The Licensed Practical Nurse (LPN), demonstrates the knowledge and ability to provide a full range of nursing care to Residents with variety of physical and/or behavioral problems residing on the neighborhoods in the Community Living Center (CLC) setting, Hospice, and other inpatient units.
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.
The Licensed Practical Nurse is accountable to the Nurse Manager for completing Resident assignments and communicating Resident responses to the designated Registered Nurse.
DUTIES INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
- Maintains consistent assignments, as much as possible;
- Uses Caretracker to validate proper care in fluid consumption, bowel elimination, and other activities of daily living;
- Consistently documents observations to include Resident's response to medication administered and the reporting of any noted change in the Residents condition to the RN or MD/DO;
- Demonstrates 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 choking, cardiac and/ or pulmonary arrest;
- Routinely identifies the customer's situation properly and performs the tasks required to resolve the customer's problem appropriately and in a timely manner;
- Consistently responds to requests for assistance, from Residents, families, visitors and co-workers, promptly and in a friendly, respectful and cooperative manner;
- Monitors for safety and assures proper implementation of safety protocols;
- Consistently provides care that assures Resident's dignity is maintained, such as coverage of drainage bags, clean/shaven, nails clean and trimmed, etc.;
- Receives and provides hand-off communication to staff members, interdisciplinary team and other services using the SBAR;
- Routinely makes rounds immediately following report and at intervals on assigned Residents;
- Actively participates in the survey process and has a firm understanding of any action plan items along with their impact and implementation;
- Hold a firm under understanding of each resident's individualized care plan and able to articulate resident needs;
- Other duties as assigned.
Work Schedule: Rotating shifts, including weekends and holidays
Financial Disclosure Report: Not Required
a. Citizenship. Citizen of the United States. (Noncitizen may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
b. 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. Verification can be obtained from the State approving agency [or] the National League for Nursing [Accrediting Commission], 61 Broadway, 33rd Floor, New York, NY 10006.
c. 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.
e. 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).
Preferred Experience: Geriatric Experience
Grade Determinations: 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.
(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.
References: VA Handbook 5005/3, Part II, Appendix G13; Dated, April 2003.
The full performance level of this vacancy is GS-6.Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.
Selected applicants may be required to complete an online onboarding process.
To apply for this position, you must provide a complete Application Package which includes:
- VA Form 10-2850c Application for Associated Health Occupations
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, documentation to support Veterans Preference or ICTAP/CTAP documentation (for displaced Federal employees).
- VA Form 10-2850c Application for Associated Health Occupations
- Other Veterans Document