Licensed Practical or Vocational Nurse - Ambulatory Care

This job is open to current permanent VA Nationwide employees, Federal employees of other Agencies, and U. S. Citizens. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties

Total Rewards of a Allied Health Professional

Duties include, but are not limited to

Demonstrated knowledge and ability to provide a limited range of practical nursing care to patients with a variety of physical and/or behavioral problems. Knowledge and ability to recognize the need for emergency measures when indicated, promptly seek the assistance of the RN or PROVIDER. Collects data relevant to patient's learning needs, learning preference and readiness to learn.

Assists in monitoring for any evidence of abuse/neglect and demonstrates knowledge of the abuse reporting process. Implements interventions to maintain skin integrity and prevent skin breakdown. Maintains safe and therapeutic environment by providing one-on-one observation for behavioral health patients as directed by the Provider.

Provides care to patients with various prosthetic devices. Perform phlebotomy procedures. Perform medication reconciliation.

Bladder scan-pre and post void residuals. Demonstrated ability to serve as a member of a PACT team-let and interacts in an appropriate manner with patients, family members, professional and other supportive personnel. Demonstrates professional behavior, respect for others, collegiality, ability to accept constructive feedback.

Supports interdisciplinary teamwork to resolve issues. Collaborates with co-workers in completions of workload. Demonstrates competency according to Medical Center policies on abuse/neglect and patient rights.

Collects and documents preventive indexes and clinic practice guidelines. Records all significant observations and actions taken, using established oral, written and computer communications according to documentation guidelines. Recognizes and reports to supervisor breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.

Demonstrates an understanding of standard infection control precautions appropriate for the assigned position and environment.

Work

Schedule

Monday - Friday 7:30 am - 4:00 pm or 8:00 am - 4:30 pm, subject to change based on the needs of the facility. 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 #: 01278F, 01279F, 01280F, 01281F Permanent Change of Station (PCS): 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. 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

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: 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).

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.

• VHA employees who were converted to appointments under 38 U. S. C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 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 their 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.

• 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.

Grade Determinations: The experience and Knowledge, Skill, Abilities (KSAs) required below must be evident in your resume.

GS-03 LPN (Entry Level) Experience/

Education

None beyond the basic requirements described above.

GS-04 LPN (Developmental Level) Experience/

Education

a) Six months of qualifying experience as an LPN or LVN; OR, b) Graduation from an approved school (as stated in exception found above) 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, c) Graduation from an approved school of at least 24 months duration.

GS-05 LPN (Developmental Level) a)

Experience

Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. AND, Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs: b) 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. c) Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. d) 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. e) 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. f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. g) 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. However, completion of more complex practices or procedures may be subject to closer higher-level review.

GS-06 LPN (Full Performance Level) a)

Experience

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. AND, Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs: b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. c) Knowledge and ability to appropriately…