The Cincinnati OH VA Medical Center is seeking well-qualified candidates for Licensed Practical Nurse (LPN) positions. The LPN performs assigned duties in a manner that promotes quality health care, positive customer service, and the maintenance of an environment committed to serving the Veteran. BASIC REQUIREMENTS: Citizenship. Citizen of the United States. 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. 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 REQUIREMENTS: In addition to the basic requirements listed above, 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. Six months of qualifying experience as an LPN or LVN; OR 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 Graduation from an approved school of at least 24 months duration. GS-5. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Along with meeting the requirement listed above, applicants must meet all of the following: 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. 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. 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. GS-6. 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. Along with meeting the requirement listed above, applicants must meet all of the following: 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 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. 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. 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. 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. 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. 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. Preferred Experience: Previous LPN experience and In-depth knowledge of medical terminology. 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. References: VA handbook 5005, Part II, Appendix G13. PHYSICAL DREQUIREMENTS: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. 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. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients 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 patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["This is an open continuous announcement to fill current and future LPN vacancies in various Services within the Cincinnati, OH VA Medical Center. A qualification review will be conducted and qualified candidates will be referred to the Services as positions become vacant.\nOpen Continuous announcements provide us a readily available source of applicants when vacancies do occur and are approved. If a vacancy does not occur for the location, grade, service for which you are qualified and apply, no further notification concerning the announcement will be provided. Applications will remain on file until the closing date of this posting or until all positions have been filled. The Licensed Practical Nurse (LPN) provides quality nursing care to a culturally diverse veteran population. The practice of each LPN is based on skill, experience and research and has a direct impact on client outcomes for the assigned area and the facility as a whole. The LPN possesses the knowledge and skills necessary to effectively apply aspects of the nursing process within a collaborative, interdisciplinary practice setting. This broad based clinical knowledge enables the LPN to effectively implement health promotion and prevention interventions, manage acute and chronic illness states, assist veterans in the attainment of optimal levels of functioning through rehabilitation, and provide supportive measures for the dying patient and their significant others. The LPN is expected to perform all duties within the scope of their license. However, completed work my require routine or detailed higher-level review depending upon the complexity of the duties involved.\nDuties that you may perform include but are not limited to: Providing direct patient care to Veterans with minimal supervision. Utilize nursing research, evidence based practice and literature in daily practice. Performs treatments and procedures within the scope of license and facility policy and procedures. Actively communicates and listens clearly in writing and in speaking with internal and external customers. Accurately reports changes in patients' medical and emotional condition. Provides safe, individualized, quality care nursing to patients with varying medical/emotional needs. Maintain confidentiality of patient / employee information electronically, verbally, and written. Demonstrated ability to work effectively with patients, family and other staff members and to respond appropriately to emergency situations. Preparing and administering medications, including vaccinations. Makes and records vital signs and measurements, which includes temperature, pulse, respiration, blood pressure, height, weight, pain and patients' chief complaint. Completes Clinical Reminders, documents and communicates results to team using established criteria. LPNs at the GS-3 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. 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. LPNs at the GS-5 grade level complete work 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. LPNs at the GS-6 grade level actively seek out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Work Schedule: Specific tour will vary based on the position being filled.\nCompressed/Flexible: Not Authorized\nTelework: Not Authorized\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.