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 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: 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. Verification can be obtained from the State approving agency [or] the National League for Nursing [Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. 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. An LPN[/LVN] who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. 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 stated in section A, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.GS-3: None beyond the basic requirements, which include: 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. 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). GS-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs below: Six months of qualifying experience as an LPN or LVN; OR 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 Graduation from an approved school of at least 24 months duration. GS-5: Completion of at least 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. 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. 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. 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. 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. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. 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 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. 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. 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. 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 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. 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 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. 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 G-13 ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 5, 2022. Eligible applications received before that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Duties include but are not limited to: The LPN takes initiative and assumes responsibility for providing routine to complex practical nursing care to a group of patients as assigned. Provides personal care to patients and utilizes therapeutic approaches, which promote independence, and self care. Collects and reports physiological data (i.e. vital signs, weights, collection and measurement of intake and output, lung sounds, admission data, collects and labels lab specimens). Demonstrates skill in recognizing subtle signs of impending change in the patient's condition and reports to the RN appropriately. Observes and monitors patients for changes in physical, mental status, and behavior. Modifies care, activities, and interactions in response to observed changes and reports to the RN. Performs packing of wounds, sterile dressing changes, and performance of identified unit specific activities as identified in unit competency documentation (e.g. telemetry, BGM, CPM, traction, etc.) Administers prescribed medications (oral, rectal, topical, subcutaneous, intra-dermal, intra-muscular, and nebulizer treatments) in accordance with VA NWIHCS policy and procedure. Has knowledge of untoward and desired effects of drugs administered and monitors patients accordingly. After demonstrated competence and/or certification per Nebraska Nurse Practice Act, the LPN may: Insert NG and feeding tubes without stylus. Reinsert gastrostomy tube in an established tract Insert and irrigate foley catheters Irrigate and /or remove supra-pubic catheter in an established tract Manually remove fecal impactions Remove sutures and staples. The employee recognizes and initiates appropriate action in emergency situations; assists the resuscitation team upon arrival. Sets up and assists in the operation of equipment. Orients staff and patients in the use of this equipment. Shared responsibility for ensuring medical equipment is functional and safe; reports any evidence of malfunctioning equipment. Participates in the coordination of patient care activities with other departments/services. Monitors and adds IV solutions in accordance with the Nebraska Nurse Practice Act. Work Schedule: Monday-Friday 8:00am - 4:30pm, Rotating Wednesdays 10:00am -6:30pm.\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Contact VHAVISN23EDRP@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required *This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program.* Physical Requirements: Lifting up to 35 pounds for 8-12 hours, intermittently; Moderate carrying (15-35 pounds) for 8-12 hours, intermittently; Lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy (PCS-026) except in emergent situations requiring prompt patient care; Pulling for 8-12 hours, intermittently; Pushing for 8-12 hours, intermittently; Reaching above the shoulders for 8-12 hours, intermittently; Both hands required; Walking 8-12 hours, intermittently; standing 8-12 hours, intermittently; Kneeling 8-12 hours, intermittently; Repeated bending for 8-12 hours intermittently; Climbing and use of both legs and arms for 8-12 hours, intermittently; Both legs required; Near vision correctable at 13-16\" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other eye; Ability to distinguish basic colors; Hearing (aid permitted); Specific hearing requirements; Other: twisting, simple grasp and fine manipulation."]
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.