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 Basic Requirements: United States Citizenship: Citizen of the United States. Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) 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 that is accepted by the licensing body in the jurisdiction in which licensed as qualifying for full LPN/LVN licensure meets the education requirements. 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 of the US, or District of Columbia. Language Proficiency: Eligible candidates must be proficient in English (spoken and written). Grade Determinations: GS-3: 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-4: Six months of qualifying experience as an LPN or LVN; OR Must have graduated 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 Must have graduated 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 AND 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. 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 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. 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. 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 one year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN AND 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 RN/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 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. Preferred Experience: Previous clinic experience. References: VA Handbook 5005. Part II, Chapter 3, Appendix G13. 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: Standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning; repositioning patients; assisting with transfers; pushing or lifting in excess of 45 pounds; requires visual (corrected to 20/30 or better with color discrimination) and auditory acuity at a level to provide safe and effective nursing care; arms above shoulder level or with neck in a fully flexed or extended position; ability to work on computers for extended periods of time. ["Licensed Practical Nurse (LPN) demonstrates knowledge and ability to provide practical nursing care to Veteran patients. This service line cares for patients treated in an outpatient medical-surgical hospital clinic. The LPN must demonstrate the ability to serve as a responsible member of the nursing care team and interact with Veterans, family members, other health care professionals and other employees of the organization. Participates with the health care team to deliver quality care to Veterans while they are admitted to the hospital. Must have the physical ability to care for potentially severely disabled Veterans, who require total nursing support for most or all of their bodily functions; this includes moving the Veterans safely and moving and reaching the equipment necessary to provide patient care. The LPN is assigned to the Outpatient Specialty Clinics will be cross trained to support in a variety of specialty medical-surgical clinical areas. Duties will vary based on grade. At the GS-6 level, duties will include, but are not limited to: 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. Role model and is accountable to adherence to external reviewer standards, policies, procedures, standards of care, standards of practice, patient centered care guidelines, and cultural transformation. Seeks out educational opportunities. Remains current with maintaining required licensing, required education, required skills, and competencies. Maintains appropriate boundaries in the nurse/Veteran relationship by not obtaining personal gain at Veterans' expense, and refrain from inappropriate involvement in the Veterans' personal relationships. Demonstrates knowledge and skill performing support duties for complex diagnostic tests and/or specialized practices or procedures. Serves as a preceptor in orienting, educating, and training. Completes tasks for clinic procedures as directed by the RN. Collects Veteran data including observation of Veteran status and offers information for the plan of care. Recognizes subtle deviations from normal and/or changes in the Veteran's condition or response to nursing care. Truthfully and accurately documents Veteran information. Performs aspects of Veteran education. Provides care to Veterans 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 and perform 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 LIP. Administers medications according to the 5 Rights; the right patient, drug, time, dose, and route. Demonstrates ability to monitor and identify patients' response to drugs through documentation. Reports all discrepancies promptly to the RN. 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. Administers respiratory therapies as ordered. Identifies Veterans/residents needing immunizations and administers them as needed. Monitors/reports/participates in selected aspects of IV therapy and parenteral nutrition. Monitors and reports untoward skin conditions and records appropriate Braden scale score. Performs actions targeted to the maintenance and/or restoration of skin integrity. Performs wound care including dressing changes, irrigations, and drains. Administers respiratory therapies, to include incentive spirometry and oxygen. Performs tracheostomy care, performs oral/pharyngeal suctioning, manages and monitors gastric/intestinal drainage and feeding tubes. 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. Rooms patients, completes clinical reminders as indicated, and turns over rooms following appropriate infection prevention and clinic or facility protocols and procedures. Work Schedule: Monday thru Friday 8:00am - 4:30pm\nTelework: Not available\nVirtual: This is not a virtual position\nRelocation/Recruitment Incentives: Authorized\nEDRP Authorized: Contact Stacy Hermann, the EDRP Coordinator, at email@example.com for questions/assistance\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.