Serves as a member of the health care team and is responsible for assisting in planning and administering quality nursing care in a designated clinical area, as well as providing a therapeutic environment for patients. 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. English Language Proficiency: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Education or Training: Must be a graduate of a practical or vocational nursing program approved by the appropriate State accrediting agency and/or the Accreditation Commission for Education in Nursing at the time the program was completed by the applicant, or have you completed Health care education in the military service or training in the military service. 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 and meet the criteria). Grade Determinations: GS-3GS-3 Experience: None beyond the basic requirements. GS-4 Experience: At least (6) six months of qualifying experience as an LPN or LVN. OR Graduation from an approved school and have (1) 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 Experience: Completion of at least one year at the GS-4 level or equivalent of qualifying experience as an LPN and can demonstrate 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. Recognize 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 Experience: Completion of at least one year at the GS 5 level or equivalent of qualifying experience as an LPN or LVN, fully meeting all performance requirements for the GS 5 LPN and be technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. Completed work needs only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures. References: VA Handbook 5005, 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: Moderate Lifting (up to 44 lbs.); Light Carrying (under 15 lbs.); reaching above shoulder; Use of fingers; Walking (Up to 3 hours); Standing (Up to 3 hours); Kneeling (Up to 1 hour) ["Knowledge of and skill to perform a variety of treatment procedures specific to outpatient primary care and subspecialty clinics, i.e., General Internal Medicine Primary Care, Women's Health, General Surgery, Ear, Nose and Throat (ENT), Allergy, Rheumatology, Dermatology, Minor Procedure and Continuous Infusion Clinic. Knowledge of and skill sufficient to understand nursing principles, practices and procedures; patient disease entities; ethics; interdisciplinary treatment/care plans; interpersonal and teaching skills; use of medical equipment, medical materials and supplies for the purpose of carrying out complex nursing care for a variety of acute and chronically ill patients whose age may range from 17 years to 100+ years. Knowledge of and skill in basic physical assessment. Knowledge sufficient to understand the patient 's medical record, medical history and interdisciplinary treatment/care plan for the purpose of providing care. Knowledge sufficient to understand the patient 's medical record, medical history and interdisciplinary treatment/care plan for the purpose of providing care. Knowledge and skill sufficient to observe, identify and report the patient's physical, psycho-social and emotional status. Knowledge sufficient to update the interdisciplinary treatment/care plan based on identified needs of the patient. Knowledge and skill in providing palliative care to the terminally ill patient and their family. This requires knowledge of the grieving process and skill in providing emotional support. Ability to prioritize the sequence of assignments based on the patient's condition and needs of the clinic. Knowledge and skill sufficient to initiate appropriate emergency measures. Knowledge and skill sufficient to access computer for patient care information retrieval or to enter messages for purpose of communication, i.e., appointment management and progress notes. Work Schedule: Full Time, Monday - Friday, 7:30 am to 4:00 pm Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial 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.