Serves as a member of the health care team and is responsible for assisting in planning and administering quality nursing care in the sub-specialty clinical area, as well as providing a therapeutic environment for patients. 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. English Language Proficiency: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Education or Training: Must be a graduate of a practical or vocational nursing program approved by the appropriate State accrediting agency and/or the Accreditation Commission for Education in Nursing at the time the program was completed by the applicant, or have you completed Health care education in the military service or training in the military service. 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-3GS-3 Experience: None beyond the basic requirements. GS-4 Experience: At least (6) six months of qualifying experience as an LPN or LVN. OR Graduation from an approved school and have (1) 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. GS-5 Experience: Completion of at least one year at the GS-4 level or equivalent of qualifying experience as an LPN and can demonstrate the following: 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. Recognize 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 Experience: Completion of at least one year at the GS 5 level or equivalent of qualifying experience as an LPN or LVN, fully meeting all performance requirements for the GS 5 LPN and be technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. Completed work needs only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures. References: VA Handbook 5005, Part II, Appendix G13 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 (up to 44 lbs.); Light Carrying (under 15 lbs.); reaching above shoulder; Use of fingers; Walking (Up to 3 hours); Standing (Up to 3 hours); Kneeling (Up to 1 hour) ["Duties include, but are not limited to the following: 1. Responsible for Clinical Reminder completion (including but not exclusive to): Alcohol Screening, Tobacco Screening, PTSD Screening, Depression Screening, Advance Directives, ACOVE, A1C Screening, COVID-19 Screening, Suicide Screening, Diabetes Foot Exam, Nephropathy Exam, LDL < 100 Screening, Diabetes Eye Exam, Patient Education 2. Completes vital signs and basic anthropometric measurements including pain level and oxygen saturation and parameter documentation 3. Incorporates an understanding of principles of infection control and hand hygiene into clinical practice 4. Demonstrates understanding of proper body mechanics as this position requires walking, standing, stooping, lifting, bending, pushing, and turning 5. Improves organizational performance by creating a positive work culture and adheres to principles of Nursing Ethics as supported by the American Nurses Association and the mission, vision, values, human resource management, and culture of the organization 6. Works in Primary Care and Subspecialty clinics as assigned to arrange and clean the clinic environment, screen patients, and assist with the provision of a variety of patient care services adjusting for fluctuating patient load and staffing to ensure smooth clinic operation and maintenance. The LPN is expected to meet clinic priorities and deadlines and to provide quality care meeting optimal VHA Primary Care and clinic designated standards of care and organizational policies and procedures 7. Assists with diagnostic and/or treatment procedures including obtaining and preparing sterile equipment and a wide variety of specialized equipment as performed on an outpatient basis 8. Provides nursing care to patients and families as members of specialized population cohorts such as women Veterans, the homeless, dementia and Alzheimer patients, victims of abuse, and those with military related trauma endured both physically and psychologically 9. Participates in Federal clinical initiatives such as the vaccination of Veterans, their spouses and caregivers, and significant others in our outpatient and drive-through clinics 10. Administers medications using recognized rights of medication administration and the bar-code system, if available, including nebulizer treatments 11. Collects routine laboratory specimens following organizational policies and procedures 12. Performs standard clinical diagnostic screenings such as, but not limited to, blood glucose monitoring, bladder scanning, venipuncture (as needed), minor dressing changes, and electrocardiograms 13. Certified, and administers American Heart Association basic life support (CPR, cardiopulmonary resuscitation) as necessary 14. Assists with clinic orientation of new employees 15. Participates in clinic in-service programs 16. Participates in continuing and in-service education programs as provided by NMV AHCS 17. Adheres to patient teaching protocols as appropriate 18. Assumes responsibility for occupational growth and development and completes assignments in the Federal Talent Management System (TMS) learning platform which can be offered locally, regionally, and nationally Work Schedule: M-F, 7:00 am - 3:30 pm or 8:00 am - 4:30 pm Telework: Not available Virtual: This is not a virtual position. 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.