The Licensed Vocational Nurse is a member of the nursing team who works under the supervision of a Registered Nurse and performs assignments requiring licensure as a vocational/practical nurse. Care may be provided to patients in a variety of settings, i.e. Ambulatory Care including but not limited to primary care, specialty care, mental health, surgery, special procedures, and Home/ and Community Based Care. 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. Exceptions include: 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. 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. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. 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. Physical Standards. See VA Directive and Handbook 5019. 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). Preferred Experience: Hospital or office based cardiac patient care experience within the last 5 years Hospital or office based podiatry patient care experience LVN experience in a physician's office setting, outpatient clinic, and/or CBOC LVN experience in direct patient care utilizing nursing skills within the past 2 years. i.e. EKGs, IV insertions, wound care, Foley cath changes, diabetic foot care, IM/SQ injections LVN experience with geriatric patients LVN experience with electronic medical records 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 Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below: (a) Six months of qualifying experience as an LPN or LVN; or (b) 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 (c) Graduation from an approved school of at least 24 months duration. GS-05 (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) 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. (c) 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. (d) 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.(e) 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. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (g) 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 (a) 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. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (c) 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. (d) 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, cultural, spiritual, socio-economic, and age-related factors. (e) 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. (f) 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. (g) 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. GS-06 Grade Determination information & additional information continued below. Please see Additional Information Section. ["Duties include, but are not limited to:\nNursing Care Supporting the principles of professional/ primary/team nursing. Following the plan of care as designated by the RN and the Interdisciplinary Team. Including completing clinical reminder annual testing protocols. Contributing to the Interdisciplinary Team in the development, implementation and evaluation of the client's treatment and discharge plan. Assisting the RN by engaging in nursing care/practice which incorporates knowledge/skills related to assessing client comfort/pain and documents the pain assessment/evaluation of interventions in the client medical record. Communication observation and assessments to an RN as a client's condition changes. Recognizing and responding to emergency situations according to established policies and procedures. Instructing clients and significant others prior to discharge in the use of prescribed medications, equipment, treatments, activity level, and the value of proper follow-up care. Meeting client's needs by direct physical and psychosocial care and assuming responsibility for nursing care of clients whose nursing needs are not predictable. Customer Service Maintaining the confidentiality and integrity of all client data - verbal, written or electronic. Participating in team meetings. Providing verbal and/or written information that is thorough, correct, and timely. Safety Implementing safety and infection control measures according to client needs. Utilizing correct principles of body mechanics. Reporting potential safety hazards. Systems Thinking Understanding purpose of teamwork in assignment of work practices, and one's role in teamwork. Keeping current with new procedures or technology. Inter-personal Effectiveness Developing and maintaining positive relationships. Seeking to improve and/or maintain skills and knowledge base. Reusable Medical Equipment Utilizing equipment correctly and appropriately including care of RME. Work Schedule: Fulltime, Monday thru Friday 8:00 a.m. to 4:30 p.m.\nTelework: Not available\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000\nRelocation/Recruitment Incentives: Not authorized\nPermanent Change of Station (PCS): Not authorized\nFinancial Disclosure Report: Not required\nThis is a Bargaining Unit position. Physical Requirements: moderating lifting and carrying (15-44 pounds), straight pulling (1/2 hour), pushing (1/2 hour), reaching above shoulder, walking, standing and repeated bending (5.3 hours), ability for rapid mental and muscular coordination simultaneously, near vision correctable to 13\" to 16\" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other, depth perception, ability to distinguish basic colors and hearing (aid may be permitted)."]