The function of the Licensed Practical Nurse in Ambulatory Care is to provide and assist with the delivery of quality nursing care to a culturally diverse Veteran population. The LPN possesses the knowledge and skills necessary to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting. 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. Education: Must be a graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing (NLNAC)/Accreditation Commission for Education in Nursing (ACEN). NOTE: 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. (Transcripts/documentation required with your application). License/Registration: 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. (Copy of your license/registration is required with your application). 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 listed above, the following criteria must be met for each grade. GS-3: No requirements beyond the above listed basic requirements. GS-4: Six (6) months of qualifying experience as an LPN or LVN; or 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 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; 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-6: (a) Completion of one (1) year of 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. (h) 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. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. (i) 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. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures. (j)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 5005/3, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard, dated April 10, 2003.The full performance level of this vacancy is a GS-06. Preferred Experience: 2-3 years of experience in ambulatory care clinic setting is preferred. ["Duties include, but are not limited to the following: Provides screening questions on triage for preventative health maintenance. Triages patients for scheduled and unscheduled appointments. Provides timely and appropriate telephone calls to Veterans for diagnostic results and communications of clinical needs. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies and procedures. Triages patients for scheduled and unscheduled appointments. Data Collection. Accurately collects all pertinent information and documents on the patient database. Observes, recognizes, reports and responds appropriately to physical, emotional and behavioral changes. Recognizes deviations from the norm and acts immediately, notifying RN and documents findings. Organizes daily workload so that patient care assignment is completed timely. Independently and consistently recognizes co-worker's need for assistance and offers appropriate help. Demonstrates good judgment in decision making with general supervision. Demonstrates the knowledge, skills and ability to recognize emergency situations and seeks assistance and initiates appropriate interventions. Contributes to the development of the Nursing Care Plan. Makes modification to patient care plans considering physical, emotional, and social factors. Participates in both nursing and interdisciplinary team conferences for patient care. Contributes to the development, implementation, and evaluation of the patient's treatment plan. Actively supports the team concept and functions as a facilitator of the team concept. Contributes to team initiatives and continuously strives to improve the effectiveness of the team to which they are assigned. Demonstrates the knowledge and skills in carrying out the most complex practical nursing assignments. Adheres to Medical Center and Nursing Service policies and procedures. Ability to initiate an emergency response appropriate to the situation and provides resuscitation efforts independently. Provides a variety of physical and/or behavioral nursing care duties which include but are not limited to: assisting with activities of Daily Living (ADL) i.e. bathing, toileting, ambulating, feeding, positioning, assists with oral hygiene care; takes vital signs, measures intake and output, height and weight, leading nursing groups and unit level therapeutic activities (if applicable to clinical setting/unit). Work Schedule: Primarily day shift Monday-Friday 7:30 a.m. -4:00 p.m., or 8:00 - 4:30 p.m., subject to change based on facility and service needs.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: Licensed Practical Nurse/000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial 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.