This is an open continuous announcement. Applicants will be accepted on an ongoing basis and considered as vacancies become available. Applicants will remain on file until December 29, 2022, or until all vacancies are filled. The Licensed Practical Nurse (LPN)/Vocational Nurse (LVN), is responsible to the Registered Nurse for administering specialized nursing care activities to veteran in the Outpatient Geriatric Extended Care & Rehabilitation Clinics (Physical Medicine & Rehabilitation). 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. 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 program was completed by the applicant. 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.] 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 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: GS-03 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-04 Six (6) months of qualifying experience as an LPN or LVN; OR Graduation from an approved school and one (1) 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. 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-05 Completion of at least one (1) year of qualifying experience at the GS-4 level or equivalent. Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. GS-06 Completion of] at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. References: VA Handbook 5005/3, Part II, Appendix G13. Licensed Practical or Vocational Nurse Qualification Standard. 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: Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over);Straight Pulling (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Kneeling (up to 8 hours); Both legs required or prosthesis; Ability for rapid mental and muscular coordination simultaneously; Ability to read typewritten characters, glasses permitted; Ability to hear the whispered voice, hearing aid permitted. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. ["The LPN or LVN will have the knowledge and skills necessary for self-direction in carrying out the most complex practical nursing care assignments in the outpatient clinics. Duties and responsibilities include but are not limited to: Practices good customer service in all work activities. Includes such action as treating all customers with courtesy and fairness; considering the impact of work decisions on customers; and incorporating customer feedback in job and work modifications. Good customer service must be the central theme of all work- related activities. Adheres to VA Directives, CAVHCS Policies & Procedures, and Clinic Standard of Practices. Provides nursing care for adults and elderly with age-related needs by incorporating pertinent physical, psychological, and cultural needs into the plan of care. Contributes to the interdisciplinary team in the development, implementation and evaluation of the patient's treatment plan and promotes patient's participation in the therapeutic community by fostering self-reliance and independence. Communicates effectively giving pertinent information about assignment, etc. Discusses, promotes, initiates Whole Health Care. Assists the registered nurse and physician with complex procedures per policy, scope of practice, and competency. Performs support duties for diagnostic procedures, which include preparing the patient, preparing emergency requisitions, assisting in the diagnostic examination, preparing and passing instruments, and monitoring the patient's condition. Uses CPRS efficiently for documentation entry and retrieving data (EKG, Lab, Medication, x-ray, etc.) from patient's records. Maintains a positive, safe, quiet, aesthetic environment. Performs nursing procedures as appropriate as delineated in the Nursing Procedure Manual/Protocols. Demonstrates self-direction in applying knowledge of National Patient Safety Goals, fire, safety, emergency and disaster regulations, practices and procedures; initiates and maintains standards of infection control, cleanliness and safety in patient/resident environment independently; exercises proper use and maintenance of patient care equipment. Monitors and collects data for Performance Improvement (PI)activities benchmarking with best practice to improve process and promote quality outcome. Ensures current (PI) data is posted and able to explain. Prepares, administers, and documents medications according to policy, observing for actions and reactions; reviewing order & checks with the nurse, pharmacist or his/her designee, to ensure accuracy of medications before administering to patients (as needed). Provides administrative and clinical support to the Registered Nurse and clinic as needed on tour of duty assigned. Re-educate patients on medical equipment and chronic illnesses; completed wellness call/conduct nursing clinic visits. Recognizes the need for and initiates emergency measures in psychiatric crises, assists in controlling patients during \"Code Green\" episodes. Recognizes changes in the patient's condition/care and report to Registered Nurse &/or provider/initiates code as needed. Responds to fires/fire drills, disasters/disaster drills, and Emergency/Rapid Responses according to Medical Center policies. Recognizes the need for and initiates emergency measures in life threatening situations (Code Blue /Rapid Responses); assists in cardiac monitoring/resuscitation procedures during cardiac/respiratory arrests and with the choking victim. Assists with orientation of new personnel and patient. Establishes therapeutic, constructive relationships with patients/families/co-workers to elicit feelings and attitudes and promote positive relationships, communication, and socialization. Practices correct body mechanics, utilizes devices &/or request help when needed to move, lift, or transfer patients. Follows clinic schedule; reports to assigned area timely, plan, and organize work according to daily patient care assignments and executes assignments without direct supervision in a timely manner. Responsible for clinic flow when needed. Participates in self-development, continuing education activities, and performance improvement tasks. Reports safety and ethical concerns to appropriate persons using Chain of Command. Rotates to other GEC&R Outpatient Clinics as scheduled/needed. Completed other responsibilities as assigned by Nurse Manager and Charge Nurse. Other duties as assigned. Work Schedule: Monday-Friday 7:30AM-4:00PM. Subject to change based on agency needs.\nTelework: Not Available\nVirtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial 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.