~INCENTIVES MAY BE AVAILABLE~ The Licensed Practical Nurse assigned to the General Medicine Service exhibits knowledge and skills necessary for concentrated effort and self-direction. The General Medicine Service provides out-patient clinic care for Veterans with acute and chronic health conditions, with age ranges from young adult to geriatric. In organizing and delivering care, the LPN/L VN recognizes and considers emotional, cultural, spiritual, socioeconomic, and age-related factors. 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 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. ~OR~ 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. NOTE: You must submit a copy of your transcripts or documents showing degree and date of confirmation. Licensure. Possess a full, active, current, and unrestricted license 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. NOTE: You must provide a copy of your current license. 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, the following criteria must be met when determining the grade of candidates: LPN, GS-04 Experience/Education. Six 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. NOTE: You must submit a copy of your transcripts/certification showing degree earned and conferred date. LPN, GS-05 Experience. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Demonstrated Knowledge, Skills, and Abilities. In addition to the above experience, the candidate must show: (a) 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. (b) 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. (c) 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. (d) 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. (e) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (f) 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. LPN, GS-06 Experience. At least one year of additional qualifying experience at the GS-05 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience listed above, the candidate must show: (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. 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. (c) 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. (d) 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. (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) 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. (g) 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. (h) 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. References: VA Handbook 5005/3 Part II, Appendix G13 dated: April 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: Heavy lifting (45 lbs. and over), Heavy carrying (45 lbs. and over), Straight pulling/pushing (2 hrs.), Walking/Standing (6 hrs.), Repeated bending (6 hrs.), Ability to distinguish basic colors and shades of colors, Hearing (aid permitted), Visual acuity 20/30 corrected, Working closely with others. ["The duties of the LPN (GMS) PACT include but are not limited to:\nLPN, GS-3\nLPN's at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration). The LPN GS 3 demonstrates patient centered physical and behavioral intervention, competencies and a collaborative approach with the Core Team (patient, Primary Care Provider, RN Care Manager, and Clerk) involved in providing care to the patient. Completed work may require routine or detailed higher-level review depending upon the complexity.\nLPN, GS-4\nLPNs 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. The LPN (GS-4) performs at the advanced beginner level under the direction of a Registered Nurse. The LPN demonstrates patient centered physical and behavioral intervention, competencies and a collaborative approach with the Core Team (patient, Primary Care Provider, RN Care Manager, and Clerk) involved in providing care to the patient. Work performance is periodically reviewed by the RN for the purposes of competency validation. Observes and provides care for patients through the implementation of assigned interventions. These interventions are focused on maximizing patient's self-care management as identified in the plan of care. Delivers care to the patient in a respectful, non-judgmental manner and according to the patient's plan of care. Maintains patient's rights to privacy. Recognizes significant changes in patient's response to nursing care. Communicates significant changes in patient's condition/ response to the RN. Accurately documents and retrieves patient information utilizing CPRS. Performs aspects of patient education as directed (i.e., health promotion, glucometer, B/P monitoring, etc.). Provides care to patients appropriate to their cognitive, physical, and emotional maturation. Adheres to standards of practice and safe technique in preparation and administration of medicine. Observes patient for adverse effects from medication and reports to the RN Care Manager Participates/ monitors/ reports in selected aspects of Oxygen therapy, Wound care to include dressing changes.\nLPN, GS-5\nThe Licensed Practical Nurse GS-5 assigned to the General Medicine Service exhibits knowledge and skills necessary for concentrated effort and self-direction. The Patient Aligned Care Team provides care for Veteran with a variety of health disorders; with age ranges from young adult to geriatric. In organizing and delivering care, the LPN/LVN GS-5 recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. Applicants must demonstrate the ability to carry out the most complex practical nursing assignments, including assignments for selected acute care, long-term, ambulatory care, or psychiatric patients requiring preventive, health promotion or interventional therapies.\nLPN, GS-6\nThe Licensed Practical Nurse GS-6 assigned to the General Medicine Service exhibits knowledge and skills necessary for concentrated effort and self-direction. The General Medicine Service provides out-patient clinic care for Veterans with acute and chronic health conditions, with age ranges from young adult to geriatric. In organizing and delivering care, the LPN/L VN GS-6 recognizes and considers emotional, cultural, spiritual, socioeconomic, and age-related factors. Applicants must demonstrate the ability to carry out the most complex practical nursing assignments, including assignments for selected acute care, long-term, ambulatory care, or psychiatric patients requiring skilled nursing care; demonstrate their participation as a member of a health care team with these selected patients and providing care to them on a regular and recurring basis; completing assigned duties and responsibilities which involve performing non-standard and specialized practical nursing activities at the GS-6 level, requiring broad work experience and demonstrated skill sufficient to resolve a range of nursing problems.\nThe Licensed Practical Nurse GS-06 is fully proficient and meets all performance requirements for the LPN/L VN GS-5. The LPN/L VN GS-6 demonstrates technical proficiency in initiating, performing and completing assigned duties in providing care to patient populations at all complexity levels and care settings. Uses judgment in selecting the appropriate order and sequence of procedures and treatments. Work Schedule: Monday-Friday, 10 hour shifts Telework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: Licensed Practical Nurse, GS-0620-3/4/5/6; Functional Statement: 00000\nRelocation/Recruitment Incentives: May be 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.