Licensed Practical Nurse Ambulatory Care

Summary The Licensed Practical Nurse (LPN) reports to the designated Nurse Manager and is responsible and accountable for the provision of patient care and for delivery of quality nursing care to a culturally diverse veteran patient population (internal / external).

Responsibilities Duties include but not limited to : Reports to the designated Nurse Manager and is responsible and accountable for the provision of patient care.

Delivers quality nursing care to a culturally diverse veteran patient population (external / internal). Performs practical nursing measures with precision and efficiency, consistent with Medical Center Policy and procedure and within legal and ethical responsibilities of his / her licensure as a Licensed Practical Nurse.

Demonstrates working practices that include adherence to infection control standards and the safe use and operation of equipment.

Seeks guidance from RN and / or provider regarding resolution of clinical issues. Assists during emergent situations, initiates, and / or assists with CPR, choking, fire emergencies etc.

and obtains equipment and supplies as requested by the RN or physician. Administers medication accurately and promptly under the general supervision of the RN.

Demonstrates understanding of the effects and / or reactions caused by medications, treatments, and procedures. Records and reports these observations to RN.

Performs personal care, diagnostic support duties, and treatments according to procedure under the direction of the RN in a timely manner.

Responds to patient's nursing needs, including physical comfort, and emotional needs and recognizing problems from the normal.

Initiates, administers, assesses, monitors, and reports IV sites, start intravenous fluids and piggyback solutions prepared by Pharmacy.

Participates in unit staff meetings (80% attendance unless excused by manager / supervisor.) Documents vital signs, treatments and procedures performed in CPRS.

Participates in change of shift reports and patient care conferences as assigned. Documents observations, care, patient education, interventions, and patient responses to care in medical records in a timely manner.

May receive a variety of additional assignments or special projects either to meet the needs of the medical center or designed for professional growth of the individual.

Possesses the skill to provide care to the young adult, adult, and geriatric patients, i.e. ages 18 years through 100+ years old with knowledge of the principles of growth and development over this life span.

Collects and identifies data and information needed for each patient's requirements relative to his or her age-specific need and to provide the care needed as described in the policies and procedures.

Completes annual training that includes four main components : self-awareness, cultural awareness, cultural knowledge, and cultural communication.

Uses the Veterans Health Information and Technology Architecture (VistA), bar Code Medication Administration (BCMA), and Computerized Patient Record System (CPRS) per policy.

Work Schedule : Monday-Friday 0800-1630 / 0730-1600 Financial Disclosure Report : Not required Recruitment Incentive (Sign-on Bonus) : Not Authorized Permanent Change of Station (Relocation Assistance) : Not Authorized Telework : Not Available Virtual : This is not a virtual position.

Functional Statement # : 000000 Permanent Change of Station (PCS) : Not Authorized Financial Disclosure Report : Not required Requirements Conditions of Employment You must be a U.

S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.

Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12 / 31 / 1959.

Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background / security investigation.

Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications 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.

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 : In addition to the basic requirements stated above the following qualification criteria must be met for each grade.

• GS-3 None beyond the basic requirements listed above. GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below : 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. 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. 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 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.

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 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.

Preferred Experience : 2-3 years Patient Aligned Care Team (PACT) / Primary Care experience; Emergency Room / Outpatient Nursing experience References : VA Handbook 5005 / 3, Part II, Appendix G-13, Licensed Practical or Vocational Nurse Qualification Standard dated April 10, 2003 Full performance level is 06.

• Actual grade at which applicant may be selected is in the range of 03 to 06. Physical Requirements : Heavy lifting (45 lbs and over);
• Straight pulling; Pulling hand overhand; Reaching above shoulders; Use of fingers, both hands required; Walking; Standing;
• Kneeling; Repeated bending, both legs required; Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20 / 40 in the other;

Ability to distinguish basic and shades of colors; Hearing without aid; Hearing whispers; Mental and Emotional Stability.

Education IMPORTANT : A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note : Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment.

You can verify your education here : If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

For further information, visit : Additional Information This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply.

The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.

e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date.

The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.