The primary purpose of the Licensed Practical Nurse (LPN) is to perform assigned duties in a manner that promotes quality healthcare, positive customer service and the maintenance of an environment committed to serving the veteran. 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 and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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 (NLNCAC) at the time the program was completed by the applicant. Exceptions include: (1) Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN licensure will be accepted as meeting the education requirements for VHA employment. (2) 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. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. (3) 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. 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 VA Handbook 5005 chapter 3, section B, paragraph 16. 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. 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. Demonstrated Knowledge, Skills and Abilities (KSAs). In addition to the required experience, the candidate must demonstrate all of the following KSAs: (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. (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-06 Grade Requirements continued in Education section. Preferred Experience: One year of qualifying nursing experience at the GS-05 level or equivalent. Two years experience in hospital or ambulatory care clinic. Knowledge and ability to carry out assigned care based on patient's condition. Ability to use sound judgement when providing treatment to patients for various services. Telehealth experience is preferred but not required. Ability to utilize various software applications and quickly assimilate new technology. Excellent time management and organizational skills. Excellent written and verbal communication skills. Ability to teach and provide education and technical support when applicable. Must be proficient with Microsoft Word, Excel, PowerPoint, Teams, Outlook, CPRS, Vista, and Vista GUI. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS03 to GS06. Physical Requirements: Physical aspects associated with work required of this assignment are typical for the occupation, see Duties section for essential job duties of the position. May require standing, lifting, carrying, sitting, stooping, bending, pulling and pushing. May be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment. ["Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Current permanent VA employees and Federal employees from other federal agencies should apply under CBST-12645748-25-HC. Duties include, but are not limited to: 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, and admission data). 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. Collect, label, and send wound cultures to the laboratory. Administers prescribed medications (oral, rectal, topical, subcutaneous, intra-dermal, intra- muscular, and nebulizer treatments) in accordance with VA OBVAMC policy and procedure. Has knowledge of untoward and desired effects of drugs administered and monitors patients accordingly. Documents significant subjective and objective data regarding the physical and emotional status of the patient and those nursing care procedures he/she performs. 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. Initiates peripheral IV and administer IV therapy as ordered per policy. Add IV fluids to an existing line as ordered; change IV dressings and tubing, following established protocol. Monitor infusion pumps when being used for administering IV therapy or tube feedings. Administer IV fluids or piggybacks (prepared by the Pharmacy) to established lines. Work Schedule: Monday- Friday 5:00am- 1:30pm or 10:30am- 7:00pm, subject to change based on the needs of the facility. Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00034F, 00035F, 00036F, 00037F 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.