Summary

The Licensed Practical Nurse (LPN) is directly responsible to the Registered Nurse and/or preceptor for providing direct care within his/her scope of practice. This vacancy is in the Out-patient Specialty Clinics located at the Bowling Campus of the Lexington VA Health Care System. The LPN must be able to carry out patient care duties - technically proficient in performing and completing assigned duties.

Qualifications

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
• In accordance with 38 U.S.C. 7402(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• 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 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN
• Licensure - Active - full - current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State - Territory - or Commonwealth (i.e. - Puerto Rico) - of the United States or the District of Columbia
• 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-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:(a) Six months of qualifying experience as an LPN or L VN
• or (b) Graduation from an approved school (which may be waived as provided in paragraph 4 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-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.(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.(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-6:Completion of at least 1 year of qualifying experience at the GS-5 level or equivalent - fully meeting all performance requirements for the GS-5 LPN/LVN.(a) Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations(b) 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.(c) Ability to observe - identify and respond to the patient's needs for care - including medication - equipment-assisted care and patient/family education.(d) Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular and/or intravenous) and performs treatments according to established policies/procedures.(e) 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.(f) Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication and socialization skills.(g) 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.(h) Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• Preferred Experience: LPN experience working in a Specialty Clinic Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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
• NOTE: Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who were converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986 are considered to have met the Education requirement
• The waiver does not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions
• Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position - with or without reasonable accommodation - without hazard to themselves or others
• Depending on the essential duties of a specific position - usable vision - color vision - hearing or speech may be required
• However - in most cases - a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

Duties

• The Licensed Practical Nurse (LPN) is directly responsible to the Registered Nurse and/or preceptor for providing direct care within his/her scope of practice
• This vacancy is in the Out-patient Specialty Clinics located at the Bowling Campus of the Lexington VA Health Care System
• The LPN must be able to carry out patient care duties - technically proficient in performing and completing assigned duties
• The duties include but are not limited to: Appropriately carry out assigned patient care based on the patients' condition Using judgment in selecting the appropriate order and sequence of procedures and treatments Accurately recognize - report and record relevant patient information Observe - identify and respond to patient's needs for care including medication - equipment-assisted care and patient/family education Planning - organizing and delivering care - the LPN recognizes and considers emotional - cultural - spiritual - socioeconomic - and age-related factors
• Prepare and administer prescribed medications (oral - topical - subcutaneous - intra-muscular and/or intravenous) and other routes 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 Registered Nurse and/or preceptor or MD Ability to recognize urgent or emergent patient care situations - notify the Registered Nurse and/or preceptor and/or physician provider - and initiate appropriate emergency interventions Must possess an 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 Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication and socialization skills
• Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery
• Skills in performing support duties for complex diagnostic tests and/or specialized 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
• Work Schedule: Administrative Day Tour of Duty such as: 07:30-4:00 or 08:00 to 4:30
• Telework: Not Available Pay Scale: V744 Virtual: This is not a virtual position
• Functional Statement #:30703-F Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized