The LVN/LPN also performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the Veteran. 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 or Training: Graduate of a school of practical or vocational nursing approved by the appropriate State Agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN); OR Received health care education/training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualified for full LPN/LVN licensure 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: Must pass a pre-employment examination, if selected. 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), Preferred Experience: Grade Determinations: GS-3 Experience and Education. None beyond the basic requirements. GS-4 Experience: Six (6) months of qualifying experience as an LPN or LVN. OR Education and Experience. Graduation from an approved school 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 Education: Graduation from an approved school of at least 24 months duration. GS-5 Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-4 LPN/LVN. In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following: 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. 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. GS-6 Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-5 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-5 LPN/LVN. In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following: 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. 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. 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. 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. References: VA Handbook 5005/3, Part II, Appendix G13 Licensed Practical or Vocational Nurse Qualifications Standard, dated April 10, 2003, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf The full performance level of this vacancy is a 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: Physical qualifications require the ability to stand. walk, bend. and move freely. Must be able to utilize good body mechanics in lifting or restraining patients. Must have good hearing, eyesight, and physical dexterity. Must be clean and neat in appearance. Must be emotionally stable and cooperative. Work is accomplished predominantly on the nursing unit and through escorting to various clinics or hospital areas. The physical surroundings involve working with the acute and chronically physically and mentally ill patients, which may cause discomfort related to negative verbal and physical activities from these patients. ["Prepares, administers, records, interprets and communicates results of medications, vital signs, treatments, etc. Appropriately reports and records gross and subtle changes in patient's status. Under minimal supervision of the RN, functions as the primary nurse and gives the change of shift report to the oncoming shift. Recognizes and initiates appropriate response in emergent situations such as fire, disaster, bomb and/or hostage threats, cardiac and/or pulmonary arrests, and behavioral emergencies. Carries out emergency measures and initiating procedures for obtaining medical/other types of assistance. Initiates CPR and inserts an oral airway as needed. Completes pain evaluations, and on the basis of pre-formulated guidelines, either provides education, or refers for further evaluation. Adheres to asepsis and universal precautions requirements to provide a safe environment for patients, families, and employees. Sets up and cares for patients in isolation per infection control standards. Contributes to the interdisciplinary team in development, implementation and evaluation of the patient's treatment plan and promotes patient participation in achieving established goals by fostering self-reliance and independence. Documents as appropriate. Effectively organizes and prioritizes workload. Anticipates changes in workload and unit activity, offers assistance to meet the needs of the unit. x Documents in medical record patient information including responses to treatments and procedures. Obtain and process blood, urine and other samples for laboratory testing as ordered by a provider and in accordance with unit and facility guidelines. Monitors the flow rate of intravenous fluids and monitors intravenous sites for signs of infection. Performs military sexual trauma screening as required by VA and facility guidelines. Supports hospital wide COVID efforts, to include door monitoring, working in multiple clinic locations, working in COVID tent, inpatient, outpatient and administrative areas Supports all aspects of primary care to include women's health and occupational health Reviewed 12/15/2020 FS?40809?A Supports hospital wide influenza efforts, collects health screenings as needed, provides support to all aspects of outpatient needs both in and out of the hospital. Collecting COVID/Influenza/Strep swabs per protocol, properly labeling/bagging specimens and delivering to lab Administers vaccinations per protocol, within scope of practice. Venipuncture /phlebotomy if certified and competent. Other duties as assigned. Work Schedule: Monday-Friday 8:00 a.m.- 4:30 p.m.\nCompressed/Flexible: Not Authorized\nTelework: Authorized\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Licensed Practical Nurse- Ambulatory Care/PD000000 and PD40808A\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]