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. 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. Learn more 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. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. 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. Transcripts must be submitted at time of application. Conferral of degree(s) must be stated on transcript(s). Unofficial transcripts are acceptable. Exceptions include: Individuals granted a license by a jurisdiction that does not require graduation from an approved school. 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. Licensure: Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth 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). 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: GS-3 None beyond the basic requirements. GS-4 Candidates may be appointed at or advanced to GS-4 if they meet any of the following criteria: 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. GS-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Employees assigned to this position must demonstrate the following knowledge, skills and abilities: Knowledge/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/Health Technicians in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides education to patients/family members in relation to common disease processes, medication, and/or prescribed treatment regimes. 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. 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/responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, reporting to personnel for corrective action. 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. Employees assigned to this position must demonstrate the following knowledge, skills and abilities: 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 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. In organizing and delivering care, the LPN/LVN recognizes and considers emotional , cultural, spiritual, socio-economic, and age-related factors. Prepares/administers medications and performs treatments according to established policies/procedures. Observes for physical/emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal. 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 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. Incorporates knowledge/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 employees related to support duties for these more complex, specialized tests/procedures. Seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve/advance nursing practice. References: VA HANDBOOK 5005/3 PART II APPENDIX G13 II-G13-1 APPENDIX G13. LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD 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. 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). Physical Requirements: Heavy lifting, 45 pounds and over; Straight pulling, 6 hours; Pushing, 2 hours; Reaching above shoulders, use of fingers; Both Hands required; Walking, 6 hours; Standing, 2 hours; Repeated bending, 6 hours; Visual Acuity 20/30 corrected ["Nursing Care: Is knowledgeable of elder abuse, observes for subtle signs and symptoms, and reports immediately to the charge nurse if there are reasons or evidence of abuse. Demonstrates knowledge and skill 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. Recognizes subtle deviations from normal and/or changes in the Veteran's condition or response to nursing care. He/she reports changes in Veteran's condition or response to nursing care to the RN or Licensed Independent Practitioner. Provides care to Veterans according to Patient Centered Care (HATCH model) appropriate to their cognitive, physical, emotional, and chronological maturation. Organizes and prioritizes routine Veteran care activities and promoting maximizing the Veteran independence and comfort. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform these 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. Monitors and identifies patients' response to drugs through documentation Demonstrates knowledge of routine medications, as well as those requiring special monitoring. Withholds medications when indicated by change in patient condition or behavior. Administers a variety of pain control measures and records effectiveness. (understands pain control to include alternatives I options to medications) Administers respiratory therapies as ordered: inhalers, Maximist, pulmonaid, oxygen (cannula/prongs/masWventimask) Identifies Veterans/residents needing immunizations and administers them as needed. Monitors and reports untoward skin conditions and records appropriate Braden scale score. Performs wound care including dressing changes, irrigations, and drains. Administers respiratory therapies, to include incentive spirometry and oxygen. Performs the following tasks: Tracheostomy care, performs oral/pharyngeal suctioning, manages and monitors gastric/intestinal drainage and feeding tubes (including checking for residual). Manages, applies and monitors pneumatic, sequential, compression devices, delivers ostomy care, utilizes Bladder Volume instrument appropriately, performing neuro sign checks as assigned, and implementing seizure precautions Safety: Demonstrates adherence to safety guidelines in accordance with training classes, written procedures and supervisory instructions; the utilization of safety equipment and other devices/procedures necessary for protection; and the reporting of unsafe/unhealthful working conditions or unsafe equipment. Maintains a safe/clean work environment. Selects and employs appropriate lifting/moving/transfer techniques/devices. Interpersonal Communication: Has the 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. Works effectively with patients/families/visitors/co-workers and/or members of other services to promote positive interactions. Customer Service: 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. Work Schedule: Monday through Friday 7AM - 3:30PM\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Please contact the VISN 20 EDRP Coordinator Stacy Hermann @ V20CompensationTeam@va.gov\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.