The Licensed Vocational Nurse (LVN) utilizes technical and manual skills under the direction of the Registered Nurse or a licensed physician in the assigned area. Incumbent performs a wide range of patient care duties. Incumbent performs a wide range of patient care and duties throughout NCHCS. The incumbent has the knowledge and skills to carry out nursing assignments for ambulatory care nursing. Competency will be validated during the orientation period, and annually thereafter. 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. Education or Training: Graduate of a school of practical or vocational nursing approved by the appropriate State Agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN); OR Received health care education/training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualified for full LPN/LVN licensure. 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. [NOTE: YOU MUST PROVIDE YOUR LICENSE NUMBER OR SUBMIT A COPY OF YOUR CURRENT LICENSURE WITH THE APPLICATION PACKAGE]. 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). 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-3 Licensed Vocational Nurse: Experience and Education. None beyond the basic requirements. GS-4 Licensed Vocational Nurse: A) Experience. Six (6) months of qualifying experience as an LPN or LVN. OR B) Education. Graduation from an approved school of at least 24 months duration. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.] OR C) Education and Experience. 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. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.] GS-5 Licensed Vocational Nurse: Experience. One (1) year of progressively responsible assignments and experience equivalent to the GS-04 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-04 LPN/LVN: 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. 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 Licensed Vocational Nurse: Experience. One (1) year of progressively responsible assignments and experience equivalent to the GS-05 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the 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. 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. 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. 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. Preferred Experience: Possess a current BLS provider card issued by American Heart Association (AHA) or Military Training Network (MTN). Possess three (3) years of Licensed Vocational Nurse Experience. The full performance level of this vacancy is 6. References: VA Handbook 5005/3, Part II, Appendix G13 Licensed Practical or Vocational Nurse Qualifications Standard, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf Physical Requirements: 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 Licensed Vocational Nurse works in collaboration with the PACT team and specialty teams, reports to the primary care Nurse Manager. The LVN is responsible for observing, recording, and reporting changes in the patient's condition and as assisting in the flow of the clinic. The LVN is a member of the Patient Aligned Care team. The LVN requires a general review of their work by an RN for appropriateness and conformity with license, policies, and procedures. The LVN demonstrates active collaboration and communication with PACT (Patient, Primary Care Provider, RN Care Manager and Patient Support Technician) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient). Includes, but not limited to: Completes work assignments within established time frames, adapts to change in or additions to work assignments including cross-covering other nursing outpatient clinics whenever necessary; reprioritize as necessary. Completes mandatory training and annual training requirements. WORKING CONDITIONS AND PHYSICAL DEMANDS - The LVN performs, reports, and records assigned nursing care in the Primary Care Clinics, including, but not limited to: Oxygen therapy Clinical reminders with appropriate consults and alerts as indicated Check expiration dates of meds and supplies Delegated procedures and treatments Documentation Assists with minor procedures, including obtaining and arranging necessary equipment, positioning patient, ensuring comfort and privacy. Monitors patient during the procedure. Uses and practices basic assessment (data collection), participate in planning, executes intervention in accordance with the care plan or treatment plan, and contributes to evaluation of individualized interventions related to the care plan or treatment plan i.e., 2-day post discharge calls. Responsible for patient and clinic flow. This includes but is not limited to: organizing and attending team huddle, pt. check in (vital signs, clinical reminders, and medication review), informing patients if PCP running late and clinic check out if necessary. Adheres to standards of practice and safe technique in preparation and administration of medication. Serves in a role to support Telehealth clinical programs across the system. Reviews daily care schedule for patient care needs and pre-visit planning Completes appropriate clinical reminders Demonstrates understanding of age- and population-specific characteristics that affect the health care needs of the Veteran. Promptly recognizes urgent or emergent patient care situations, seeks assistance, and effectively intervenes as directed when appropriate. Aid in patient education Based on the patient's goals, provides patient and family health education, to include self-management, prevention, and wellness. Interacts and communicates appropriately with patients and family members. Demonstrates professional behavior (i.e., respect, civility, ability to accept constructive criticism), effective communication and interpersonal skills. Adheres to principles of infection control, safety, and universal precautions. Incumbent possesses knowledge of proper handling and pre-cleaning of reusable medical equipment. Demonstrates competence utilizing special equipment needed to perform job duties. Follows policy and procedures related to fire and disaster drills, safety, and security measures. Demonstrates initiative in assisting the core and expanded team Maintains confidentiality of electronic, written, and/or verbal patient information. Maintains a work environment that honors diversity. Serves as a resource and advocate in the protection of patient and family rights. Completes mandatory reviews, including motivational interviewing and health coaching, to promote patient self-management. Supports patient-driven care in a safe, efficient, and cost-effective manner, using evidence-based principles. Promotes patient and personnel safety Performs other duties as assigned by the supervisor and/or manager. Work Schedule: various tours available 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.