The Licensed Practical Nurse (LPN) is administratively responsible and accountable to the Nurse Manager or designee. The LPN is accountable for delivering resident care to the adult/geriatric resident population with varying diagnoses and treatments. 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 Licensure- Full, active, current and unrestricted licensure. 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. GS-4 Six months of qualifying experience as an LPN or LVN; or 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; 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-5 Completion of at least one (1) year of qualifying experience at the GS-4 level or equivalent, 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 other supportive personnel. 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. 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. 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Preferred Experience: 3-5 years LPN experience Computer literate Self-directed Dependable References: : A Regulations, specifically VA Handbook 5005, Part II, Appendix G-13 LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION. This can be found in the local Human Resources Office. For more information on these qualification standards, please visit OPM's web site at http://www.opm.gov/qualifications The full performance level of this vacancy is GS 6 an applicant may be selected for this vacancy in the range of GS 3 to GS 6. Physical Requirements: Physical Requirements: The incumbent must be able to perform work that requires regular and recurrent walking, bending, lifting 45 pounds or more, stooping, reaching, stretching, and similar activities supporting various weights. The position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This also includes frequently pushing medication carts, wheelchairs, lifts, and beds. The LPN must be able to care for Veterans with various medical and psychiatric issues. At times, these Veterans exhibit unpredictable behavior. The LPN must be able to work closely with others, have sufficient hearing to respond to various alarms, and must be able to communicate verbal and in writing. He/she will make caring for the veteran his/her priority while in the work setting and demonstrate customer service principles in all aspects of work. ["The LPN will: Ensure proper identification of patient/resident per policy before administering care. Assist co-workers willingly without being asked and work well as a team member. Function in collaboration with the RN in identifying needs of patients and carrying out assignments. Accurately report and record significant changes in patients' conditions and actions taken. Assist the RN with admission of a patient. Recognize and communicate with NM/team leader and/or designee the need for additional instructions for self and those under their direct supervision. Assist in data gathering for patient education needs, suture removal wound care/dressing wound cultures, diagnostic skin testing and computerized patient data application. Demonstrate the ability to utilize the computer independently, to obtain patient information and maintain accurate input of data. Treatment/exam room maintenance (infection control, supplies stocked, equipment operational). Practice safety precautions according to written procedure in performance of duties when working with patients and patient's personal care devices, medication administration and unit equipment. Perform duties in a safe manner to prevent patient/resident/employee accident/injury. Safely operate equipment such as specialized beds, prosthetic devices and suction machines. Utilize proper body mechanics, mechanical lifting devices and transfer aids when lifting and moving patient/residents to prevent injury to self and others. Utilize principles of infection control, cleanliness and hand washing to assure a safe, clean environment to prevent cross infections. Pay Scale: General Pay Scale\nWork Schedule: Rotational\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000/ Licensed Practical Nurse\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.