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The LPN (GEC) positions are 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. 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. Additional information may also be obtained from the NLNAC Website. Note: must submit transcript with application. 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. Physical Standards. See VA Directive and Handbook 5019. 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-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: (a) Six months of qualifying experience as an LPN or LVN; OR (b) 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 (c) Graduation from an approved school of at least 24 months duration. GS-05: (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. GS-06 (Full Performance Level): In addition to the basic requirements stated above the following qualification criteria must be met for each grade.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. (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. Preferred Experience: 1 year of direct patient care in Medicine Specialtysetting preferred. 1 year of direct patient care in Mental Healthsetting preferred. 1 year of direct patient care in Geriatric and Extended Care/CLCsetting preferred. 1 year of direct patient care in Primary Caresetting preferred. 1 year of direct patient care in Surgery/Procedure setting preferred. References: VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard. 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. ["*** THIS POSITION IS OPEN TO ALL US CITIZENS. HOWEVER, IF YOU ARE A CURRENT PERMANENT VA EMPLOYEE, PLEASE APPLY UNDER ANNOUNCEMENT CBTC-11908887-23-CAF*** This is an OPEN CONTINUOUS ANNOUNCEMENT for Orlando VAMC and surrounding CBOCs is looking for Medicine Specialty, Geriatric and Extended Care/CLC (EDRP approved), Mental Health (Mental Health Inpatient, Domiciliary, Mental health/ Medicine Specialty), Primary Care (PACT, Clinical Pharmacist Spec/CPS, Occupational Health), and Surgery/Procedure (Surgical Specialty, GI). The Licensed Practical Nurses (LPNs). The initial cut-off date for referral of eligible applicants will be every 15 workdays. Eligible applications received after this date will be referred at regular intervals or as additional vacancies occur until 07/03/2023. Applications expire after 3 months. To continue to be considered applications require updates. These Licensed Practical Nurse positions are located at multiple locations within the Orlando VA Medical center, address are as follows: Orlando VA Medical center, located at 3800 Veterans Way, Orlando, FL 32827; Clermont Community Based Outpatient Clinic, located at 3200 Citrus Tower Blvd. Clermont, FL 34711; Deltona VA Clinic, located at 1200 Deltona Boulevard, Suite 41-47 Deltona, FL 32725; Kissimmee CBOC, located at 701 Union Street, Kissimmee, FL 34741; Lake Baldwin OPC located at 5201 Raymond Street, Orlando, FL 32803; Tavares Community Based Outpatient Clinic, located at 1390 E. Burleigh Blvd. Tavares, FL 32778, Viera OPC, located at 2900 Veterans Way, Viera, FL 32940; William V. Chappell, Jr., VA OPC, located at 551 National Health Care Drive Daytona Beach, FL 32114; Palm Bay VA Clinic, located on 5200 Babcock St NE, Palm Bay, FL 32905. The LPN uses a systematic problem-solving process in the care of multiple patients with predictable health care needs to provide individualized, goal-directed nursing care. The LPN may contribute to the plan of care by collaborating with interdisciplinary team members, the patient and the patient's family. The LPN collects data and information, recognizes changes in conditions and reports this to the RN supervisor or another appropriate clinical supervisor to assist in the identification of problems and formulation of goals, outcomes, and patient-centered plans of care that are developed in collaboration with patients, their families, and the interdisciplinary health care team. The LPN participates in the nursing process by appraising the individual patients status or situation at hand. The LPN can participate in implementing established teaching plans for patients and their families with common health problems and well-defined health learning needs and suggest any modifications to the plan of care that may be necessary. Major duties of the Licensed Practical Nurse position includes, but are not limited to: Knowledge ?and ability to appropriately carry out assigned Veteran care based on the Veterans' conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant Veteran information. Managing clinic workflow. Ensuring patients are placed in examination rooms in a timely manner and providing direction to patients as they move through the clinic environment. Assist in panel access through scrubbing weekly reviewing scheduled appointments. Observes for physical and/or emotional changes in Veteran's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or Provider. Serves as a preceptor in orienting, educating, and training less experienced or technically skilled staff 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. Work Schedule: Full-time, Multiple Work Schedules, dependent upon the service, discussed during interviews. Flexible to meet the needs of the organization Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact VISN 8 Compensation Center of Excellence at VISN8CCOE@va.gov for questions. See \"Additional Information\" section below for more details, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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