The primary purpose of the LPN is to perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veteran. The LPN performs within this functional statement under frequent guidance of the Nurse Manager or designee. Assigned tasks require basic technical competence and skill. This position is in Transformation Recovery Center (TRC), Boise VA Medical Center, Boise, Idaho 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. 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: 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. An LPN[/LVN] who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. Grade Determinations: In addition to the basic requirements stated in section A, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. 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. (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 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 (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 5005/3 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. Physical Requirements: See VA Directive and Handbook 5019. ["Functions of Assigned Duties:\n1. PATIENT CARE/MEDICATIONS:\na. Identifies emergency situations, reports, and initiates effective actions immediately.\ni. Performs CPR in accordance with the established medical center and Nursing Service policies.\nii. Assists in Code Blues by obtaining supplies and following the directions of the nursing supervisor or charge nurse\niii. Identifies changes in the patient's condition that would constitute the need for special equipment. Assists in identifying patient's increased needs for certain monitors (i.e., 12-lead EKG, SAO2 monitor). Verbally reports any out of range levels to the RN\niv. Provides direct patient care.\nb. Complies with Nursing Service policy/procedure on administering medications.\ni. Administers medications as ordered.\nii. Observes for desired and untoward effects.\nc. Utilizes the concepts and the guidelines of sterile technique.\ni. Strictly adheres to guidelines for hand washing.\nii. Always utilizes sterile technique when warranted for any procedure.\niii. Follows infection control policies/procedures and consistently utilizes universal precautions.\nd. Utilizes nursing care procedures when providing patient care.\ni. Consistently observes and follows nursing care procedures in providing patient care.\ne. Observation of IV solutions and patency of IV tubing.\nf. Meets the patient's needs for privacy.\ni. Ensures that patients are appropriately covered by clothing or bedding.\nii. Always closes the patient's door, curtains, and blinds to ensure privacy when providing direct patient care.\niii. Follows the medical center policy for release of information and respects patient confidentiality.\ng. Identifies patients who require instruction about their care, or who need questions answered.\ni. Consistently provides appropriate instructions and answers questions.\nii. Refers patient needs, instructions and questions beyond their scope to the team leader/charge nurse.\nh. Identifies patient/family emotional needs and provides emotional support, considering the needs of the patient, family, and/or significant others.\ni. Anticipates patient needs in the face of known stressors such as death, dying, surgery, and awaiting diagnostic test results.\nj. Promotes positive interpersonal relationship with patient, staff, family member/or significant others.\nk. Follows the TRC unit Standard Operating Procedures to include hourly rounding, post fall huddles, death protocol and restorative nursing.\nl. Incorporates the HATCH model into daily practice.\nm. Incorporates Safe Patient Handling techniques into daily practice. This includes but is not limited to ceiling lifts, limb slings, Sara plus and repositioning slings.\n2. OBSERVATIONAL SKILLS: a. Identifies significant changes in the patient's physical and mental status.\ni. Consistently identifies significant changes in patient's status and reports to the team leader/charge nurse.\nii. Accurately observes, measures, and reports vital signs and other parameters that indicate patient's psychological status.\niii. Identifies and reports those patients at risk for falling or injuring themselves. Coordinates with the team leader/charge nurse to apply appropriate safety measures.\n3. DOCUMENTATION AND REPORTING:\na. Assists with patient admissions to the nursing care unit. Routinely completes the basic database on each new admission, e.g., vital signs, weight, height, and inventory of patient belongings. Orients patient to room and ward routine within one (1) hour of admission. Ensures that patient's questions related to the ward routine are satisfied.\nb. Reports accurate data to the team leader/charge nurse, in a timely manner. Documents patient status in the medical record. Documents medications and treatments on the appropriate record. Records outcomes of treatment as appropriate.\nc. Ensures that patient hand-off follows the current facilities memorandum. Work Schedule: variable,1500-2330 & 2300-730\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
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.