First Area of Consideration (AOC) will be given to NAGE permanent employees, Topeka VAMC. Second AOC will be given to permanent employees of EKHCS. Third AOC will be given to the public (U.S. Citizens and U.S. Nationals). To qualify for this position, applicants must meet all requirements by the closing date of this announcement. 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 accrediting agency and/or National League for Nursing at the time the program was completed by the applicant. This requirement maybe waived for candidates with health care education or training in military service, which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying or full LPN/LVN licensure. Licensure: Full, active and current licensure as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e. Puerto Rico) of the United States or in the 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 provision in chapter 3, section B, paragraph 16 of this part in VA Handbook 5005, Appendix G13. English Language Proficiency: LPN/LVNs 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: In addition to the basic requirements above, the following qualification criteria must be met for each grade. Applicants must clearly demonstrate the level of competence required for the grade. GS-3: None beyond the basic requirements. LPNs at this 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. 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 of VA Handbook 5005) 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 1 year of qualifying experience at the GS-4 level or equivalent. In addition, the following criteria must be met: 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. 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: Requires at least 1 year of additional qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN. In addition, the following criteria must be met: Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient population. 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 of care, including medication, equipment-assisted care and patient/family education. Prepare and administer 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, initiates 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. Establish constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. 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. Actively seek out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References: VA Handbook 5005/3, Part II, Appx G13, Licensed Practical Nurse Qualification Standard, dated April 2003. Physical Requirements: The physical requirements for this position in accordance with HRML No. 05-12-02 , Employment of People with Disabilities, Including Under Schedule A, 5 CFR 213.3102(u). Heavy Lifting (35 pounds and over); Heavy Carrying (35 pounds and over); Straight pulling and/or Pushing (up to 6-8 hours); Reaching above shoulder; Use of fingers; Both Hands required; Walking (up to 6-8 hours); Standing (up to 4 hours); Sitting (up to 1 hour); Kneeling; Repeated bending (up to 1 hour); Both legs required. Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20; Hearing (aid permitted); Ability to hear whispered voice. Emotional stability. Ability for rapid mental and muscular coordination simultaneously. ["The first round of applicants will be reviewed on 11/8/2022. Additional applicants will be reviewed on a weekly basis until all positions are filled or the close date of announcement. This is for a LPN (PACT) position at the Lawrence KS Community Based Outpatient Clinic (CBOC). The Licensed Practical Nurse works under the supervision of a Registered Nurse and is responsible for the nursing care provided to the patients present for primary care appointments. The Licensed Practical Nurse will prepare and dispense medications and administer IV fluids and IV medications as ordered. The LPN will give personal and hygienic care as needed and provide assistance with activities of daily living to include moving, lifting, and positioning if needed in clinic. The LPN will take vital signs, do the pre-appointment interview and required health screenings, administer treatments as ordered and assist with administrative duties on the team such as medication reconciliation, patient tracking, and assist with home health and nursing home orders and forms needed. May be responsible for drawing blood and collecting other specimens, operating lab equipment and preparing samples for transport. Other duties may be assigned by the Nurse Manager as needed. This position may cover other LPN areas/PACT Team. Excellent customer service and communication skills are required. This position will require travel to other locations (CBOC's) (30% or more). Travel to and from the Topeka VA Medical Center will be required for Orientation and Training. Preferred Experience: Phlebotomy and outpatient clinic experience preferred. Must be able to work in a fast-paced environment and keep on schedule. Work Schedule: Full-time, Monday through Friday; 7:30am to 4:00pm or 8:00am to 4:30pm with occasional Saturday coverage by rotation and Saturday on call is covered by rotation. Telework: Not available. Virtual: This is not a virtual position. Financial Disclosure Report: Not required. Paid Time Off: Receive 13 to 26 days paid annual (vacation/personal) leave per year, 13 sick days annual with no limitation on accumulation, and 11 paid federal holidays. Retirement: Traditional federal pension (5 years' vesting) and federal 401k with up to 5% in contributions by VA. Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). For More Information on Benefits: https://www.vacareers.va.gov/Benefits/EmploymentBenefits/"]
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.