Licensed Practical Nurse - Ambulatory Care

Summary The PACT LPN functions as a member of the PACT team. The incumbent functions as a member of the nursing team and assists the Registered Nurse in providing holistic care to patients in the Primary Care Clinic settings. The LPN serves as a responsible member of the nursing team and interacts with patients - family members - professional and supportive personnel who provide patient care - and with members of other services. 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-03 - None beyond the basic requirements GS-04 - Six months of qualifying experience as an LPN or LVN OR - Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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 sterile techniques and procedures OR - 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 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 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 family members in relation to common disease processes - medication - and prescribed treatment regimes Demonstrated ability to serve as a responsible member of the nursing team 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 Knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribed oral - topical - subcutaneous - intramuscular - and/or intravenous medications 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 Knowledge and ability to recognize the need for 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 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-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 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 to use judgment in selecting the appropriate order and sequence of procedures and treatments 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 Ability to observe - identify - and respond to a patient's needs for care including medication - equipment-assisted care - and patient/family education In organizing and delivering care - the LPN/LVN recognizes considers emotional - socio-economic - and age-related factors Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular and/or intravenous) performs treatments according to established policies/procedures Observes for physical and emotional changes in patient's condition from prescribed medications/treatments - promptly accurately documenting noted changes - and reporting any deviations from normal to RN or MD/DO Knowledge and ability to recognize urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO - initiate appropriate emergency interventions as directed Knowledge and understanding of human behavior - patient motivations 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 - 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 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 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: Outpatient Care Reference: For more information on this qualification standard - please visit 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 Physical Requirements: See VA Directive and Handbook 5019. Duties VA Careers - Licensed Practical Nurse: Total Rewards of a Allied Health Professional Major duties include - but are not limited to: The LPN serves as a responsible member of the nursing team and interacts with patients - family members - professional and supportive personnel who provide patient care - and with members of other services Demonstrates active collaboration and communication with Core Teams (Patient - Primary Care Provider - RN Care Manager and MSA and the Expanded Team (family/caregiver - internal and community-based services involved in providing care to the patient) Performs screening for Telehealth visits and other Ancillary services Primarily work in the ambulatory setting within specialty and primary care within the Finger Lakes Health Care System A basic understanding of the total patient program Understanding of simple scientific facts and principles A broad spectrum of technical skills Adaptation of procedures to meet individual patient needs Recognition of the relatedness of patients' behavior and physical condition Work Schedule: 7:30AM - 4:00PM - Monday - Friday Compressed/Flexible: Not Authorized 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 #: 24307-F/ 99265-F Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized #J-18808-Ljbffr