The Licensed Vocational Nurse (LVN) is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. The LVN requires a general review of their work by an Registered Nurse for appropriateness and conformity with license, policies and procedures. 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. 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. 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. Physical Standards. See VA Directive and Handbook 5019. 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: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. Preferred Experience: 2-3 years LVN experience. This position requires flexibility in daily clinical assignments. The ability to multi-task and document utilizing computers or laptop workstations. Typing 40 words per minute preferred. Procedural experience (recommended). Good communication skills. Ability to remain calm in stressful situations and apply critical thinking skills. Makes caring for the veteran his/her priority while in the work setting and demonstrates customer service principles in all aspects of work. GS-03 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-04 (a) Six months of qualifying experience as an LPN or LVN; or (b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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 (c) Graduation from an approved school of at least 24 months duration. GS-05 (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) 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. (c) 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. (d) 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. (e) 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. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (g) 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-06 (a) 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. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (c) 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. (d) 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. (e) 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. (f) 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. (g) 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. GS-06 Grade Determination information & additional information continued below. Please see Additional Information Section. ["Collaborates with Team, committees, workgroups and/or projects related to the implementation of Veteran Care. Demonstrates proper hand hygiene prior to and immediately following patient care/contact. Ability to locate and abide by the MCP's/MCM's, policies and standard of processes to foster a High Reliability Organization. Assist the provider and/or RN with gathering data, chart reviews and documents appropriately. Gets specialty clinic ready for provider and patients by obtaining current clinic appointment list, ensuring supplies and equipment are readily available, lab and diagnostic test are ordered, lab and diagnostic results pertaining to the specialty clinic appointment are available for provider. Supports Team development through remediation, mentoring, certification and product rollouts. Assist with educational programs to reflect learner needs/outcomes, health care trends, research, and changes in the healthcare environment. Recognizes normal from abnormal findings based on patient admitting diagnosis and history, reports information to Provider and/or RN. Follows current policy and procedure regarding patient with positive screenings of Suicidal ideation/ Homicidal ideation, PTSD/Depression, positive Audit-C (alcohol screening). Notifies provider and/or RN of findings and completes documentation appropriately. Gathers data, notifies and documents increased signs of confusion, agitation, and unsafe behavior. Notifies provider/RN in a timely manner of patient condition changes. Has the ability to recognize abnormal vital signs, notifies provider/RN and documents accordingly to policy and procedure guidelines. Participates and ensures a \"time-out\" is performed prior to procedures and documents accordingly with all required information. Demonstrates safe administration of injections, including review of chart for clear/correct orders and instructions, appropriate patient teaching, location of necessary equipment, such as, but not limited to AED, supplies and appropriate scheduling of veteran for return appointment. Work Schedule: Monday - Friday, 8:00 AM - 4:30 PM Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required Physical Requirements: Moderate lifting (15-44 pounds); moderate carrying (15-44 pounds); straight pulling (1 hour); pushing (1 hour); reaching above shoulder; use of fingers; both hands required; walking; standing (1 hour); kneeling (0.5 hours); repeated bending (1 hour); depth perception; ability to distinguish basic colors; hearing (aid may be permitted)."]
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.