Licensed Practical Nurse

Summary

The Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) - GS-7 performs more complex nursing assignments within their setting. The LPN/LVN possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices. The LPN/LVN GS-7 work is of considerable difficulty and responsibility is performed under general supervision.

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
• 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
• Verification can be obtained from the State approving agency [or] the National League for Nursing [Accrediting Commission] - 61 Broadway - 33rd Floor - New York - NY 10006
• [Additional information may also be obtained from the NLNAC Website
• Exceptions include: (1) 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
• (2) VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
• and for their future personnel actions under this authority
• The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions
• (3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN
• 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)
• 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
• 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
• The candidate's qualifications must clearly demonstrate the level of competence required for the grade
• GS-07 Licensed Practical Nurse: This grade level is for select - complex LPN/LVN positions and requires advanced level practice
• Completion of at least one (1) year of additional qualifying experience at the GS-06 level or equivalent - fully meeting all of the performance requirements for the GS-06 LPN/LVN
• Knowledge and skills necessary to carry out more specialized patient care duties - including assignments in selected - more complex inpatient and/or outpatient care settings
• Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions
• Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans
• Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery
• Makes astute observations of subtle - less obvious changes - both physical and emotional - in patient's condition - and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan
• Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention
• At this grade level - the LPN/LVN is expected to participate to a greater degree in prioritizing - and - as appropriate - modifying patient care treatment
• They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations
• Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments - accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received
• (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions - promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate - prescribed interventions
• Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels
• Knowledge and skill to promptly recognize potential urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene - as directed - to assure the continuation of optimal - safe and therapeutic patient care delivery
• At this grade level - the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate
• Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes
• Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control - resistant or abusive behaviors - or impediments in their ability to understand or follow instructions
• This includes the ability to effectively deal with the above types of patients under very general supervision
• Work of considerable difficulty and responsibility is performed under general supervision
• Individuals in these positions are - to a considerable extent - expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles - art and science of practical nursing
• The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision
• Preferred Experience: Knowledgeable of Minimum Data Set (MDS)
• Experience in hospice - rehab - and long-term care 1-2 years
• Ability to adapt to a fast-paced environment with constant change
• Charge Nurse experience in nursing home setting 1-2 years
• Reference: For more information on this qualification standard - please visit
• The full performance level of this vacancy is GS-07.

Duties

• VA Careers - Licensed Practical Nurse: Total Rewards of a Allied Health Professional The Licensed Practical Nurse engages in nursing care which requires the knowledge and skills of an individual licensed as an LPN/LVN
• The Licensed Practical Nurse maintains a high level of practice under the direct supervision of a Registered Nurse
• He/she is responsible for the quality of care delivered and their personal and professional behavior
• The Licensed Practical Nurse is accountable to the Nurse Manager for completing Resident assignments and communicating Resident responses to the designated Registered Nurse
• Care provided will be Veteran-centered - safe - effective - and timely in a home-like environment
• The LPN is expected to accept and support the guiding principle of the medical center
• He/she should perform their duties in a manner that promotes quality health care - outstanding customer service and the maintenance of an environment committed to serving the Veteran
• Duties include but are not limited to: Maintains consistent assignments - as much as possible
• Uses an ADL documentation system to validate proper care in fluid consumption - bowel elimination - and other activities of daily living
• The LPN demonstrates knowledge and ability to provide a full range of practical nursing care to Residents 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 Resident care delivery
• Demonstrates the knowledge and skills to prepare - administer and appropriately
• Documents actions taken specific to commonly prescribe oral - topical - subcutaneous - intramuscular and/or intravenous medications as permitted by approved local facility policies and procedures
• Consistently documents observations to include Resident's response to medication administered and the reporting of any noted change in the Residents condition to the RN or MD/DO
• Demonstrates 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 choking - cardiac and/ or pulmonary arrest
• Actively participates in Long-Term Care Institute (LTCI) readiness and CLC Compare performance improvement activities
• Other duties as assigned
• Work Schedule: 12 hours shift - 7:45pm-8:15am night - weekends - Holidays Recruitment Incentive (Sign-on Bonus): 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 #: 000000 Permanent Change of Station (PCS): Not Authorized

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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.

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