Summary
The primary purpose of the Licensed Practical Nurse is to collect and process blood and body fluid specimens - ensuring safety and nontraumatic processes are used with critical concern for the patient and the quality of the specimen with a minimal number of failures - patient bruising - or required re-sticks.
Qualifications
Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) formerly known as the National League for Nursing Accrediting Commission (NLNAC) - at the time the program was completed
Health care education obtained in the military service or training in the military service which was accepted by the licensing body in the jurisdiction in which you are licensed
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: Must possess a 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
(COPY OF LICENSE REQUIRED) GS-3 Level: None beyond the basic requirements
GS-4 Level: Must have completed six (6) months of qualifying experience as an LPN or LVN
OR - 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
- TRANSCRIPTS REQUIRED) OR - Graduation from an approved school of at least 24 months duration
- TRANSCRIPTS REQUIRED) GS-5 Level: Must have completed at least 1 year of qualifying experience at the GS-4 level or equivalent that includes: 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
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
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
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
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-6 Level: Must have 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 that includes: 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
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
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
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
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
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
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
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
Reference: For more information on this qualification standard - please visit
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: This position requires potentially long periods of continued walking - standing - and sitting
The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing
The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
Must complete annual Employee Health requirements as a condition of employment.
Duties
VA Careers - Licensed Practical Nurse: Total Rewards of a Allied Health Professional Incumbent collects and processes blood and body fluid specimens - ensuring safety and nontraumatic processes are used with critical concern for the patient and the quality of the specimen with a minimal number of failures - patient bruising - or required re-sticks
This involves correct patient identification - which means asking their full name and last four of their social security number
Verifies that the proper tubes are used and the correct amount of blood is drawn
Labels all tubes with the patient's name - full social security number - date - time and the phlebotomist's initials and re-identifies patient using full name and full SSN
Performs blood collection duties in a courteous manner
Makes the patient feel as comfortable as possible
Explains what is about to happen and any necessary processes required of the patient for specimen collection
Adheres to safety - infection control and universal precautions at all times while collecting samples
Wearing appropriate Personal Protective Equipment; proficient in the area of phlebotomy; able to draw all but the most difficult patients and follow proper procedures for redrawing blood
Collecting timed specimens for growth hormone - peak and trough drug levels - glucose and lactose tolerance specimens; collecting blood cultures using aseptic technique
Urine collection in accordance with the Federal Workplace Drug Testing Program as administered and regulated by the U.S. Department of Health and Human Services (DHHS) for drug testing of new employees; instructs patients in proper sterile midstream urine collection - 24 hour urine collection - and collection of stool specimens for culture and sensitivity - ova and parasites and occult bloods; performs and exhibits knowledge and skills specific to the young adult - adult and geriatric patient populations
Provides care based on physical - psychosocial - educational - safety and related criteria appropriate to the age of patients served
Prints out appointment lists for the lab clinics
Reviews orders in CPRS to ensure that all necessary orders are drawn
Provides order numbers to technical staff for orders that need to be cancelled for various reasons (e.g., duplicate order - patient no longer on medication)
Prepares the lab appointment lists for Billings at least one week ahead of schedule to ensure prompt attention to the patient when they present for specimen collection
Work Schedule: 7:30am - 4:00pm
Recruitment Incentive (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 #: 02652F - 02672F - 02633F - 02568F Licensed Practical Nurse - Outpatient Clinic Lab Permanent Change of Station (PCS): Not Authorized
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