This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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 a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing(ACEN) at the time the program was completed by applicant. Verification can be obtained from the State approving agency or the Accreditation Commission for Education in Nursing. Licensure: 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. 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: 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 Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below: (a) Six months of qualifying experience as an LPN or LVN; or (b) Graduation from an approved school (which may be waived as provided in paragraph 4 of 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. (d) 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-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 approval 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 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. (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 Qualification Standards 5005/03, Part II Appendix G13 Licensed Practical Nurse 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: Extensive periods of sitting, standing and walking. Working with patients requires regular and recurring lifting, pushing, stooping, squatting, kneeling, crouching and similar activities. ["** Recruitment Incentive Authorized** THIS OPEN & CONTINUOUS ANNOUNCEMENT (OCA) ESTABLISHES A STANDING REGISTER OF ELIGIBLE APPLICANTS, which closes on August 1, 2022. The initial cut-off date for referral of eligible applications will be June 17, 2022 with subsequent reviews every other week as additional vacancies occur, or on an as-needed basis, until positions are filled. Please see the \"What To Expect Next\" area of the announcement which provides additional information on the referral process for this type of announcement. Primary Care - The Licensed Practical Nurse (LPN) works under the direction of a RN and reports to the Primary care Nurse Manager. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the implementation of the patient-driven holistic care plan for life. The LPN is a member of the clinical care team. Demonstrates personal, legal and ethical accountability following VA CWM HCS regulations and established policies to protect the privacy of the patient. Understands and implements the I CARE (Integrity, Commitment, Advocacy, Respect, Excellence) values in day to day dealings with staff and Veterans. Interacts with patients/family/significant others, professional and supportive services in a courteous and tactful manner. Maintains a nonjudgmental attitude towards the ideas and beliefs of others and understands cultural diversity, practicing within EEO guidelines. Ensures that all outpatient clinic appointments are scheduled in accordance with the business rules in VHA Directives. Specialty Care - The Specialty Clinics LPN is a position within the Outpatient Specialty Clinics Service Line at VA CWM HCS. Under the supervision of a RN, the LPN functions as a member of the multidisciplinary team assisting with the delivery of care to patients in the outpatient specialty clinic setting. The primary purpose of this outpatient LPN specialty clinics position is to provide a full range of services and nursing care to patients who present for or request assistance. Performs services requiring technical and manual skills and obtains basic patient data, e.g., vital signs, weight, medication taken. Assists with outpatient procedures, participates in planning executes interventions in accordance with the treatment plan, and contributes to evaluation of individualized interventions related to treatment plan. Recognize and report potential safety hazards and life-threatening emergencies and respond appropriately. As an active member of the multidisciplinary care team this nurse understands the importance of reporting and recording. Nursing - The LPN works under the direction of a RN and reports to the Nurse Manager. Performs a variety of support duties that facilitates the work of physicians, physician assistants, nurses, nursing assistants and other members of the medical facility who provide Veteran care. Demonstrates sound judgment in assigning a priority order to those requests which best serves the interest of the Veteran and the unit. The incumbent must be flexible enough to adjust work plans to include the demands received in the form of an administrative problem to which they usually independently applies a solution. Processes Veterans for admissions, transfer, or discharge following established written nursing program guidelines. Work consists of personal nursing care duties, treatments, diagnostic support, recording, Veteran teaching and rehabilitation. Other duties may include, but are not limited to: Provides support for the Patient Aligned Care Team in the Primary Care clinics following established nursing and primary care policies and procedures. Demonstrates age appropriate care for the following age groups whom may be experiencing medical and psychological consequences of illness: adult, age 18, to the elderly adult, age 65 and over. Participates in selected health screenings, clinical reminders, telephone calls and nursing treatments as assigned. Administers medications according to the 5 rights of Medication administration. Documents medication administration using BCMA/CPRS. Follows policy for administration of controlled substances. Accesses and utilizes Unapproved Abbreviation List. Ability to draw, centrifuge and package lab samples when indicated. Demonstrates proper infection control techniques including but not limited to: hand washing, blood borne pathogens, needle stick management, and personal protective equipment. Demonstrates ability to effectively handle multiple projects and duties simultaneously; prioritizes appropriately. Work Schedule: Monday-Friday; Day Shift\nTelework: Not Available\nVirtual: This is not a virtual position\nFunctional Statement #: Assigned upon selection\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.