The incumbent assists and cares for patients/residents in the inpatient and outpatient setting, communicates with other members of the healthcare team regarding patient/resident concerns and personal observations, and carries out orders and the plan of care under the direction and supervision of a Registered Nurse (RN) or Licensed Independent Practitioner (LIP). More senior and higher graded Licensed Practical/Vocational Nurses (LPN) may provide guidance, support, and instructions. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, . Basic Requirements: Citizenship: Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.). 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). 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. 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. Grade Determinations: GS-03:None beyond the basic requirements. GS-04:Six months of qualifying experience as LPN or LVN.OR Experience and Education: 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. OR Education: Graduation from an approved school of at least 24 months duration. GS-05: Completion of at least one year of qualifying experience at the GS-4 level or equivalent and fully meeting all performance requirements for the GS-4 LPN/LVN. 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. 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 to prepare, administer, and 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. GS-06: Completion of at least one year of qualifying experience at the GS-5 level or equivalent and 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 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. 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. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, reporting any deviations from normal to RN or MD/DO. 5. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of 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 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/handling specialized instruments or other specialized equipment, monitoring the patient's condition before, during, and following the procedure. 9. Actively seeks 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 - http://vaww.va.gov/OHRM/Directives- Handbooks/Documents/5005.pdf. This can be found in the local Human Resources Office. 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/carrying 15-44 lbs., walking, standing, kneeling, & repeated bending; both legs required; Ability to distinguish colors; Hearing (aid may be permitted). ["The work involves the performance of a limited range of functions using rules, policies, and direct oversight by a more experienced LPN, RN, or LIP. The work involves a variety of patients/residents of diverse cultural, spiritual, and education backgrounds. The work directly affects the overall well-being of patients/residents served. The work involves care of Veterans following accepted facility practices. The employee must be able to recognize appropriate materials and techniques used with each patient/resident. Guidelines include operating policies and practices of the facility including those involving inpatient and outpatient care; accepted materials, procedures and techniques associated with each piece of equipment; and other facility publications including memoranda of understanding, service agreements, and written plans of care. Equipment for patient/resident care includes items such as non-critical reusable medical equipment (RME) used for obtaining vital signs, electrocardiograms, telehealth carts and cameras, and other tools for obtaining data and information about patient/resident visits. Situations requiring deviations from the guidelines are referred to the Supervisor. Duties include but are not limited to: Communication- Recognizes that illness and/or hospitalization may cause fear and anxiety which patients/residents may express in a variety of behaviors and is able to respond in an appropriate manner to those patients. Manage Reusable Medical Equipment-Incumbent must be proficient and demonstrate competency in the set-up, the reprocessing, the procurement, the trialing, or use of Reusable Medical Equipment (RME) as applicable for all equipment for which s/he has been trained. Nursing Practice/Technical Competence- Incumbent demonstrates nursing functions within scope of practice. First line supervisor may be a non-RN or be an on-site or remote RN. Observation, Reporting, and Documentation- He/she identifies physical and emotional changes in patient/resident condition. He/she demonstrates practical knowledge of human behavior, motivation, and reactions to situations. Reports these in a timely manner and initiates appropriate action within scope and experience. Accountability-The incumbent remains current on all licensures, Talent Management System (TMS) and VARHS mandatory education completing each assignment timely with minimal reminders. Cultural Transformation-The incumbent is knowledgeable and demonstrates a holistic approach while working with the patients/residents. He/she prioritizes putting the needs, interests and lifestyle choices of individual residents/patients at the center of their care giving. Maintaining a Safe and Therapeutic Environment-Maintains a safe, clean, therapeutic environment and adheres to infection control guidelines. Prevents injury to self and others by complying with established safety procedures and uses proper body mechanics and transfer techniques, including use of safe patient handling and mobility equipment. He/she promotes a no-lift environment among peers by encouraging use of safe patient handling equipment. He/she may serve as unit peer leader for safe patient handling. Work Schedule: 12hr rotating shifts with one 8hr shift as needed. Examples: 1800-0630, 0600-1830. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000/Licensed Practical Nurse 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.