Veterans Affairs, Veterans Health Administration Licensed Practical Nurse (LPN) - GEC - DC VAMC in Washington, District Of Columbia
Summary This position is assigned to direct-care nursing areas such as the Community Living Center (CLC) or any one of the numerous ambulatory clinics which service the patients who receive their care in the organization. The primary purpose of this position is to provide a variety of nursing care and practice which do not require full professional nurse education, but require skills represented by the licensing of practice and vocational nurses by a State, Territory, or the District of Columbia. Responsibilities The LPN provides direct care to a patient which does not require full professional nurse education, but require skills which have been issued by the licensing authority. The LPN provides care to patients which includes but is not limited to: Administration of medications Ability to perform basic nursing care duties such as taking vital signs, taking samples, and passing instruments Ability to initiate an emergency response appropriate to the situation and provides resuscitation efforts independently. Ability to change patient dressings independently Ability to provide for activities of daily living (e.g. bathing, oral care, continence care, etc.) Knowledge of a large body of nursing care procedure, patient illnesses and diseases, patient's charts, nursing care plans and the requirements of the nursing team and skill sufficient to provide care to a selected patient load of acutely ill patients. -Ability to provide instructions to patients on health systems improvement and how to prevent illnesses and disease (e.g. deep breathing for a post-operative patient, reduction of carbohydrate consumption for a diabetic patient). Ability to participate in basic patient and family education sessions. Knowledge of surgical equipment, instruments and supplies and skill sufficient to set up surgical materials and position and drape patients for surgery ranging from hernia to extensive genitourinary surgery. Knowledge of and skill sufficient in surgical procedures and terminology and manual dexterity to pass instruments to a surgeon. Ability to communicate verbally and in writing to adequately convey the current clinical status of any patient effectively and promptly. Knowledge of the nursing standards and skill sufficient to assess deviations from normal conditions and immediately modify the patient's nursing care plan with delayed notification to the nurse for concurrence in the modification to the plan. Knowledge of environmental safety, security and privacy of the patient and privileged information to ensure patient's safety and rights. The LPN is responsible for cleaning and maintaining all equipment in use in his/her area. The LPN cleans and disinfects the reusable equipment after patient use and inspects the equipment for needed repair. Should repair or dysfunction of the equipment be identified. The LPN will follow the identified procedures in the Medical Center for repair and/or replacement of the equipment. In the event that equipment needed to perform his/her duties for the remote monitoring systems drop below a critical par level as established by departmental procedures. The LPN is responsible for communicating with their immediate supervisor or designee for resolution. Work Schedule: Weekends and Holidays required; various shifts available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: LPN - 06 - 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/01/2021. 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. 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. 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. Preferred Experience: Current CLC LPN experience; preferred. CLC LPN experience; highly desired. Grade Determinations: GS-6 LPN (Full Performance Level)(a) Experience. The LPN fully meet all of the performance requirements for the GS-5 level or completion of at least 1 year of qualifying experience at the GS-5 level or equivalent. In addition, the candidate must demonstrate the professional KSA's in subparagraph (b) below Examples of qualifying experience at the GS - 5 level or equivalent include but are not limited to 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. (b) Demonstrated KSAs The LPN is 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)] 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. Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD, 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 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. References: VA Handbook 5005, Appendix G13. This can be found in the local Human Resources Office. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-06. Physical Requirements: It is VA policy to ensure that all selected applicants and employed personnel are physically, mentally and emotionally fit to perform the duties of the position to which assigned. A pre-placement physical examination is required for all full-time, part-time and intermittent employees identified by VA Directive and Handbook 5019. The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA. The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/. Education 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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.