Nursing Service is seeking a Float Licensed Vocational Nurse in Intermediate Care (IMC) who will provide nursing support to a wide range of specialties as well as primary care (internal medicine). Specialty services include, but are not limited to Cardiology, Pulmonology, Rheumatology, Allergy, Neurology, Dermatology, Hem/Onc, Endocrinology, Diabetes/Weight Management, Hepatology, Renal, GI, etc. 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. 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. 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). Physical Requirements. See VA Directive and Handbook 5019. 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). References: VA Handbook 5005/3, Part II, Appendix G13, 4/10/2003 The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: This position requires Moderate lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Straight pulling (1 hour), Pushing (1-3 hours), Reaching above shoulder, Use of fingers, Both hands required, Walking (4 hours), Standing (2-7 hours), Kneeling (2 hours), Repeated bending (2 hours), Climbing, use of legs and arms, Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Specific visual requirement of 20/40 DVA; corrected, Both eyes required, Ability to distinguish basic colors, Hearing (aid may be permitted), Sitting (8 hours), Simple grasping (2-4 hours) Fine manipulation (including keyboarding 4-6 hours), Twisting (2 hours), Mental and emotional stability Grade Determinations: In addition to the basic requirements, 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. 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. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below: (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. (d) 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 (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. ["Duties and responsibilities include but are not limited to: The Licensed Practical/Vocational Nurse performs tasks such as recording vital signs, preparing and administering medications, immunizations, doing intake histories, assisting the physician with physicals and/or procedures, diabetic foot exams, clearing annual clinical reminders, assisting with female wellness exams and performing other duties as requested to meet patient needs and institutional performance measures. The delivery of care will be in accordance with established standards, hospital policies and procedures and is consistent with the plan of other health care providers. The LVN will demonstrate knowledge and skills concentrated in carrying out the most complex practical nursing care assignments and observe, identify and respond to patients needs for nursing. Varies order and sequence of assigned procedures based on the patient's condition and will be able to reorganize workload based upon unit needs and will accurately report and record significant patient information. The LVN provides input for modifying patient care plans considering physical, emotional and social factors. You will demonstrate ability to pursue practical knowledge of human behavior, motivations, and reactions to situations to working effectively with patients, family and staff members. The complete work needs only general review by RN for technical and clinical accuracy, appropriateness and conformity with policy and nursing assignments and demonstrate responsible behaviors within the nursing care team. The LVN will use sound judgment in application of the nursing process. They will foster/support a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement. Preferred Experience: Three years recent LVN nursing experience Recent experience in ER/Acute Care, ICU or Med/Surg Recent experience PACT/Primary Care Clinic or Specialty Clinic Proficient technical skills Excellent customer service and Interpersonal skills BLS certification required Work Schedule: Monday - Friday, 7:30am - 4:00pm (Tour of Duty and location may change due to patient care needs) 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"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.