The Licensed Practical Nurse (LPN) assigned to a medical or surgical unit provides specialized, safe and individualized nursing care to acutely ill patients with difficult; complex and rapidly changing physiological arid/or emotional needs.Initiates appropriate actions based upon his/her observations of the patient's condition in collaboration with the Registered Nurse (RN).
Uses established patient care procedures for all patients and related nursing care such as administering medications, catheterizing, irrigating, and suctioning patients.
Tube feeds and bathes acutely ill patients, providing lifting, turning and oral/hygiene care.
Observes the patient and reports gross changes inpatient's vital signs, symptoms and general physical and emotional condition for inclusion in the patient's care plan.
Performs treatments such as wound care, make complex sterile dressing changes, catheterizations, bladder irrigations, nasotracheal suction, chest percussions instructs patients in postural drainage, maintains rotating tourniquets, and whirlpool baths.
Responds to emergency situations such as cardiopulmonary arrest. Initiates and follows instructions in critical situations.
Sets up humidifiers, nebulizers, gauges and suction apparatus and gives treatments that require operation of special equipment such as oxygen and suction.
Understands and describes the human body structure, function, illnesses and diseases; the uses and contraindications of certain medications, the treatment procedures, the related patient charting, for the purpose of assisting with assessment, planning implementation and evaluation as well as communication with the multidisciplinary team.
Uses equipment, materials, medications and supplies in a variety of diagnostic and treatment procedures that support nursing care of all patients.
Observes and reports the patient's physical, emotional and psychological response to nursing care, medical treatment and other therapy.
Identifies and reports hazardous conditions and equipment in need of repair in a timely manner.
Practice proper body mechanics in order to prevent injury to self and patients/residents.
Work Schedule: Day/Evening (7:30 am - 4:00 pm rotating Evenings 3:30 pm - 12:00 am) or Permanent Evenings (3:30 pm - 12: 00 am) or Permanent Nights (11:30p - 8:00 am). All tours include weekends and holidays. Subject to change based on agency needs.
Financial Disclosure Report: Not required
- Experience and 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 1006. Additional information may also be obtained from the NLNAC Website. Exceptions include: (1) 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 requirement for VHA employment. (2) VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160. Enacted November 12, 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 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. (3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school.
Licensure. Full active, current and unrestricted license 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in Chapter 3, section B, paragraph 16 of this part.
English Language Profiency. LPN/LVNs appointed to direct patient care positions must be profient in both spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Preferred Experience: 1-2 years LPN Experience in Long Term Care/Rehab Unit; BLS Certification
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:
Six months of qualifying experience as an LPN or LVN; or Graduation from an approved school (which may be waived as provided in paragraph 4 of Section, 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 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.
GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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.
GS-6: 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. 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. 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. Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observe 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 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.
References: VA Handbook 5005, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard
The full performance level of this vacancy is 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.
Selected applicants will be required to complete an online onboarding process.
To apply for this position, you must provide a complete Application Package which includes:
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).