The Battle Creek VA Medical Center is recruiting for a Licensed Practical Nurse within the Wyoming VA Clinic. The Licensed Practical Nurse will function in Ambulatory Care Nursing Service. 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 the program was completed by the applicant. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). OR 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. OR Individuals granted a license by a jurisdiction that does not require graduation from an approved school. 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: In addition to the basic requirements, 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. Licensed Practical Nurse 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. Licensed Practical Nurse GS-04 Six months of qualifying experience as an LPN or LVN; or 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 Graduation from an approved school of at least 24 months duration. Licensed Practical Nurse GS-05 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. 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. 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. Licensed Practical Nurse 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. 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. 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. 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 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. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Preferred Experience: Ambulatory Care, Cardiology, PACT Team Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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 pounds and over; Heavy lifting, 45 pounds and over; Pushing, intermittent hours; Reaching above shoulder; Use of fingers; Both hands required; Walking; Standing; Kneeling; Repeated bending; Both legs required; Ability for rapid and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors, shades of color; Hearing (aid permitted); Mental and Emotional Stability. ["Nursing care duties are performed in a variety of settings, primarily within the Medical Center. Work involves regular and recurring exposure to infection and transmittal diseases and ordinary risks and discomforts requiring incidence of unpredictable, assault behavior, unintentional related to confused, disoriented patients and/or patients with psychiatric disorders/history. Nursing care performed comprises a segment of nursing care and contributes to the delivery of health care and the recovery of the patient. Work consists of personal nursing care duties, treatments, diagnostic support, recording, patient teaching and rehabilitation. Recurring duties are carried out independently and employee is able to vary basic procedures to meet the individual needs and capabilities of the patient. Follows safe practices and procedures to guard patient and personal safety as well as the safety of other individuals in the Medical Center. Provides various support functions as directed including, but not limited to, providing information on where patients are located, recording and maintaining unit records and obtaining all necessary monitor supplies. Performs Alarm check per policy. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient population. 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. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment assisted care and patient/family education. Is consistently aware and responsive to special needs arising from the age and/or cultural needs of patients cared for, treated or served. Prepares and administers selected medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of 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 respects 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. Participates with other team members in planning for total patient care. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge with other staff to improve and advance nursing practice. Keeps medical staff well informed and promotes regulations pertaining to Nursing Service. Promptly recognizes and reports signs and symptoms which indicate subtle physical and/or emotional changes in the patient's condition. Utilizes proper body mechanics, lifting devices, and assistance from co-workers in performance of patient care activities which may require considerable lifting, bending, and moving of patients. Promotes safe work habits. Cares for patients being transported to facilities outside the Medical Center, which may include use of special equipment. Actively promotes, conducts, and participates in clinic conferences, therapeutic patient group activities, and educational programs. When using a blood glucose monitor, states proper use of control solutions and follows procedure when controls are not in proper range. Assumes responsibility to coordinate and maintain clinic activities during emergent situations or in the absence of a registered nurse in the immediate area. Actively uses VISTA and the Computerized Patient Record System (CPRS) and all computerized programs. Supports the Medical Center Automated Information System Security Policy & Guidelines and Nursing Service AIS Security Program and protects information obtained from the computer in accordance with federal statures regarding confidentiality of records. Work Schedule: Monday to Friday, 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 93117-A, 93118-A, 93119-A, 93120-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
