The LPN performs patient care duties under the direct supervision of the Registered Nurse (RN). They provide patient care which is appropriate to the genitive, emotional, spiritual, chronological, recreational, and diversional activities of the patient. The LPN demonstrates knowledge of changes associated with aging and provides care based upon age related factors as specified in their competencies. 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. 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. Education: Graduate of a school of practical or vocational nursing approved by the appropriate State-accrediting agency and/or the National League for Nursing Accrediting Commission (NLNAC) http://www.nlnac.org (copy of transcripts required) - OR - Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment. 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: In addition to the Basic Requirements, candidates must meet requirements for each grade level applied for as outlined below: GS-03: None beyond basic requirements. GS-04: Six months of qualifying experience as an LPN or LVN. OR, Graduation from an approved school and one year of experience. OR, Graduation from an approved school of at least 24 months duration. 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-05: Requires at least 1 year of qualifying experience at the GS-4 level or equivalent. In addition the following criteria must be met: Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel patient care, incorporating acceptable, established customer service standards into practice. 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. 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. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. 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: Requires at least 1 year of additional qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN. In addition the following criteria must be met: Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. Knowledge and ability to appropriately carry out assigned patient care based on the patient' conditions. Ability to observe, identify, and respond to the patient's needs for care, including medication, equipment-assisted care, and patient/family education. Prepare and administer prescribed medication (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. 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. 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. Establish constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication, and socialization skills. 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. Actively seek out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. NOTE- IV Certification recommended. Specialized and/or preferred experience: Prefer 1 year or more long term care experience, geriatrics, hospice, skilled/ rehab experience References: VA Handbook 5005/3, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard, dated April 2003. 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: Please see VA Directive and Handbook 5019. ["Performance of these duties directly impact the Medical Center's ability to meet the mission of providing excellent customer service and effective and efficient patient care, as well as, minimizing the patient's length of stay while maximizing health care outcomes. Element: Knowledge and skill to prepare and administer commonly prescribed oral, topical, subcutaneous, and intra-muscular medications and other routes using BCMA and as approved by GJVAMC policy and procedure. Medication Administration Element:\nKnowledge and skill to prepare and administer commonly prescribed oral, topical, subcutaneous, and intra-muscular medications and other routes using BCMA and as approved by GJVAMC policy and procedure. Standards:\n1. Complies with established policies and procedures in the preparation of, the administration of and documentation of medications.\n2. Recognizes side effects of medications; reports observations to the Registered Nurse immediately.\n3. Demonstrates proficiency using the BCMA system.\n4. Complies with established policy and procedure for inventory and administration of narcotics.\n5. Assists the Registered Nurse in checking emergency equipment.\n6. Administers and monitors infusion of IV medications and fluids (if IV certified).\n7. Records amount of fluids infused on Intake and Output record.\n8. Provides patient education concerning medications and reinforces education initiated by the Registered Nurse. Communication and Documentation Element:\nReports and documents pertinent observations, care provided and response to care, patient/family education in the electronic medical record and appropriate treatment sheets according to policy and procedure. Standards:\n1. Recognizes subtle changes in the patient's condition, behavior and/or comfort. Intervenes appropriately. Reports observations and interventions to the Registered Nurse.\n2. Records observations and interventions in the electronic medical record.\n3. Takes and records vital signs including pain level. Reports abnormal vital signs and pain level immediately to the Registered Nurse. Initiates interventions outlined in the plan of care.\n4. Provides patient/family education. Reports response to teaching to the Registered Nurse.\n5. Records teaching and response in the electronic medical record.\n6. Demonstrates proficiency in use of the electronic medical record. Safety Element: Follows VA and GJVAMC safety policies and procedures in the delivery of patient care. Standards:\n1. Maintains a safe, clean, clutter free environment for patients, visitors, and co-workers. Corrects and reports safety hazards promptly to the Registered Nurse.\n2. Responds appropriately to fire and disaster drills.\n3. Utilizes Personal Protective Equipment appropriately.\n4. Verbalizes and demonstrates appropriate use of safety materials and apparel (i.e. MSDS, Isolation Equipment)\n5. Promptly reports accidents, injuries, disease or illness related to employment to the Registered Nurse. Completes 2162 and CA1 electronically in the ASISTS Program.\n6. Reports and responds appropriately to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies to the Registered Nurse. 7. Completes mandatory Safety Training. Customer Service Requirements\nMeets the needs of customers while supporting VA missions. Consistently communicates and treats customers (Veterans, their representatives, visitors, and all VA staff) in a courteous, tactful, and respectful manner. Provides 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 through Friday, 0600-1830 0600-1430 1000-2230 2200-0630\nCompressed/Flexible: Not Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: Licensed Practical Nurse, 000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Available\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.