Licensed Practical Nurse (SSC)
The Ambulatory Care LPN will be assigned to various Sub-Specialty Clinics. The LPN will be assigned to a varied group of specialty clinics. Some of the Clinics the incumbent would typically be assigned to, but are not limited to, are: Cardiology, Renal, Arthritis, General Surgery, Pain and Sleep clinic. The incumbent is responsible for RME and other equipment (stainless steel surgical instruments) specific to their clinic assignment, and for cleaning non-reusable medical equipment between patients per standard operating procedures. The incumbent is under the supervision of an RN and/or MD/DO/OD.The LPN provides technical nursing care to adult and geriatric patients.
1. Makes astute observations and thoroughly documents care and the patient's response. Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention. Participates in prioritizing and as appropriate, modifying patient care treatment.
2. Performs assigned nursing care responsibilities requiring the use of advance equipment, technology, or knowledge in procedures performed in the Sub-Specialty Clinics including but not limited to:
a.Documenting obtained Vital Signs including pulse, blood pressure, respirations, temperature, pain level
b.Completes clinical reminders for preventive health screening including mental health screening
c. Takes appropriate actions for positive reminders
d. Perform diabetic foot screening including visual screening, pulses and sensation
e. Pulses: apical, carotid, pedal
g. Administers influenza, pneumococcal and tetanus vaccinations per protocol.
h.Refers patients to appropriate resources including social work, dietitian, speech pathology, SAC, smoking cessation and physical and occupational therapy after screening,
i. Glucometer measurements
j. Neurological vital signs
k. Performing EKG
l. Performing pulse oximetry, bladder scanning, post void residual
m.Set up and administration of Oxygen therapy
n.Adheres to standards of practice and safe technique in preparation and administration of
o.Procures sterile and non-sterile specimen collection
p. Applies elastic bandage, hose, and 4 layer compression application.
q. Applies hot and cold non-sterile compresses
r. Performs sterile dressings and irrigations
s.Completes encounter forms
t.Appropriately responds to and completes view alerts.
u.Recognizes and successfully cares for patients of different ages, including young adult,
Preferred Experience: Specialty clinic experience preferred, but not necessary
Tour of Duty: 7:30a; 8:00a-4:30p; 8:30a-5:00p
NOTE: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
NOTE: To and From dates on your resume MUST be in MM/YYYY format, MUST include number of hours worked per week, and you MUST indicate Full or Part time status. Failure to include this information will result an ineligible rating for not being able to compute specialized experience.
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.
a) Six months of qualifying experience as an LPN or LVN; or
b) 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
c) Graduation from an approved school of at least 24 months duration.
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.
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.
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.
h) 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.
i) 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/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures.
j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. AAVAHCS is a major interdisciplinary teaching facility, serving medical, surgical, neurological, and psychiatric in-patients and outpatients. Generally this position does not require the following physical demands; however there may be times the RN is required to provide direct patient care and must be able to meet the physical demands. This position requires the ability to perform the following physical standards & environmental factors: Heavy Lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 8 hours; both legs required; ability for rapid mental & muscular coordination simultaneously; near vision correctable @ 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 shades of colors; hearing (aide permitted). Working closely with others; & protracted or irregular hours of work. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and is required to adhere to infection control practices. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
You must provide a complete Application Package which includes:
1. CV or Resume (required).
3. Online Occupational Questionnaire (required). View Occupational Questionnaire
4. Copy of current, valid BLS card. (required).
5. DD-214, Member 4 Copy (if applicable - required).
6. If claiming Veterans Preference based on a disability or surviving spouse/mother preference you MUST include a SF 15, Application for 10-Point Veteran Preference and the required documentation on the back of the SF 15 (if applicable - required).
7. If you are a current federal employee please include a copy of your last Non-Award SF-50, Notification of Personnel Action. (required).
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 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
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.