The Licensed Practical Nurse (LPN) functions as a member of the Mental Health Services nursing and treatment teams in planning and implementing a full range of practical nursing care for veterans. He/she provides complex age-specific and population specific nursing care for adult and geriatric inpatients or outpatients with physical, mental, behavioral or psychosocial needs, according to assignment and training. 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: a. United States Citizenship. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. b. 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. Verification can be obtained from the State approving agency [or] the National League for Nursing [Accrediting Commission], 61 Broadway, 33rd Floor, New York, NY 10006. [Additional information may also be obtained from the NLNAC Website. 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. 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 chapter 3, section B, paragraph 16 of this part. d. 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: GS-6 (a) Completion of at least one (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 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. 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. ["The LPN are expected to be technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations, requiring minimal guidance and direction. The LPN is characterized by the employee's: a. Demonstrated ability to vary the order and sequence of assigned procedures based on the patient's condition, to use judgment in selecting the most appropriate application of procedures and guidelines, and to accurately report and record significant patient information. Completed work should need only a general review by the RN or provider for appropriateness and conformity with established policies and procedures. b. Demonstrated ability to observe, identify and respond to the patient's needs for nursing, medication, and equipment-assisted care, and to recognize deviations from normal. In modifying care plans, the LPN GS-6 considers physical, emotional and social factors. c. Practical knowledge of human behavior, motivations, and reactions to situations. Demonstrated ability to use this knowledge in working effectively with patients, families and other staff members. Duties include but not limited to: Patient Care activities, as appropriate to assignment:\na. Provides for the patient's privacy and safety.\nb. Assists with data collection for outpatients and new admissions. Observes, reports and documents signs and symptoms of patient's general condition. Actively contributes to nursing and/or interdisciplinary team conferences, exchanging information about patient needs and condition, and assists in the nursing management of patients with complex problems. Provides input into the development, implementation and evaluation of the Nursing Care Plan and/or the Interdisciplinary Plan of Care.\nc. Provides direct nursing care to adult and geriatric patients with complex problems according to nursing standards and Medical Center policy and procedure. This includes, but is not limited to:\n1. Bathing, showering, oral care, shaving, feeding, turning and positioning, and ambulating. The LPN is able to identify/apply age specific considerations, e.g. the geriatric population is prone to dry skin, and requires lubrication, etc. Performs work in a safe manner providing a safe environment for patients, self and other staff, for example, using universal precautions, isolation procedures, and body mechanics. Recognizes and reports potentially hazardous\n2. Following competency verification, performs phlebotomy.\n3. Collecting and labeling specimens, e.g. blood, sputum, urine, stool.\n4. Performing enterostomal care, perineal care, administering enemas and colostomy irrigations.\n5. Providing bowel/bladder training, applying external urinary devices, performing bladder catheterization.\nOther duties as assigned. Work Schedule: Rotating shifts\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 667-00037-F\nRelocation/Recruitment Incentives: Not Authorized\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.