Licensed Practical Nurse - External (AMENDED)
The Licensed Practical Nurse (LPN) works under the direction of a RN and reports to the Primary Care Nurse Manager. The LPN is a member of the Patient Aligned Care Team (PACT). He/she demonstrates active collaboration and communication with the Teamlet (Patient, Primary Care Provider, RN Care Manager, and Clerical Associate) and expanded Team (family/caregiver, internal and community based services and disciplines involved in providing care to the patient). Works in collaboration and partnership with the teamlet for an assigned panel of patients to promote effective prevention or chronic disease management.
The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. He/she provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The LPN participates in the collaboration with services internal and external to the VA to facilitate care transitions in order to effectively meet the patients' needs and minimize clinical risks.
WORK SCHEDULE: Regular hours, 8:00am-4:30pm Monday-Friday,with possible rotation to extended hours.
FUNCTIONAL STATEMENT #: 901440
- This position is an AFGE Bargaining Unit Position.
- This position is a NAGE Bargaining Unit Position
- This position is covered by a special rate.
- Travel and relocation expenses are not authorized.
- Selectee may be required to work at any Boston Healthcare System Campus as needed.
- Candidates who meet the qualification requirements within 15 calendar days following the closing date of the announcement will be considered.
- This position is in the Excepted Service.
- Drug Testing Position: Applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Applicants will not be appointed to the position if a verified positive drug test result is received.
- Incomplete applications will not be considered
- Selectee will be required to complete additional forms to proceed with employment process.
- Permanent appointment and salary in this position is subject to review by the Professional Standards Board (a peer-review group) that will review the selected candidate's education and experience.
- Narrative responses to the knowledge, skills and abilities (KSAs) will be required from the selectee in order to proceed with the appointment.
- Veterans' preference does not apply for other current permanent Federal agency employees
A.Citizenship: You must be a citizen of the United States.
B.Education: You must be a graduate of a school of practical or vocational nursing approved by the state and/or accredited by the National League for Nursing(Accrediting Commission NLNAC) at the program was completed by the applicant.
C.Licensure: You must have a 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.
D.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).
GS-3: 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-4: [Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(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.
(d) LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques.]
GS-5: (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. In addition to meeting the basic requirements in order to be considered for the GS-5 LPN you will be required to provide a written answer the following Knowledge, Skills and Abilities upon selection:
1. 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.]
2. 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.
3. 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.
4. 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.
5. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.
6. 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-6: (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. In addition to meeting the basic requirements, you will be required to provide a written answer the following Knowledge, Skills and Abilities upon selection:
1. 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.
2.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.
3. 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.
4.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.
1. Lifting up to 45 lbs. (Intermittently)
2. Carrying up to 45 lbs. (Intermittently)
3. Repeated bending
4. Straight Pulling up to 45 lbs.(Intermittently)
5. Straight Pushing up to 45 lbs. (Intermittently)
6. Stooping (Intermittently)
7. Squatting (Intermittently)
8. Kneeling (Occasionally)
9. Use of both arms
10. Use of both hands
11. Use of fingers
12. Overhead work; both arms (Intermittently)
13. Prolonged walking (Up to 4 hrs./day)
14. Prolonged standing (Up to 4 hrs./day)
15. Sitting (Up to 2 hrs./day)
16. Far Vision - correctable in one eye to 20/20 and to 20/40 in the other
17. Near Vision - correctable to read newsprint at 13 - 16 inches
18. Ability to distinguish shades of colors
19. Hearing - ability to hear and understand the spoken voice from a distance of 8 feet.
20. Emotional and mental stability - ability to effectively perform the essential functions of the position and respond appropriately in emergency situations.
The Department of Veteran Affairs must provide reasonable accommodations to applicants with disabilities where appropriate.
All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:*Cover Letter
*Other Veterans Document
The following documents are required for a complete Application Package. Incomplete applications will be found ineligible.
1. Responses to Online Questionnaire
2. Current or former Federal employees must submit copies of their most recent SF50, Notification of Personnel Action. The SF50 must identify the position, title, series, grade, step, tenure, and type of service (Competitive or Excepted). In some cases, more than one SF50 may be required to show a higher grade previously held.
3. If using education to meet experience requirement, submit proof of education. Unofficial transcript may be submitted with application. If selected, you will be required to submit an official transcript.
4. Other documents - use this checklistto make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
NOTE: If selected,VA Form 10-2850c - Application for Associated Health Occupations will be required(Available at http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&amp;amp;amp;tkey=&amp;amp;amp;Action=Search)
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents:
You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1991834.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.