Licensed Practical/Vocational Nurse - Mental Health Residential Treatment Program (MH RRTP)

Summary Within the Mental Health Residential Treatment Program (MH RRTP) - the LPN/LVN is responsible for providing a wide range of patient care - diagnostic services - treatments - and documentation in psychiatric or substance use disorder settings under the direction of a Registered Nurse (RN). The LPN/LVN performs assigned duties under the guidance of the Nurse Manager or designee - requiring advanced technical competence and skill. 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 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) 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 VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986 and for their future personnel actions under this authority The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions Individuals granted a license by a jurisdiction that does not require graduation from an approved school 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 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 in section A - 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-3. None beyond the basic requirements GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below: (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-5 (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 4 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
• g) 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 (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 - 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 Qualifications continue in the Education section. Duties Total Rewards of a Allied Health Professional Duties of the LPN/LVN - MH RRTP include - but are not limited to: Provides therapeutic - rehabilitative - and preventive care to patients - including patient and family education on disease processes - medications - and treatment plans Observes and identifies physiological and psychological changes in patient condition accurately report and document findings - procedures - and medications administered Prepares - administers - and monitors prescribed medications (oral - topical - subcutaneous - intramuscular - and intravenous) safely - recognizing contraindications and effectiveness Performs basic and specialized nursing procedures under supervision (e.g. - catheterization - nasogastric feeding - suctioning - sterile dressing application - suture removal) while maintaining aseptic technique and infection control protocols Responds promptly to urgent and emergent situations such as cardiac or respiratory arrest - seizures - assaultive behavior - or suicidal/homicidal crises initiate emergency measures and seek assistance as needed Reviews patient charts - medical history - and care plans to communicate effectively and distinguish patient needs deliver thorough hand-off reports Monitors behavioral changes - provide emotional support - and elevate concerns to RN or provider assist with mechanical restraints and monitor patients under suicide precautions - seclusion - or restraint per policy Complies with safety standards - universal precautions - and facility protocols - including fire/disaster drills and security measures report equipment malfunctions and safety hazards Builds constructive relationships with patients - families - and staff - incorporating customer service standards and respecting privacy and dignity Serves as a responsible member of the nursing team - orienting and training less experienced staff act as a preceptor when need Performs support duties for complex diagnostic tests and specialized procedures - including patient preparation - assisting during exams - and monitoring condition Completed assignments independently - prioritize tasks - and resolve conflicts using sound judgment and interpretation of regulations Seeks educational opportunities to enhance nursing knowledge and share new insights with colleagues to improve practice Work Schedule: 7:30 pm - 8 am - with rotating weekends and holidays (80 hrs./pay period) - subject to change based on the needs of the facility 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 #: 01464F - 01465F - 01466F - 01467F Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr Veterans Health Administration, Department of Veterans Affairs