This position is located in the Outpatient Department, 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. 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). 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 ACEN Website (formerly the NLNAC). Exceptions include:· 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.-VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. 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. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation). Grade Determinations: GS-03: None beyond the basic requirements. GS-04: Six months of qualifying experience as LPN or LVN. OR, Experience and Education: Graduation from an approved school 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. GS-05: Completion of at least one year of qualifying experience at the GS-4 level or equivalent and fully meeting all performance requirements for the GS-4 LPN/LVN. 1. Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes. 2. 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. 3. Knowledge and skill 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. 4. 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. 5. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. Preferred Experience: Women's Health References: VA Handbook 5005/3 Part II Appendix G13The 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: Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients/residents who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on Veteran needs. ["Completes preventive health and chronic disease indexes of patients seen in outpatient clinics. Administers injectable medication with no more than two valid failures or omissions and supervisory feedback during the rating period. Basic nursing care for adult and elderly patients is administered according to clinic guidelines, and plan of care under the direction of the supervising RN. Performs treatments and procedures which include application of antiseptic sterile and non-sterile techniques, i.e., bladder catherization insertion and removal, EKG, enemas, bladder scans, capillary blood glucose (CBG), suture and/or staple removal, and oximetry. Recognizes signs and symptoms reflecting changes in patient condition using knowledge of vital signs, CBG, and observational skills. Takes corrective action appropriately when potential or life-threatening changes occur in the patient condition. Maintains patient comfort and safety while in the clinical environment. Identifies patient educational needs and seeks assistance as appropriate and reassures patients and family members by explaining hospital and outpatient treatments and procedures. Replies to inquiries of an administrative/non-technical nature concerning patient care with the utmost courtesy and in accordance with regulations and medical center policies. Demonstrates a commitment to providing customer service in all aspects of daily work activities. Ensures that daily work is customer-centered, focusing all efforts toward the goal of all customers leaving each interaction feeling they received the best service possible. Seeks to present an accurate and constructive image of the medical center. Maintains a courteous, helpful attitude in all working relationships throughout the various outpatient departments. Requests medical records and order information from non-VA medical and nursing facilities in order to facilitate patient treatment. Ensures all appropriate paperwork is prepared and placed in medical record and delivered to the appropriate area, this may include printing flags or making a new medical record. Assists in updating procedure manuals and related material as needed. Assists supervisor in formal and informal training for co-workers in order to acquaint them with the VA system Work Schedule: Monday - Friday 0800 - 1630\nVirtual: This is not a virtual position.\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.