Licensed Vocational Nurse (LVN)- Emergency Care Center, Full-Time

Summary
The primary purpose of the position is to perform assigned duties in a manner that promotes quality health care - positive customer service and the maintenance of an environment committed to serving the veteran at the Hampton VAMC. The LPN also performs assigned duties in a manner that promotes quality health care - outstanding customer service - and the maintenance of an environment committed to serving the veteran.

Qualifications Basic Requirements

Citizenship: U.S. citizen

Non-citizens may be appointed only when qualified citizens cannot be recruited in accordance with VA policy

English Language Proficiency: LPN/LVNs appointed to direct patient care positions must be proficient in spoken and written English in accordance with 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

Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission - 61 Broadway - 33rd Floor - New York - NY 10006

Additional information may also be obtained from the NLNAC Website

Exceptions include: Military practical nursing education accepted by the licensing authority in the jurisdiction where the applicant is licensed meets the education requirement

Certain employees converted under 38 U.S.C. §§ 7401(3) or 7405 as part of Public Laws 98-160 and 99-576 are grandfathered under the original conversion provisions

Licensure: Full - active - current - and unrestricted licensure as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia

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: Meets the basic qualification requirements

GS-4: Applicants must meet one of the following: Six months of qualifying LPN/LVN experience

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

or Graduation from an approved school of at least 24 months duration

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: Applicants must possess: One year of qualifying experience equivalent to the GS-4 level

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

Function as an effective member of the interdisciplinary nursing team while maintaining professional relationships with patients - families - and staff

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: Applicants must possess: One year of qualifying experience equivalent to the GS-5 level

Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations

In addition - applicants must demonstrate the 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

References: VA Handbook 5005/3 - Part II - Appendix G13

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: Applicants must meet the physical requirements in VA Directive and Handbook 5019 and applicable local LPN/LVN physical standards.

Duties

Total Rewards of a Allied Health Professional Duties including - but not limited to: Nursing Care and Technical Competencies Ability to acknowledge and report technical issues that may delay or impede productive work efforts

Assists during emergent situations - initiates - and / or assists with CPR - choking - fire emergencies - etc. - and obtains equipment and supplies as requested by the RN or physician

Administers medication accurately and promptly under the general supervision of an RN

Demonstrates understanding of the effects and/or reactions caused by medications - treatments - and procedures

Records and reports these observations to RN

Performs personal care - diagnostic support duties and treatments according to procedure under the direction of the RN in a timely manner

Responds to patient's nursing needs - including physical comfort - and emotional needs and recognizing problems from the normal

Strive to involve patients and family to participate in the provision of care throughout the continuum

Participates and reinforces resources and referrals

Completes assignments in a timely manner with constructive utilization of remaining time

Initiates - administer - assess - monitor - and report IV sites - start intravenous fluids and piggyback solutions prepared by Pharmacy

Independently established priorities and varies the sequence of nursing care based on the patient's conditions and/or response to treatment in or to accomplish assigned tasks with limited supervision by the end of tour

Successfully demonstrates nursing competencies associated with the assigned department

Interpersonal Relations/Customer Service Flexible and adaptable to changing circumstances and is able to effectively work in a high‑pressure environment and maintain good interpersonal skills with a positive attitude

Demonstrates resilience in the face of setbacks

Builds an atmosphere of trust

Communicates goals - objectives - and achievements to internal/external stakeholders

Effectively incorporates knowledge and understanding of established customer service standards in all interactions with veterans - family members - and/or internal/external customers

Communication Utilizes problem‑solving process when patient problems/administrative problems arise

Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication - and socialization skills

Documentation Documents vital signs - treatments - and procedures performed in accordance with established policy

Protect the data from unauthorized release or from loss - alteration - or unauthorized deletion

Follows applicable regulations and instructions regarding access to computerized files - release of access codes - etc. - as set out in the computer access agreement that the employee signs

Participates in shift huddles and patient care conferences as assigned

Documents observations - care - patient education - interventions - and patient responses to care in a timely manner

Other duties assigned

Work Schedule: 0730-1600 with rotating weekends and holidays

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: Virtual: This is not a virtual position

Functional Statement #: PD1793FA

Permanent Change of Station (PCS): Not Authorized

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