Practical Nurse

Summary

The Nursing - Ambulatory Care department is seeking a Licensed Practical Nurse (LPN) who will provide direct and indirect care to assigned patients while under the supervision of a registered nurse (RN). The LPN will provide care to Veterans that will promote the Veteran attaining and maintaining maximum functionality.

Qualifications

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:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• 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)
• Grade Determinations: In addition to the basic requirements stated above - 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: least six months of qualifying experience as an LPN/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
• 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-05: Completion of at least 1 year of qualifying experience at the GS 04 level or equivalent
• Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems
• Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients - family members - professional and/or other support personnel involved in the delivery of patient care
• Knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribed oral - topical - subcutaneous - intramuscular and/or intravenous medications
• This includes observing and documenting patient responses to medication and reporting noted changes in the patient's condition
• Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest
• Recognize and appropriately respond to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies
• GS-06: at least one (1) year of [additional] qualifying experience at the GS-5 level or equivalent - 2 years total qualifying experience - that has provided you with the following: 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
• 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. Preferred Experience: Outpatient clinical experience Reference: For more information on this qualification standard - please visit
• Physical Requirements: The position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• The position requires long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• He/she may be exposed to infected Veterans and contaminated materials and may be required to don protective clothing/equipment in isolation situations or during day-to-day clinic functions and procedures
• The LPN must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on Veteran needs
• The incumbent may occasionally be exposed to Veterans who are combative secondary to delirium - dementia - or psychiatric disorders
• Must complete annual Employee Health requirements - such as screening or testing - as a condition of employment.

Duties

• Duties Include but not limited to: Possesses the knowledge and skills to appropriately carry out assigned patient care based on the patient condition - to use judgment in selecting the appropriate order and sequence of procedures and treatment - and to accurately recognize - report and record relevant patient information
• Technically proficient in initiating - performing - and completing assigned duties in providing care to variable patient populations
• Ability to observe - identify - and respond to the patient needs for care - including medication - equipment assisted care and patient/family education
• In organizing and delivering care - the LPN recognizes and considers emotional - cultural - spiritual - socio-economic and age-related factors
• Knowledge and ability to recognize urgent or emergent patient care situations - seek assistance of the RN and/or MD - and initiate appropriate emergency interventions as directed
• Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular - and intravenous)
• Performs treatments according to established policies and procedures
• Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication - and socialization skills
• 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 - education - and training less experienced LPNs or NAs 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
• Embodies the I CARE ore values of this organization
• Integrity - Commitment - Advocacy - Respect - and Excellence create a culture of caring and civility that supports our goals
• Ensures that confidential information is at all times safeguarded and protects information from being disclosed to unauthorize sources
• Work Schedule: Monday-Friday - 7:30am- 4:00pm (Hours may change bases on the needs of the facility) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 000000/ LPN GS03-06 Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required

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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.

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