This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Applicants must meet all requirements within 30 days of the close of the announcement. 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. Licensure: Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth of the United States, or District of Columbia. English Language Proficiency: LPNs/LVNs 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: The following qualification criteria must also be met for each grade. GS-3: None beyond the basic requirements. GS-4: a) Six months of qualifying experience as an LPN/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. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. AND a) 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. b) 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. c) 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. d) 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. e) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. f) 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-6: Completion of at least one year of additional qualifying experience at the GS-5 level a) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. b) 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. c)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. d) 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. e) 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. f) 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. g) 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. h) 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. i) 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: VHA Handbook 5005, Part II, Appendix G13 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: heavy lifting (45 lbs and over), straight pulling, pushing (2 hrs), walking (6 hours), standing (2 hours), repeated bending (6 hours), ability to distinguish basic colors, hearing (aid may be permitted), visual acuity 20/30 (corrected), working with hands in water, working closely with others. ["Duties will vary based on grade. At the GS-6, full performance level of this assignment, the incumbent provides outpatient clinic care for Veterans with acute and chronic health conditions, with age ranges from young adult to geriatric. Duties will include: Delivers care tp patients in a respectful non-judgmental manner and according to the patient care plan. maintains patient/client privacy. sets limits within nurse/patient relationship[s which are clearly defined. Demonstrates understanding of age and population specific characteristics that affect the health care needs of the Veteran. Recognizes significant changes in the patient. Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed, when appropriate. Accurately documents and retrieves patient/clinical information using CPRS. Organizes/prioritizes clinical specific activities. Provides effective education to patients and/or family members in relation to common disease processes, medications, and/or prescribed diagnostic and/or treatment regimes, as directed. Adheres to standards of practice and safe technique in preparation and administration of medicine. Observes patient for adverse effects from medication and reports to the team RN. Participates in QI activities, as directed. Monitors/reports/participates in selected aspects of: oxygen therapy, delegated procedures, and treatments, implements use of urinary drainage and related care, places, reads, and documents intradermal skin testing, utilizes Doppler for vascular data, transcribes clinician orders for shot clinic and records medication treatment on the health record. Completes health promotion screenings to include behavior health and immunizations. Transcribes clinician orders for shot clinic and records medication/treatment on medication administration record. Maintains a safe/clean work environment. Adheres to principles of infection control, safety and universal precautions. Possesses knowledge of proper handling and pre-cleaning of re-usable medical equipment. Works effectively with patients, families, visitors, co-workers, and/or members of other services to promote positive interaction. Demonstrates professional behavior, effective communications and interpersonal skills. Contributes to team-based staff meetings and task forces or committees as appointed. Work Schedule: Monday-Friday 8:00AM-4:30PM Telework: Ad-Hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized EDRP Authorized: Please contact the VISN 20 EDRP Coordinator Stacy Hermann @ V20CompensationTeam@va.gov Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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