Summary

The Licensed Practical Nurse positions are located at the Lebanon VA Medical Center within Nursing Services - Primary Care Specialty Services. The primary purpose of this position is to perform a very wide range of patient personal care - support diagnostic services - and chart activities on a regular and continual basis on a surgical - medical - rehabilitation - psychiatric - or long-term care ward or clinic.

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: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• 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
• 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:Employees may be appointed at or advanced to GS-4 if they meet any of the criteria 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/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 - 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: At least 2 years experience and at least 1 year outpatient experience
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.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: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - pushing - lifting 45 pounds or more - reaching above the shoulder - frequent pushing medication carts
• and use finger and both and hand and legs
• Transferring patients and objects may be required.

Duties

• Under the supervision of a licensed registered nurse (RN) - the licensed practical nurse (LPN) functions as a member of the nursing team and assists the RN in the care of patients in acute - sub-acute - or chronic states of illness
• The LPN delivers fundamental - knowledge-based care to assigned patients while developing technical competencies
• Major duties include - but are not limited to: Receives patients scheduled for the various clinics or arriving for other ambulatory care
• Assists patients with getting on and off examination tables
• Escorts ambulatory patients and transports patients via litter or wheelchair when required
• Ensures all specimens are labeled according to hospital policy
• Sets up examination room by providing necessary instruments and supplies - ensuring clinic area and equipment is aseptically clean and in order - and assures patient charts and necessary information is available
• Assists providers and nurses by supplying needed equipment - providing information such as - vital signs - weight - observations - and information obtained from patient
• Assures smooth clinic operations by directing the patient to the appropriate area
• Inventories - orders - and restocks needed linens and supplies
• Reports defective equipment
• Detects and reports unsafe work conditions
• Uses correct protective personal equipment (PPE) and standard precautions in all areas of patient care
• Maintains order and cleanliness in storage and work areas
• Performs electrocardiograms (EKGs) - places patient on a life pack and completes glucometer checks on patient
• Administers prescribed medications per policy
• Provides intravenous (IV) therapy under the supervision of the registered nurse - per policy
• Applies infection control measures appropriately in delivering care
• Communicates with team members regarding patient care
• Adheres to ethical and principles and standards in delivering care
• Enters information into patients' records/charts
• Applies knowledge and skill core competencies of the assigned unit to patient care
• Uses effective communication skills with co-workers to achieve desired patient outcomes
• Identifies patient and family learning needs - educates the patient/family member(s) according to the patient education record - and documents the evaluation of learning
• Instructs the patient and family on his/her role in various procedures performed
• Explains how equipment will be used
• Reinforces information previously supplied by the physician or nurse
• Informs nurse care manager of obstacles to learning that will require enhancement
• Demonstrates mandatory and clinical competencies of the position
• Administers life support measures - cardiopulmonary resuscitation (CPR) when required
• Performs messenger duties for Primary Care/Primary Care Specialty Services - as needed - to obtain STAT meds - equipment - specimens - etc
• Documents procedures performed and results
• Checks to see that patients are present for appointment
• Prepares patient for treatment and examination and positions them properly on examination table or chair
• Assures privacy when exposure is necessary for observation/treatment by the provider
• Observes patient for any immediate needs and gives prompt attention or seeks help - as necessary
• Participates in nursing in-service educational programs
• Performs other duties as assigned
• VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Work Schedule: 7:45am-4:15pm - Monday-Friday Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized 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 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
• Functional Statement #: 05635F Permanent Change of Station (PCS): Not Authorized