Scale NY48

Note to VA Employees: Grades and steps will be unaffected by this change but could result in a change to your current salary due to different pay scales.

The specific patient population to whom direct care is provided includes adults with a variety of different conditions. The incumbent must also be able to direct non professional staff's lifting, moving, and/or transferring of patients, and use equipment to provide patient care which usually involves lifting and/or pushing the equipment. The RN is responsible for the storage, proper cleaning techniques, and use of reusable medical equipment (RME). He/She is responsible for carrying out proper procedures for caring for patients in an isolation environment by following proper infection control procedures. Communicates regularly with nurse managers, physicians, nursing supervisors, charge nurses, transfer coordinators, allied healthcare staff, healthcare technicians, Pharmacy, and the business office.

The RN's role will include, but is not limited to the following duties:

• Establishing nursing diagnoses.
• Providing health education and procedural teaching to patients and significant others.
• Administering and evaluating pharmacological and other therapeutic treatment regimens.
• Administering medicine
• Administering Injections - Vaccines etc.
• Establishing priorities and making ethically-sound decisions to ensure safe patient care.
• Assisting the physicians during diagnostic and therapeutic procedures to promote optimal patient outcomes by team collaboration.
• Responding to emergency situations to promote optimal patient outcomes by recognizing changes in patients' health status.
• Performing diagnostic studies within the scope of nursing practice as ordered by the physician.
• Documenting patient data to ensure continuity in the provision and coordination of patient care.
• Collaborating with other health care professionals.
• Communicating with veterans ad family members regarding veteran's care.
• May be responsible for charge nurse duties
• Managing follow-up care.
• Acting as resource to others.
• Participating in continuing educational activities, achieving/maintaining certification.
• Possess knowledge of unit level performance measures and participates in quality improvement monitoring
• Additional duties as assigned