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The Licensed Vocational Nurse (LVN) is a member of the nursing team who works under the supervision of a Registered Nurse and performs assignments requiring licensure as a vocational/practical nurse. Care may be provided to patients in a variety of settings, i.e. Ambulatory Care Including but not limited to primary care, specialty care, mental health, surgery, special procedures, and Home/ and Community Based Care. 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. English Language Proficiency:. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken & written English as required by 38 U.S.C. 7402(d), & 7407(d). Lice