**Recruitment incentive may be authorized for highly qualified candidates** This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.. Learn more BASIC REQUIREMENTS: a. Citizenship. Citizen of the United States. b. 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 NLNAC Website. Exceptions include: (1) 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. (2) 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. (3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school. See paragraph 4, section C. c. 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. d. 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: Grade Determinations. In addition to the basic requirements, the following criteria must be met when determining the grade of candidates: GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.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. 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.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 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.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.6. 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: 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.1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.2. 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.3. 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.4. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures.5. 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.6. 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.7. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills.8. 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 instruments.9. Actively seeks out educational opportunities to enhance nursing knowledge and skills. References: VA Handbook 5005/3, Part II, Appendix G13. ["The Licensed Practical/Vocational Nurse (LPN) is organizationally aligned under Ambulatory Care Services and provide services to the VA Ann Arbor Healthcare System at the Toledo Ohio Community-Base Outpatient Clinic (CBOC) Veteran patient population. Duties listed are at the GS-6 level, developmental grades will differ in complexity and level of supervision. Ensuring appropriate evaluation and access is provided to patients. Utilizing all available tools to enable effective and efficient identification and intervention of individual patients and cohorts. Functioning at the full extent of the team member's scope of practice based on experience/training. Participates in team performance improvement and sustainment activities. Provide health education on wellness, disease prevention, chronic care management and self-management skills to patients and personal support persons, based on the documented expertise or professional training of the PACT member. Use informal/formal communications that are respectful, effective, and timely with all team members and other internal/external customers to convey significant, clinically relevant information for the care of the patient. Collaborate with informatics technology staff to develop and implement systematized, electronically supported, standardized, tools to support PACT care delivery processes. Responsible for specific role assignments: Participates in PACT team huddles Participates in process improvements and system redesign Promotes personal, pro-active, Veteran Centered care Assists with pre-visit phone calls Reviews daily clinic schedule for patient care needs Collaborating with PACT team members to develop comprehensive health care plans and care management plans for Veterans assigned to panel. Manages clinic flow: Vital signs and treatments as indicated/appropriate Completing appropriate clinical reminders Assisting the provider with exam/procedures Administering and tracking immunizations Preparing and administering medications Completes orders per provider or protocol Observes, records and reports patient's response or changes in patient's condition Promptly recognizes and responds to urgent or emergent situations Checks daily equipment/supplies and restocks the exam rooms Promptly recognizes and responds to urgent or emergent situations Acts as patient advocate Telehealth Duties: Manage required screenings and complete clinical reminders, documentation, opening and closing encounters required Assist the primary care with the Veterans physical exam as needed Responsible for Veteran education, documentation and assistance with workload capture basic for the completion of the visit, per scope of practice Regular contact with the Facility Telehealth Coordination to work out any process issues, equipment needs/problems, data collection and any other logistical issues Performs Tele-Presenter duties for the encounter Considers gender-specific Tele-Presenters who can serve as chaperones when required Covers Telehealth clinics scheduled for the day, as assigned Assists Care Manager in coordinating care for patients As part of the Clinical Deployment Team (CDT), you may be deployed to the Disaster Emergency Medical Personnel System (DEMPS) which is the Veterans Health Administrations main deployment program for clinical and non-clinical staff to an emergency or disaster. The DEMPS Program may be used for an internal VA mission, as well as supporting a mission after a Presidential Disaster Declaration under the National Response Frameworks Emergency Support Function #8 (Public Health and Medical Services). For more detailed information about DEMPS, see our DEMPS Page. Employees may be deployed to DEMPS for up to two months per year. Work Schedule: Monday - Friday with occasional evenings/weekends Telework: No Virtual: This is not a virtual position. Functional Statement #: 92234-A Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact the EDRP Coordinator for questions/assistance at VISN10HREDRPSLRP@va.gov. Learn more 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.