Practical Nurse (LTC)

*duties may include however are not limited to the following:*

• Participation in data collection, planning, implementing and evaluating
• Maintaining positive patient/family relationships.
• Assisting in the collection of objective and subjective data relative to more complex patient situations including:
• Identifying and reporting subtle changes in patients' behavior or condition.
• Identify and report variances related to neurological signs, l&O, IV flow rate, vital signs and other parameters.
• Participating in patient centered conference/shift reports and contributing information for the development and modification of the patient care plan.
• Anticipating a clean, safe and therapeutic environment and taking appropriate actions.
• Maintains & promotes safe working practices in patient care.
• Identifying the need for obtaining non-routine supplies and equipment.
• Providing physical/psychosocial & spiritual support and instructions relative to diagnostic procedures.
• Performing aspects of nursing care in a variety of situations to meet patients' needs for:
• personal hygiene
• physical comfort
• activity, exercise, rest
• nutrition
• elimination
• prevention of skin breakdown
• rehabilitation aspects of care
• socialization
• Anticipating emergent situations and initiating appropriate action.
• Performing complex treatments relevant in a variety of situations.
• Knowledge and skill sufficient to make judgments prior to preparing and administering medications and to recognize side effects and/or untoward reactions.
• Assisting with monitoring prescribed therapies such oxygen and IV therapy.
• Reporting patient status to a registered nurse and documenting information in the medical record including current status and/or subtle changes in patient's physical, psychosocial and spiritual status.
• Assisting in orienting patients/family to unit routines and pertinent medical center policies and participating in patient / family teaching conference.
• Working as a cooperative courteous member of the interdisciplinary team and promoting team efforts in the improvement of patient care. Utilizes effective communication techniques.
• Displaying respect for human dignity and the uniqueness of the patient unrestricted by consideration of social or economic status, personal attributes or nature of health problems.
• Safeguarding the patient's right to privacy by judiciously protecting information of a confidential nature.
• Legibly and accurately documents pertinent information in the medical record including current status and/or changes in patients' physical, psychosocial and spiritual status.
• Applies principles of asepsis to prevent infections and maintain a clean environment.
• Uses proper body mechanics. Appropriately utilizes lifting/transport equipment, protective devices and staff assistance as indicated according to the patient care plan.
• Identifies and reports potentially hazardous environmental factors and initiates appropriate actions according to policy to prevent injury.
• Provides prompt, high quality service for internal and external customers.
• Displays effective communication skills with patients, families and nursing personnel, and displays respect for human dignity of the patient regardless of social, economic status, personal attributes or nature of health problems.
• Safeguards the patients' right to privacy by judiciously protecting information of a confidential nature.
• Recognizes and reports pertinent information regarding patients' status to the registered nurse in a timely manner, routinely participates in patient care conferences, offers input for decision making and reports progress toward specific goals to the registered nurse.

*Preferred

Experience

*Long Term Care Experience

*Work Schedule*: Schedule to be discussed with hiring manager, multiple shifts available *Virtual:* This is not a virtual position. *Functional Statement #*: 12465-F, 12467-F *Relocation/Recruitment Incentives*: Incentive may be up to $12,000; may be authorized for highly qualified applicants. *EDRP Authorized: *This position is eligible for *the Education Debt Reduction Program (EDRP),* a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. _Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply._ *Permanent Change of Station (PCS): *Not Authorized *PCS Appraised Value Offer (AVO): *Not Authorized

*Requirements*

*Conditions of employment*

• You must be a U. S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

*Qualifications*

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*

• *United States Citizenship: *Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• *English Language Proficiency. *In accordance with 38 U. S. C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• *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. Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.*Licensure* - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia.

*Grade Determinations*: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

*GS-03*

• 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-04*

• 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 C) 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.

*GS-05*

• 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 delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes.
• Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.
• Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients, family members, professional and/or other support personnel involved in the delivery of patient care.
• Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular and/or intravenous medications. This includes observing and documenting patient responses to medication and reporting noted changes in the patient's condition.
• Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest.
• Recognize and appropriately respond to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies.

*GS-06*

• 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.
• Proficiency 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, using judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognizing, reporting, and recording relevant patient information
• Ability to observe,…