Note: Selections from this announcement will be made without regard to Veteran's preference in accordance with VA Human Resources Management Letter 05-19-12. The LPN functions as a part of a Patient Aligned Care Team (PACT) teamlet, planning and implementing a full range of practical nursing care for Veterans. 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. Language: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Education: Must be a graduate of practical or vocational nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant. License: Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia. 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-06: Completion of at least 1 year of qualifying experience at the GS-05 level or equivalent, fully meeting all performance requirements for the GS-05 LPN/LVN: Applicants must also meet the following Knowledge, Skills & Abilities: 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. 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: Phlebotomy skills. References: VA Handbook 5005/3, Part II, Appendix G -13 Licensed Practical or Vocational Nurse Qualification Standard. The full performance level of this vacancy is GS-06. The grade at which an applicant may be selected for this vacancy is GS-06. Physical Requirements: Moderate lifting (15-44 pounds), Heavy carrying ( 15-44 pounds), Pushing (4 hours); pulling hand over hand, reaching above shoulder, Walking ( 8 hours), Standing (8 hours), Repeated bending (2 hours), use of fingers, both hands required; both legs required, Far Vision correctable in one eye to 20/20 and to 20/40 in the other, ability to distinguish basic colors, ability to distinguish shades of color, depth perception; both eyes required, Hearing (aide may be permitted). Environmental Factors: Working closely with others, working with hands in water, protracted or irregular hours of work. ["The Primary Aligned Care LPN screens and assists with provider plans of care utilizing the Patient Aligned Care Team (PACT) model of patient care. The LPN utilizes data collection findings from all involved disciplines and the PACT teamlet. Reports changes to provider or PACT RN. Identifies specific patient goals, using the PACT process, and assists with evaluation of patient's progress toward achieving goals.\nDuties include, but are not limited to: Collaborates with professional peers, and members of the interdisciplinary PACT team, and the programs/services and community resources in meeting patient care needs; Collects data and collaborates in the assessment of the patients health status; Provides psychosocial support to patients/family/care givers through telephone care, direct care and support services and documents care provided in medical record accurately. Participates in health teaching and counseling to promote, attain, and maintain the optimum health level of patients, as delegated; Responsible for intake of patients, vital signs, and clinical reminders at every visit and are to be addressed as applicable. Participates in work groups, teams and/or committees and supports the facility performance improvement activities and organizational goals; Establishes constructive relationships with individual patients to elicit feelings and attitudes and to promote positive relationships, communications, and socialization skills; Provides patient education at each encounter/visit. Provides personal care to patients and utilizes therapeutic approaches, which promote independence and self care. Work Schedule: Monday - Friday, 7:30 am - 4:00 pm\nTelework: Not available\nVirtual: This is not a virtual position.\nFunctional Statement #: 502-00094-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.