Licensed Practical Nurse-Scribe

Cedar Rapids, IA
Jan 15, 2020
Jan 27, 2020
Contract Type
Full Time
The Licensed Practical Nurse (LPN)/ Scribe is accountable to the Clinical Manager or designee for completing patient care assignments for communicating patient response to care provided to the team Registered Nurse (RN) or Primary Care Physician (PCP) in order to provide timely and safe patient care. The LPN may require a general review of work by an RN for appropriateness and conformity with license, policies, and procedures. Responsibilities include observing, recording and reporting changes in the patient's condition as well as assisting in development and revision of the patient driven holistic care plan. The LPN demonstrates active collaboration and communication with the Patient Aligned Care Team (PACT), which includes the patient, primary care provider, RN Care Manager, LPN and Clerical associate and the expanded Team.

The following is a brief description of the duties related to the position. Other duties may be assigned.
  • Demonstrates accurate and efficient transcription skills including accompanying the PCP into the clinic examination room with the purpose of transcribing.
  • Ability to work in a self-directed manner with a team or individuals to manage a panel of patients in a primacy care setting.
  • Contributes to the nursing process through data collection and incorporates evidence-based practices to individuals and groups focusing on cost-effective ways to maximize wellness, prevent illness, and manage acute and chronic diseases.
  • Demonstrates the ability to educate patients, identify and link patients with appropriate resources, collaborate with the interdisciplinary team, perform clinical procedures, and communicate effectively.
  • Utilizes the computer for electronic documentation, initiating orders per policy, data collection, and reports
  • Ability to perform, report, and record assigned nursing care done in the Primary Care settings, including but not limited to:
  • Respiratory testing and Oxygen therapy
  • Medication administration
  • Check expiration dates of meds and supplies prior to use
  • Pain assessment, documentation in CPRS and communicate with medical provider
  • Correctly collects, labels, prepares, and delivers specimens to the lab
  • Document's patient's home blood pressure and/or blood sugar readings
  • Performs EKGs and transmits to Iowa City for interpretation

Work Schedule: Monday- Friday 8am-4:30pm
Financial Disclosure Report: Not requiredBasic 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: Must be a 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. Exceptions listed below:
    • 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 requirements for VHA employment.
    • Individuals granted a license by a jurisdiction that does not require graduation from an approved school may be accepted as meeting the education requirements for VHA employment, provided the individual has demonstrated successful practice as an LPN.Licensure: Must possess a current, full, active and unrestricted registration as a Licensed Practical Nurse (LPN) in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia.
  • 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).

Grade Determinations:

GS - 3: LPNs at the GS - 3 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. There are no additional requirements to qualify for a GS - 3 LPN beyond the basic requirements listed above.

GS - 4: The requirement of a GS - 4 grade level is six months of qualifying experience as an LPN or LVN;


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;


Graduation from an approved school of at least 24 months' duration. LPNs at the GS - 4 grade level performs 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: The requirement for a GS - 5 grade level is at least 1 year of qualifying experience as an LPN or LVN at the GS - 4 level or equivalent. In order to qualify at the GS - 5 level, your resume must demonstrate your knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems; the ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and 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 medications; and the ability to recognize and appropriately respond to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies.

GS - 6: The requirements for a GS - 6 grade level is one additional year of qualifying experience as an LPN or LVN at the GS 5 level or equivalent. In order to qualify at the GS - 6 level, the applicant's resume must demonstrate the knowledge and ability to fully meet each of the performance requirements of the GS - 5 LPN/LVN in addition to the ability to: 1) appropriately carry out assigned patient care based on the patient's condition and use judgment in selecting the appropriate order and sequence of procedures and treatments; 2) accurately recognize, report and record relevant patient information; to recognized and consider emotional, cultural, spiritual, socio-economic, and age-related factors in identifying and responding to the patient's needs for care; 3) quickly recognize urgent or emergent patient care situations and initiate appropriate emergency interventions as directed by the RN and/or MD/DO; and 4) understand human behavior, patient motivations and reactions to situations, and appropriately use this knowledge in working effectively with patients, family members, and other staff, establishing constructive relationships to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills.

A GS - 6 level LPN/LVN is expected to actively seek out educational opportunities to enhance nursing knowledge and skills, and be able to effectively share new knowledge gained with other staff to improve and advance nursing practice.

References: 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.

Physical Requirements: Must be able to meet the physical demands of the position. Ability to withstand periods of standing, walking, recurring bending, lifting, stooping, stretching, and similar activities. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position. Must have good manual dexterity and keyboarding skills. Must be able to express or exchange ideas by means of the spoken word. Must be able to view and read information on computer screens.


To apply for this position, you must provide a complete Application Package which includes:
  • Resume

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).
  • Cover Letter
  • DD-214
  • OF-306
  • Other
  • Other Veterans Document
  • Resume
  • SF-15
  • SF-50
  • Transcript

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and 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 Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit

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