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Practical Nurse

Veterans Affairs, Veterans Health Administration - Montrose, NY

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Job Description

Summary The LPN will be an integral staff member assigned to the 24/7 staffing in the MH RRTP units [three Units: PTSD, Substance Abuse and Domiciliary Care for Homeless Veterans (DCHV)]. The MH Hybrid RRTP's treat Veterans for specific Mental Health and Psychosocial issues within a residential environment. The LPN on the 24/7 team is tasked with caring for some of the unique medical issues the Veteran presents with and administering medications as needed. Responsibilities The Licensed Practical Nurse - Mental Health - RRTP will work with non-LPN staff during a 24/7 tour of duty and will share responsibilities for maintaining the safety, structure and administrative requirements of the program. The LPN will work Weekends, Holidays, Evening and Night (WHEN) tours to meet the needs of the hospital and Veterans. Responsibilities include, but are not limited to: Establishes and maintains a therapeutic relationship with veterans to enable them to identify, work on, and resolve a myriad of complex psychosocial problems. Helps veterans to utilize the strengths of their own cultures in their recovery process. Provides age-specific care to veterans with substance abuse and/or psychiatric conditions who reside in the three residential treatment programs: Substance Abuse, Posttraumatic Stress Disorder (PTSD), and Homeless Domiciliary. Serves as a primary contact for an assigned caseload of residents in Substance Abuse and the Domiciliary, to include, but are not limited to, individual and group supportive counseling, education, assessment and evaluation. Provides information regarding program requirements and resources and assistance in securing needed services, and follow up to ascertain resident participation in treatment activities. Assists residents to identify and progress toward rehabilitation goals, including transition to independent community living. Fosters residents personal growth by helping them to accept responsibility for their behavior, gain insight into their problems, and develop improved problem solving and coping skills. Manages most aspects of admission and discharge procedures, including room selection, clothing inventory and search procedures, admission urine drug screen collection, administrative requirements, orientation, mandatory appointments, completion of resident contracts, provision of bed linens, Orientation Group. Assists the veteran to acclimate to the residential program and setting, utilizing observational and interview skills to assess the veteran's adjustment. Assesses the veteran's ability to perform the activities of daily living, manage individual health care needs, and interact appropriately with others. Manages all aspects of daily operations, including resident behavior, building rounds and room inspections with particular emphasis on safety and security, administrative and clinical reporting, attending to the emergent and non-emergent needs and requests of the residents. Makes independent decisions as the rep. of the Program Manager, and handles emergencies, including fire, utility failures, serious illness, injury, death and verbal and/or physical altercations among residents. Handles all documentation requirements, including but not limited to resident electronic records (CPRS) (progress notes), patient appts & resident contracts, daily count sheet, lab slips, meal slips, incident reports, resident mail, daily log as prescribed by each unit, unit policies and procedures, work orders, refrigerator temperature logs, gig lists, passes, urine drug screening log. Monitors activities of residents, individually and collectively, for adherence to program requirements; observes for changes in behavior, emotional states and physical condition and intervenes accordingly; utilizes video surveillance system to assure a safe environment; conducts urine drug screen specimen collections and Breathalyzer testing on a scheduled and random basis and in a prescribed manner that insures chain of custody. Monitors vital signs as ordered, and documents in the EMR. Documents residents' vital signs including pain and refers to the Nurse or medical provider. Monitors residents on bed rest. Refers ill veterans to the Nurse, Medical Provider, Psychiatrist or OD. Provides CPR when needed. Calls a medical or psychiatric code when needed. Participates as a member of the interdisciplinary treatment team, providing input into the screening interviews, treatment team meetings, and treatment plans; monitoring adherence to the structured plan and providing timely feedback. Reviews and provides first level approval of residents' requests for passes, extensions, and other privileges. Supervises Incentive Therapy and/or Compensated Work Therapy workers assigned to the Domiciliary. Conducts room and building inspections daily to assure adherence to health and safety standards. Monitors resident details, providing instruction/training as needed; supervises the Expediters; oversees the GI Party; orders linen. When required, accompanies veterans on recreational outings or supervised shopping trips. Work Schedule: Varies - Will discuss in the interview. Telework: Not Available Virtual: This is not a virtual position. Recruitment Incentives: May be applied Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the

Created: 2025-12-18

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