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. Program 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. 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: Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens. 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. Exceptions include: 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/LVN licensure will be accepted as meeting the education requirements for VHA employment. 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. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. See paragraph 4, section C. 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 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. GS-4 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 1 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. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. GS-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Demonstrated knowledge/ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. 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/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/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 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/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 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/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/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/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/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. 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. ["Work Schedule: Evenings and nights, Rotating days to include weekends and holidays. Functional Statement #:Licensed Practical Nurse, T38 Hybrid - GS-0620-03T6 Appendix G13 This position reports to the Manager Community Living Center (CLC) Duties will be performed primarily in the CLC Alpha; however, reassignment may be required based on resident care needs. Major Duties include but not limited to: Communicate respectfully and work effectively with staff, health care team, residents, and visitors. Use judgement in selecting the most appropriate application of procedures and guidelines, varying the order and sequence of assigned procedures based on resident's condition. Prepare and administer prescribed oral, topical, subcutaneous, inhaled, injectable medications, and suppositories according to policy and procedure. Correctly documents medications given or omitted in Bar Code Medication in accordance with established policy and procedures. Initiates, maintains, and discontinues IV therapy and intermittent intravenous devises. Administers IV piggyback medications via continuous infusion or intermittent infusion devise according to medical center policy and procedures. Report all untoward resident incidents for example: medication errors, falls, etc., to Charge Nurse/Nursing Manager, and initiates incident report. Observe and document resident changes in condition, such as bleeding, vomiting, fainting, skin changes, behavioral concerns, etc. and report changes to the Charge Nurse or Registered Nurse (RN). Initiate emergency response teams: Rapid Response Team (RRT), Code Blue, Stroke-Cardiac alerts and responds to emergency situations including cardiopulmonary arrest, choking, and disaster or fire drills. As an interdisciplinary team member, provides input into the care planning process, assists/provides teaching in activities of daily living (ADLs) to residents. Provides/reinforces resident/family/significant other teaching related to medications, disease process, procedures, and self-care activities. Participates in more complex teaching for resident self-care, such as diabetic care, self-catheterization, etc. and in restorative program based on the needs of resident. Perform treatments/procedures utilizing established nursing care plans and auxiliary equipment according to policy, including but not limited to: application of heat and cold, wound care, changing sterile and clean dressings, administering suppositories, cleansing and retention enemas, tube feedings, weights, vital signs, glucose finger sticks, tracheostomy care, specimen collection, intake and output, urinary catheterization, oxygen, and colostomy irrigation, orthopedic traction, spirometry, nebulizer treatments, and standard 12 lead EKGs, and care of well-established tracheostomies and laryngectomies. Performs oropharyngeal, tracheostomy, and tracheal suctioning, and tracheostomy and laryngectomy care. Perform resident care activities which include, but are not limited to: Restorative Care, oral and enteral feeding, bathing, bed making, lifting, turning, positioning and ambulating residents; oral, hair, nail and related care; and other related care such as care of urinary drainage appliances. Collect specimens such as urine, sputum, and stool for laboratory analysis. Provide range of motion exercises for dependent residents at least once per shift. Adhere to the Safe Patient Handling Program standards, practices, and recommendations. Prepares residents for tests, examinations, treatments and surgery. Assists Licensed Independent Practitioner with a variety of diagnostic procedures by setting up trays, supplies, and equipment, using sterile technique and monitoring the resident's condition before, during and following the procedure. Procedures include, but are not limited to: insertion of chest tubes, thoracentesis, paracentesis, lumbar puncture, and liver biopsies. Applies assistive/protective devices or prosthetic appliances. Understand restraint policy, has knowledge to apply, observe and care for residents in restraints, documenting according to hospital policy and procedure. Document observations, therapeutic measures performed, and care provided following established policy and procedure in correct medical record and completes clinical reminders. Collect subjective and objective data which contributes to the nursing admission assessment, resident reassessment, and discharge planning. Provide resident information to the Charge Nurse or RN and revises the resident's treatment plan. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentive: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHAVISN04HREDRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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