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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. Program 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.
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: 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 National League for Nursing Accrediting Commission (NLNAC) 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 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
OR Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
OR Individual granted a license by a jurisdiction that does not require graduation from an approved school
Licensure - Active - full - current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State - Territory - or Commonwealth (i.e. - Puerto Rico) - of the United States or the District of Columbia
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 - Six months of qualifying experience as an LPN or LVN
OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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-05 - Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent
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-06 - 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 a 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 - 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: 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.
Duties
VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Duties include - but are not limited to: Adheres to VA and Nursing Service policies - procedures - and standards
Delivers care to patients in a respectful non-judgmental manner and according to the Patient Care Plan
Maintains patient/ client privacy
Sets limits within nurse/ patient relationships which are clearly defined
Demonstrates understanding of age- and population - specific characteristics that affect the health care needs of the Veteran
Performs aspects of admission/discharge procedures - as directed
Collects patient data including observations of patient status
Accurately reports patient/client information
Recognizes subtle and significant changes in the patient in Communicates subtle changes in patient condition/response to nursing care
Promptly recognizes urgent or emergent patient care situations - seeks assistance and effectively intervenes as directed when appropriate
Accurately retrieves and documents patient/ clinical information including reassessment data - using CPRS
Organizes/ prioritizes routine and non-routine nursing care activities
Provides care to patients/clients appropriate to their cognitive - physical - emotional and chronological maturation
Provides effective education to patients and/or family members in relation to common disease processes - medications - and/or prescribed diagnostic and/or treatment regimes - as directed
(e.g
health promotion - dx
tests)
Adheres to standards of practice and safe technique in preparation and administration of medicine
Observes patient for adverse effects from medication and reports to the team RN
Safely provides nursing care: (1) Administers medications according to the 5 Rights
(2) Transcribes MD Orders - and RN validates
(3) Conducts 24 hour chart checks
(4) Monitors/reports/participates in selected aspects of (5) Intravenous therapy/parental nutrition
(a) flow rate (b) site appearance (c) system integrity (d) venous access site care (e) discontinues intravenous access devices (does not include right atrial catheters - ports - or PICC's) (f) flushes IV lines with normal saline solution (g) administers commercially prepared IV solutions (h) safely operates mechanical infusers (i) documents all aspect of care related to delivery of IV therapy
Administers a variety of pain control measures and records results
Performs wound care including dressing changes - irrigations - and drains (Jackson-Pratt - Penrose - Hemovac - and T-tubes)
Administers respiratory therapies
Incentive spirometry
Inhalers - MDI - Maxi-mist - Pulmonade
Oxygen (cannula/prongs/masks/Venti-mask)
Performs oral/pharyngeal suctioning
Performs tracheostomy care
Monitors gastric/intestinal drainage and feeding tubes
Manages feeding tube - including checking for residual
Implements use of urinary drainage devices and related care
(1) Condom catheter
(2) Intermittent catheter
(3) Foley catheter (4) Urostomy
(5) CBI
(6) Suprapubic catheter
(7) Urethral stents
Performs actions targeted to the maintenance and/or restoration of skin integrity
Work Schedule: Day shift - 7:30am-8:00pm and 7:30am-4:00pm Compressed/Flexible: Available Recruitment Incentive (Sign-on Bonus): Not authorized
Permanent Change of Station (Relocation Assistance): Not authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive
Contact VHA.ELRSProgramSupport@va.gov - the EDRP Coordinator for questions/assistance
Learn more
Pay: Competitive salary and regular salary increases When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by the VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not available
Virtual: This is not a virtual position
Permanent Change of Station (PCS): Not authorized.
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.