Practical Nurse

This Licensed Practical Nurse position is within the Nursing - Perioperative Service at the VA White River Junction Healthcare System located in White River Junction - Vermont. This position is being posted as interdisciplinary for a Practical Nurse or Registered Nurse. If you are interested in applying as a Registered Nurse - RN Staff - Outpatient - apply to posting Job Announcement Number: CBTD-12974468-26-TCH at

• 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 Accreditation Commission for Education in Nursing(ACEN) at the time the program was completed by applicant
• Verification can be obtained from the State approving agency or the Accreditation Commission for Education in Nursing
• Exceptions include: See Additional Information Section
• 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
• 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)
• Grade Determinations: In addition to the basic requirements - 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
• LPNs at this grade level are expected to perform all duties within the scope of their license (e.g
• medication administration)
• however - completed work may require routine or detailed higher level review depending upon the complexity of the duties involved
• 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 (which may be waived as provided in paragraph 4 of Section C) 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
• (d) 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: (a) Completion of at least one (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 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 approval 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 - cultural - spiritual - 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
• (i) 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
• (j) 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: 3-5 years' experience in Outpatient - Ambulatory Experience - ACLS/BLS
• Outpatient procedural experience preferred Reference: For more information on this qualification standard - please visit

• VA Careers - Licensed Practical Nurse: Total Rewards of a Allied Health Professional The Licensed Practical Nurse in an Inpatient or Outpatient setting is a member of the health care team who functions with a high degree of independence - is self-directed - displays initiative and good judgement as well as leadership implementing nursing care
• Based on assignment and grade - duties may include but are not limited to: Administers and records medications and treatments
• Determines need - contra-indications - allergies - and identifying and recording reactions/interactions
• Recognizes the pharmacological implications of medication administration for various age groups
• Demonstrates knowledge of the nursing process in administering patient care by: Collection of data and observing to determine patient needs
• Plans and carries out a developed plan of care
• Evaluate and adjust plan of care to meet patient needs
• Recognizes and quickly assesses emergency situations and makes appropriate and timely interventions
• Performs procedures accurately - completely - and safely according to Practice and Policy
• Functions as a member of the multidisciplinary team
• Performs nursing care associated with treatment of wounds facilitating healing and prevention of infection
• Charts according to VAMC guidelines and documents observation and nursing care administered with patient response on progress notes
• Reports pertinent information to appropriate personnel during the course of the day
• Receives - discusses - and communicates patient information upon transfer or change of tour of duty
• Establishes constructive relationships with individual patients to elicit feelings and attitudes
• Promotes working relationships based upon communication
• Communicates effectively and establishes positive relationships with patients
• Conducts self with professional demeanor and courteous behavior
• Organizes care for the selected patients and/or group of patients by: Evaluates the overall assignment and setting priorities for each patient
• Monitors the status of each patient throughout tour of duty
• Resets priorities according to changes in patient's condition
• Assesses client needs which may impact care
• Demonstrates initiative - self-direction - and good judgment by: Ability to plan and organize with little assistance
• Uses good judgment in selecting appropriate application of procedures and guidelines
• Seeks learning opportunities to improve
• Performs additional duties as assigned
• Work Schedule: Full-Time - Monday - Friday - Hours TBD
• No weekends or holidays
• 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 #: F1017 for GS-3 - F1018 for GS-4 - F1019 for GS-5 - and F1020 for GS-6. Permanent Change of Station (PCS): Not Authorized Financial Disclosure: Not Required Notifications: This position is in the Excepted Service
• This position is a Bargaining Unit position
• Current and former Federal employees must submit copies of their most recent SF-50 - (Notice of Personnel Action)
• The SF-50 must identify the position title - series - grade - step - tenure and type of service (Competitive or Excepted)
• In some cases - more than one SF-50 may be required to show a higher grade previously held
• Narrative responses to the knowledge - skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment
• This position is covered by a special rate
• Veterans' preference does not apply for internal or other current permanent Federal agency employees
• Due to a critical staffing shortage - 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement.