This announcement will remain open until the closing date of May 31, 2022, the date beyond which the system no longer accepts applications for an advertised position. This announcement is intended to fill current and future vacancies under various healthcare service lines at VA Medical Centers/Clinics within the VA New England Healthcare System. The presence of a location does not necessarily indicate a current vacancy. 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 Accreditation Commission for Education in Nursing(ACEN) at the time the program was completed by applicant. Verification can be obtained from the State approving agency or the Accreditation Commission for Education in Nursing. 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. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g. medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4 Employees may be appointed at or advanced to GS-4 if they meet any of the criteria 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. (d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. 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 approval 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 (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. References: VA Handbook Qualification Standards 5005/03, Part II Appendix G13 Licensed Practical Nurse 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. Physical Requirements: Extensive periods of sitting, standing and walking. Working with patients requires regular and recurring lifting, pushing, stooping, squatting, kneeling, crouching and similar activities ["Based on assignment and grade, duties may include but are not limited to: Primary Care Specialty Care Mental Health Spinal Cord Injury Community Living Center (CLC) Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) - Conduct medication reviews on veteran/residents to ensure compliance with safe self-medication practices. Center for Integrated Residential Care for Addiction (CIRCA) Conduct medication reviews on veteran/residents to ensure compliance with safe self-medication practices. Homeless Domiciliary Program (REACH) - Conduct medication reviews on veteran/residents to ensure compliance with safe self-medication practices. Women's Integrated Treatment and Recovery Program (WITRP) - Conduct medication reviews on veteran/residents to ensure compliance with safe self-medication practices. (WITRP) -The LPN must be familiar with and sensitive to gender-specific psychological and health-related issues unique to female trauma survivors and understand potential triggers and reactions of female Veterans with PTSD/SUD co-morbidity. Functioning as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving outpatient care, home or community living care or other patients/residents who are in acute, sub acute or chronic states of illness. Assignments may involve complex nursing needs which can vary within a range of predictable to unpredictable requirements. Demonstrates knowledge of basic health care provider skills. Follows standard precautions and other infection control protocols as needed. Provides 1:1 or Safety Sitter nursing care to Veterans/residents who may require restraints or special observation. Understanding Veteran's/resident's rights and responsibilities. Provides comprehensive physical care to Veterans/residents. Motivating Veterans/residents towards optimal level of functioning. Accurately records care delivery and observations using established oral, written and computer communications according to documentation guidelines. Licensed Practical Nurses will be expected to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. Incumbent will observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. Use of equipment, materials and supplies in simple diagnostic and treatment procedures such as bladder scan, continuous passive motion device, blood glucose monitoring machine, specimen collection, etc. The Licensed Practical Nurse will communicate effectively with patients/residents, their families and other health professionals. May serve as a preceptor to new Licensed Practical Nurses by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting. Will recognize and react to emergent patient/resident care situations and intervene while waiting for assistance, for example, recognizing need for basic life support, controlling bleeding and assisting with behavior crisis, etc.. Work Schedule: Shifts include but are not limited to Day shifts, Evenings, and Overnight. Most areas involve rotation to weekend and holidays. Specific tour hours to be discussed with hiring official\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement # Assigned upon selection\nRelocation/Recruitment Incentives: Not Authorized\nFinancial Disclosure Report: Not required Notifications: Most positions are AFGE/NAGE/LIUNA Bargaining Unit positions. Some locations are eligible, but not represented. Most positions are covered by locality-based comparability pay. The incumbent may be required to travel to other VA campuses and CBOCs as needed for coverage. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. This position is in the Excepted Service."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.