Summary The primary purpose of the LPN/ LVN is to perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veteran. The LVN also performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the veteran. The LPN/LVN performs under the close supervision of the Nurse Manager or designee. Responsibilities Demonstrates an understanding in delivering holistic care through collaborative strategies with others in a team environment for patients within the assigned service. Has knowledge of program regulations and is able to to carry out objectives of the Nursing program. In doing this, follows guidelines to meet and maintain program requirements. Provides direct nursing care to patients in a variety of healthcare settings. Completes and documents care provided. Based on assigned area, performs nursing care procedures (sterile techniques, blood glucose monitoring, wound care, oxygen therapy, deep breathing and coughing) according to policy, guidelines and oversight from senior nursing staff Recognizes the patient's autonomy and promotes independence by means of respect, limit setting and individualized treatment. Complies with Standard Operating Procedure (SOP) for pretreatment/cleaning Reusable Medical Devices (RMD) in applicable patient care setting. Administers nursing care to patients, such as baths or showers, enemas, treatments, and minor dressing changes as assigned. Takes and accurately records vital signs, height and weight and records in the Electronic Health Record. Prepares patient for diagnostic and/or therapeutic procedures. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous, and performs treatments according to established policies/procedures. Identifies, reports, and documents medication errors/discrepancies, reactions and side effects immediately, according to policy and procedure. The LPN/LVN observes for physical and/or emotional changes in patient's health condition, which may include prescribed medications/treatments, to promptly and accurately documenting identified changes, and reporting any deviations from normal to RN/HCP. Uses appropriate therapeutic interventions for all patients. Recognizes and appropriately responds to patients who require nursing care, e.g. seriously ill, disturbed, confused, and/or wandering. Monitors patients according to levels of observation, acuity, and assignment sheet. Uses observations for data collection, reporting and recording. Promotes performance improvement initiatives, identifies problems, collects data, and supports change. Identifies, reports, and documents all changes in patient's behavior or condition to the RN and appropriate collaborative treatment team members. Communicates information in a calm, non-judgemental, and non-threatening manner. Participates in the interdisciplinary treatment team meeting process. Responsible for participating within unit-based and/or organizational-level Shared Governance councils, utilizing clinical expertise, evidence-based practice, and knowledge to assist with finding solutions to problems or issues to improve the quality care provided to veterans. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures Total Rewards of a Allied Health Professional Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Work Schedule: Full time Monday through Friday 0800-1630, 0730-1600 Preferred Experience: 3-5 years within the Medical Specialty/Outpatient Specialty clinic setting. 3 years with outpatient procedures, sterile field set up and instrumentation, medical asepsis with strong communication skills (written, face-to-face, telephonic, secure email and virtual). Strong computer skills/knowledge of telehealth programs Compressed/Flexible: Not Available Recruitment/Relocation Incentive (Sign-on Bonus): May be authorized for highly qualified candidates. 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 Authorized Virtual: This is not a virtual position. Functional Statement #: 21048F 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. You may be required to serve a probationary period. 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 dentification 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). 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. 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: 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: (a) Six months of qualifying experience as an LPN or LVN; or (b) 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 (c) 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 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, identify, and response to a patient's needs for care including 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. Observes for, documents, and reports physical and/or emotional changes in the patient's condition from prescribed medications/treatments. Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed Knowledge and understanding of human behavior, patient motivations and reactions to situations and the ability to appropriately utilize this knowledge in working effectively with patients, family members and other staff. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which includes preparing the patient and 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. Preferred Experience: Preferred Experience: Outpatient procedures Sterile Field set up experience - 3 years (Preferred) Medical Specialty and/or Outpatient Specialty Clinic experience (3 - 5 years), example Rheumatology, Endocrinology, Infectious Disease, Dermatology, Pulmonary, Diabetes Care Strong technology and communication skills, face-to-face, written, telephonic, secure email, and virtual (video). Strong computer skills and knowledge to perform and support telehealth programs. (Preferred) National Certification (Preferred) Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.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: The work requires physical exertion such as prolonged periods of standing, bending, reaching, crouching, stooping, stretching, and lifting moderately heavy items such as assisting patients, manuals, record boxes, or equipment. The work requires above average agility and dexterity. The incumbent may be required to travel between VA and/or CBOCs and possession of a valid driver's license is required. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.*Note: Foreign education programs/degrees are not creditable as related degrees. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
