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Vocational Nurse

Veterans Health Administration

San Francisco, California

You'll care for patients with multi-system problems and help with their full personal care.

Posted Aug 21 · New grads welcomed · reported

Shift and hours
Day shift, 8:00 am to 4:30 pm Work Schedule: 8:00 am - 4:30pm
Unit and setting
Psych · Hospital veterans on acute medical, surgical, behavioral health, rehab, geriatric and primary care
License
LPN or LVN license active, unrestricted LPN/LVN license in a US state, territory or DC
Term
Permanent

Do you qualify?

New grads
Welcomed
License
active, unrestricted LPN/LVN license in a US state, territory or DC
Education
graduate of an approved practical or vocational nursing program
Experience
six months LPN/LVN experience for GS-4 Six months of qualifying experience as an LPN/LVN
Also asks
U.S. citizen
Also asks
proficient in written and spoken English Must be proficient in written and spoken English.
Also asks
pass a pre-employment physical Must pass pre-employment physical examination.
Also asks
urinalysis drug screen before appointment 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.
Also asks
seasonal influenza vaccination Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Also asks
background/security investigation Subject to background/security investigation.
Also asks
1 or 2-year trial period As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period

Preferred

Experience
2 years LPN/LVN experience Two years of LVN/LPN experience.

What it pays

Pay reviews
hired at a grade from GS-3 to GS-6 depending on qualifications Salary for this position ranges dependent upon applicant qualificationsapplicant qualifications
Pay reviews
higher step rate possible for stronger qualifications higher or unique qualifications or special needs of the VA

Benefits

  • Benefits37-50 paid days off a year: 13-26 annual leave, 13 sick leave, 11 federal holidaysPaid 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)
  • Benefitsup to 12 weeks paid parental leave after 12 months of employmentParental 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.
  • Benefitschildcare subsidy up to 25% of eligible costs, max $416.66 a month, after 60 days
  • Benefitsfederal pension (5-year vesting) plus 401K with VA contributions up to 5%Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
  • Benefitsfederal health, vision, dental, term life and long-term care insuranceInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
  • Paid parental leave
More benefits (9)
  • Paid holidays
  • Dental insurance
  • Adoption assistance
  • Parental leave
  • Vision insurance
  • Childcare
  • 401k/Retirement
  • PTO
  • Paid Leave

The role and schedule

Union
union-represented position Represented by a union
Day to day
medication and treatment administration under supervision Prepares, administers, and documents medications and treatments, including the patient's response, under supervision as prescribed
Day to day
vital signs, with abnormal findings reported to the RN or provider Measures and charts vital signs; reports abnormal findings to RN or provider
Day to day
supporting providers with diagnostic tests and procedures Has some knowledge and skill in supporting providers with diagnostic tests and procedures, which may include:
Day to day
managing potentially violent or suicidal patients Demonstrates knowledge and correct usage of skills in intervening and managing potentially violent and/or suicidal patients
Day to day
patient flow to keep waits short and provider schedules on time Monitors and helps with patient traffic to ensure minimal wait times for patients and to keep providers daily schedules on time.
Day to day
pre-visit calls for PACT Makes pre-visit calls for PACT
Day to day
PACT scrubbing Completes PACT scrubbing
Day to day
discharge calls when needed Completes discharge calls when needed
Day to day
phone, secure message and face-to-face contact with patients, families and community services
Floating
covering other teams' assignments as directed Completes nursing care activities and covers other teams' assignments as directed
Patients
adults 18 and over, including patients 65 and older The population of male and female patients served ranges from the adult, age 18, to the elderly adult, age 65 and over.
Details
no telework; on-site only Telework: Not Available
Details
long periods of walking, standing, bending, pushing and patient transfers
Details
occasional exposure to combative patients (delirium, dementia, psychiatric) The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.
Details
exposure to infected patients and contaminated materials The incumbent may be exposed to infected patients and contaminated materials
Details
Excepted service; does not confer competitive status This position is in the Excepted Service and does not confer competitive status.

The workplace

Veterans Health Administration
Health system employer

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

On your path

Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.

Original listing

Posted on Veterans Health Administration’s careers page.

Read full text

Summary

The primary purpose of the LPN/LVN Licensed Practical / Vocational Nurse is to perform assigned duties in a manner that promotes quality healthcare, positive customer service, and the maintenance of the environment, committed to serving the veterans. The LPN/LVN is considered a novice and performs within this functional statement under frequent guidance of the Nurse Manager or designee. Assigned tasks require basic technical competence and skill.

Learn more about this agency This job is open to

The public U. S. Citizens, Nationals or those who owe allegiance to the U. S. Clarification from the agency

NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties

VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4

Total Rewards of a Allied Health Professional

Direct Patient (Critical)

  • Provides quality care to patients with multi-system problems and assists patients with a full range of personal care with attention to preserving dignity, autonomy, religious preferences, and cultural values
  • Has some knowledge and skill in supporting providers with diagnostic tests and procedures, which may include:
  • Preparing the patient
  • Assisting the provider with diagnostic examination or procedure
  • Preparing and handling specialized instruments/equipment
  • Monitoring the patient's condition before, during, and after the procedure
  • Prepares, administers, and documents medications and treatments, including the patient's response, under supervision as prescribed
  • Measures and charts vital signs; reports abnormal findings to RN or provider
  • Consistently distinguishes, evaluates, and reports changes in patient status and notifies the preceptor
  • Complies with universal precautions and infection control policies and procedures
  • Communicates with patients, family members, caregivers, and community-based services via different modalities, including but not limited to secure messaging, phone calls, and face-to-face 8. Completes assignments as directed, based on established protocols/accepted medical service practices, San Francisco VA Healthcare system policy and procedures, and VHA Guidelines
  • Recognizes and promptly reports patient abuse
  • Demonstrates knowledge and correct usage of skills in intervening and managing potentially violent and/or suicidal patients
  • Demonstrates knowledge of and correct usage of medical and psychiatric terminology/diagnosis.
  • Monitors and helps with patient traffic to ensure minimal wait times for patients and to keep providers daily schedules on time.
  • Completes PACT scrubbing
  • Attends and participates in huddles, pre-visit planning and team meetings
  • Makes pre-visit calls for PACT
  • Communicates effectively with outside providers and organizations
  • Completes discharge calls when needed
  • Completes nursing care activities and covers other teams' assignments as directed

Work Schedule

8:00 am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 09899F, 09900F, 09901F, 09902F Relocation/Recruitment Incentives: 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) 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.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

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 3: None beyond the basic requirements.

Gs 4

Six months of qualifying experience as an LPN/LVN OR 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 OR Graduation from an approved school of at least 24 months in duration. AND LVN/LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level.

GS 5: Completion of at least one year of qualifying experience at the GS-4 level or equivalent. AND Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel 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 as permitted by approved local facility policies and procedures. 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 supply deficiencies, promptly reporting to appropriate personnel for corrective action.

Completed work is under the general supervision of an RN or MD/DO. GS 6: Completion of at least one year of qualifying experience at the GS-5 level or equivalent. AND 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 and to use judgment in selecting the appropriate order and sequence of procedures and treatments. Ability to observe, identify and respond to the patient's needs for medication, equipment-assisted care and patient/family education. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures.

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. 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. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills.

Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Preferred

Experience

Two years of LVN/LPN…

What's around it?

In San Francisco, CA

San Francisco, CAFrom Census ACS 2024.

Living costs about 16% above the US average

Median rent
$2,476/mo
Household income
$140,970/yr, all local households, not nurse pay

See San Francisco, CA

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