Practical Nurse

The Licensed Practical Nurse (LPN) is directly responsible to the professional nurse for providing direct care within his/her scope of practice. The LPN works under the direction of an RN. 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 life care plan. This position is located on 172-1E unit within the Community Living Center at the Marion Facility.

VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The LPN requires a general review of their work by an RN for appropriateness and conformity with license, policies, and procedures. The LPN demonstrates active collaboration and communication with Core Interdisciplinary Team and coworkers involved in providing care to the patient. Major Duties Include But Not Limited To: Be technically proficient in initiating, performing, and completing assigned duties in providing care to variable patient populations.

Use judgment in selecting the appropriate order and sequence of procedures and treatments Uses knowledge to appropriately carry out assigned patient care, with only a general review by the RN for the appropriateness and conformity of the care with established policies and procedures. Provides direct nursing care to veterans in a variety of healthcare settings. Demonstrating knowledge to provide a full range of practical nursing care to veterans with a variety of physical and/or behavioral problems.

Demonstrating ability to serve as a responsible member of the health care team and interact with veterans, significant others, and co-workers. Documenting care provided, observations and responses on appropriate tools or forms. Observing changes in veteran's condition (e.g. behavior shifts, mood changes, skin coloring, appetite, medication side effects etc.) Assuring receipt of adequate nutritional intake either through observation, feeding or properly positioning and checking placement of feeding tube for the veteran.

Administering medications, stoma care (e.g. tracheotomy, suctioning, colostomy), enemas, skin care, simple dressing, braces and prosthetic devices. Monitors intake and output according to established policy and procedure. Recognizing the veteran's autonomy and promoting independence by means of respect, limit setting and individualized treatment.

Serves as team leader to a group of veterans and direct care staff, observing nursing care delivered and reporting concerns to the charge nurse. Reinforces medication education and age-related healthcare education to veterans in relations to common disease processes, medications, and/or prescribed treatment regimes. Do dressing.

Work Schedule: Full-time Evenings: 4:00pm-Midnight may include weekends and holidays Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 93136-0, 93137-0, 93138-0, 093139-0 Permanent Change of Station (PCS): Not Authorized

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic

Requirements

Citizenship. Citizen of the United States. 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. 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 requirements for VHA employment. (2) VHA employees who were converted to appointments under 38 U. S. C. 7401(3). (3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school.

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. 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 VA Handbook 5005/3, chapter 3, section B, paragraph 16. Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade.

Must clearly demonstrate the level of competence required for the grade. GS-3. None beyond the basic requirements. GS-4. Must meet any of the following criteria: Six months of qualifying experience as an LPN or LVN; or Graduation from an approved school (waivable per Section C, paragraph 4) plus 1 year of nursing care experience in a hospital, outpatient clinic, nursing home, or other supervised medical facility with practical knowledge of body structure and sterile techniques; or Graduation from an approved 24-month program.

LPNs at the GS-4 grade level perform all duties expected of GS-3 employees using greater judgment, less supervision, and adherence to all established policies, procedures, and techniques. GS-5. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Along with meeting the requirement listed above, applicants must meet all of the following: Demonstrated knowledge and ability to provide 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, Health Technicians 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. Demonstrated ability to serve as a responsible member of the nursing team and interact appropriately with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating customer service standards into practice.

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. 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.

Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and promptly reporting to appropriate personnel for corrective action. GS-6. Completion of at least one year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. Along with meeting the requirement listed above, applicants must meet all of the following: 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. Prepares and administers prescribed medications (oral/topical/subcutaneous/intramuscular/intravenous) and performs treatments according to established policies/procedures. Observes 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 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. Understanding of human behavior, patient motivations and reactions to situations. Ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff.

Establishes constructive relationships with individual patients and their families to promote positive relationships, communication and socialization skills. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices/procedures, including preparing the patient, assisting in the diagnostic examination, preparing/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.

Actively seeks out educational opportunities to enhance nursing knowledge and skills. Preferred

Experience

Long-term care experience and 18 months or more of LPN experience preferred for the evening shift. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical

Requirements

This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Use proper preventive technics to perform duties. May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. May be exposed to…