The Ambulatory Care Licensed Practical Nurse (LPN) is responsible for care of Veterans across the lifespan with acute and/or chronic medical, surgical, and/or mental health conditions. The LPN is responsible for administering medications, nursing procedures, and completing Provider orders with oversight from the Registered Nurse. 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. 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 Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. Note: must submit transcript with application. 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 the provisions in chapter 3, section B, paragraph 16 of this part. Physical Standards. See VA Directive and Handbook 5019. 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). 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 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: (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (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. GS-06 (Full Performance Level): In addition to the basic requirements stated above the following qualification criteria must be met for each grade.GS-6 (a) 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. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (c) 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. (d) 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. (e) Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for physical and/or emotional 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. (f) 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. (g) 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. (h) Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. (i) 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. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures. (j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References: VA Handbook 5005/3, Part II, Appendix G13.Preferred Experience: 2 years of experience as an LPN preferred. Demonstrated dependability for duty and flexibility in work assignments and hours in previous assignments. The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. ["The LPN assists with transitions of care through collaboration with multi-disciplinary services, both internal and external to the VA Health System. The LPN monitors and utilizes team metrics to coordinate individualized nursing and other health services, promote patient advocacy, health education, promote optimal health and wellness, evaluate patient treatment preferences, health goals, and outcomes, and navigate the health care system. The LPN structures daily activities to promote time management, organization, and prioritization. Ambulatory Care nursing occurs across the continuum of care in a variety of outpatient settings, which include but are not limited to: Clinics, Ambulatory Surgery and Diagnostic Procedural areas, Telehealth services. The LPN provides nursing care face-to-face and through a variety of telecommunication strategies. The LPN provides screening and reporting of complex and potentially life-threatening conditions and/or behavioral health emergencies. The LPN assists with exams and procedures and tracks ongoing patient health needs. The LPN serves as a preceptor and mentor to new colleagues. The LPN participates in process improvement projects and other assigned administrative duties. The LPN provides coverage of other Ambulatory Care Clinics as assigned. In addition to the core elements of performance, Ambulatory LPN in the sub-specialty clinics (Gastroenterology, Medical Specialty, and Surgical Specialty) will have knowledge of infection control principles and to prevent post-procedure infections and cross-contamination practices with sterile and non-sterile instrumentation and supplies. Practices proper handling and labeling of anatomic specimens, knowledge of common clinic-specific disease processes, conditions, and treatment modalities. Focuses on clinic visits, and exams Uses motivational interviewing and health coaching to guide patients Reviews future and daily schedules from patient care needs May provide medication list for patient review Performs vital signs and treatments Assists providers with exams/procedures Completes appropriate clinical reminders Administers/tracks immunizations Tracks, prepares and administers medications Completes orders per provider or protocol Maintains adherence f daily schedule Facilitates visit closure by confirming required patient education and orders have been processed/completed Appointment scheduling including EWL and Recall list, as assigned Initiates Pre-visit contacts Observes, records, and reports patient's response or changes in patient's condition Prormptly recognizes and responds to urgent or emergent situations Assists with orientation: PACT patient orientation and new staff/affiliate orientation Coordinates group visits Checks daily equipment/supplies and restock Places orders and consults per clinical reminders and PACT Nurse Protocols Obtains labs Responds to Patient calls/messages and/or alerts Completes primary care discharge phone calls ,per clinic policy Monitors PACT metrics for teamlet Work Schedule: Monday-Friday, 7:00 AM- 3:30PM or 7:30 AM to 4:00 PM or Monday-Friday, 8:00 AM to 4:30 PM or 8:30 AM-5:30PM Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.