Licensed Vocational Nurse - Domiciliary

Licensed Practical Nurse

Duties include but are not limited to: Patient Care & Clinical Responsibilities

• Demonstrates technical proficiency in initiating, performing, and completing a broad range of nursing duties for residents with diverse medical, mental-health, and psychosocial needs.
• Provides direct patient care, including medication administration, treatments, wound care, health monitoring, and supportive care in accordance with LVN scope of practice.
• Selects and sequences care procedures based on assessed resident needs and clinical judgement.

Assessment, Observation & Reporting

• Recognizes and appropriately responds to subtle or less obvious physical and emotional changes in a Veteran's condition.
• Documents observations thoroughly and reports changes requiring higher-level intervention to the RN or provider in a timely manner.
• Contributes to ongoing assessments and care planning discussions.

Emergency Response & Safety

• Identifies emergency situations promptly and initiates appropriate preliminary interventions.
• Assists in resuscitation procedures as indicated and seeks RN or provider support immediately.
• Maintains awareness of environmental safety needs, correcting or reporting hazards and equipment malfunctions.

Medication & Treatment Management

• Ensures safe, accurate medication administration, including controlled substances following VA policy.
• Monitors and documents Veteran reaction to medications and treatments, reporting concerning findings.
• Maintains medication storage areas and assists with medication reconciliation when required.

Care Coordination & Treatment Plan Involvement

• Actively contributes to the development, revision, and modification of individualized treatment plans.
• Collaborates with interdisciplinary team members to coordinate care across residential, outpatient, and specialty service
• Guides residents in understanding treatment goals and encourages adherence to therapeutic activities.

Documentation

• Documents care accurately and independently in approved VA systems.
• Ensures that documentation reflects assessments, interventions, responses, and significant clinical information in compliance with VHA policy.
• Work requires general review, indicating full-performance proficiency.

Resident Support & Therapeutic Environment

• Reinforces program expectations, supports recovery-oriented engagement, and models respectful communication.
• Encourages independence, self-management, and participation in programming and whole-health activities.

Infection Control & Environmental Responsibilities

• Adheres to infection-control protocols, ensures cleanliness, and promotes sanitation within residential spaces.
• Participates in environmental rounds and helps maintain a safe, recovery-focused environment.

Work Schedule: Night Shift, 7:30pm - 8:00am - Including weekends and holidays

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 #: 00000

Permanent Change of Station (PCS): Not Authorized

US Department of Veterans Affairs