Licensed Practical Nurse

Full Job Description

The Licensed Practical Nurse performs assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the Veteran.

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.

*Education exceptions listed in qualification standard.

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.

English Language Proficiency. Proficient in both spoken and written English.

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.

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.

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-06.

The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: See Additional information. Major Duties:

Total Rewards of a Allied Health Professional Duties Include but not limited to: Perform assigned duties to promote quality health care. Ensure positive customer service.

Maintain an environment committed to serving Veterans. Function under guidance of Nurse Manager or designee. Exhibit advanced technical competence and skill.

Perform nursing tasks requiring advanced skills. Provide practical nursing care to various patient populations. Be responsible and accountable for individual nursing practice.

Initiate, perform, and complete assigned nursing care duties. Carry out patient care based on patient condition. Use judgment in selecting order and sequence of procedures.

Recognize, report, and record relevant patient information in EHR. Make accurate observations and thoroughly document care.

Inform RN or LIP of changes in patient condition requiring higher-level intervention. Perform, report, and document oxygen therapy. Administer medications, including IV medication if certified.

Perform delegated procedures and treatments. Assist with minor procedures, including obtaining necessary equipment. Monitor patient positioning, ensuring comfort and privacy.

Complete clinical reminders, consults, and alerts as indicated. Check expiration dates on medications and supplies. Assess and identify cardiac rhythms.

Adhere to practices and techniques in medication preparation and administration. Demonstrate understanding of age-specific and population-specific healthcare needs.

Recognize and respond to urgent or emergent patient care situations. Provide patient and family health education. Support patient self-management, prevention, and wellness.

Interact and communicate appropriately with patients and families. Show respect and professional behavior towards others. Accept and apply constructive criticism.

Maintain effective communication and interpersonal skills. Follow principles of infection control and universal precautions. Handle and pre-clean reusable medical devices properly.

Utilize special equipment needed for job duties competently. Follow policy and procedures for fire and disaster drills. Implement safety and security measures. Demonstrate initiative in job duties.

Assist in the orientation of new staff and students. Validate competency of peers and clerical staff. Maintain confidentiality of patient information. Promote a positive work environment.

Seek assistance when patient care situations escalate. Use EHR efficiently and accurately. Support patient's personal goals in care planning. Maintain clinical competency through ongoing education.

Ensure cleanliness and organization of nursing areas. Manage and prioritize multiple patient care tasks. Adhere to ethical principles in nursing practice.

Collaborate with healthcare team for optimal patient outcomes. Participate in continuous quality improvement projects. Report equipment malfunctions and maintenance needs.

Provide emotional support to patients and families. Follow-up and monitor the effectiveness of care plans. Maintain accurate and timely documentation. Ensure compliance with regulatory standards.

Participate in team meetings and briefings. Contribute to a culture of safety and quality improvement. Work Schedule: 7:30pm - 8:00am with every other weekend.

Tour of Duty to be decided by supervisor Compressed/Flexible: Available 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 Authorized Virtual: This is not a virtual position.

Functional Statement #: 0000 Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized