Primary Care Clinic Nurse (LPN)

Licensed Practical Nurse
Duties and Responsibilities include, but are not limited to:
Advanced Clinical Care
Performs a full range of outpatient clinical duties, including:
Independently obtaining and trending vital signs, pain scores, targeted assessments, health histories, and clinical screenings (PHQ-9, AUDIT-C, suicide risk, fall risk, etc.).
Recognizing subtle clinical changes and initiating appropriate actions while notifying the RN or provider.
Performing advanced clinical procedures, including:
EKGs
Glucose monitoring and specialty point-of-care testing
Complex wound care assistance
Ear lavage
Nebulizer treatment setup
Immunizations (per local competency validation)
Preparing patients for PACT and specialty procedures by ensuring all equipment is ready and sterile/clean techniques are followed.
Other duties as assigned

Medication Administration
Administers medications within LVN scope of practice using BCMA, including oral, injectable, inhaled, topical, and other approved routes.
Observes for and reports actual or potential medication reactions.
Reinforces medication education as directed by the RN or provider.
PACT Workflow & Care Coordination
Coordinates clinic flow and patient movement between the RN Care Manager, provider, clinical pharmacist, and support staff.
Conducts pre-visit planning and assists with panel management activities, including:
Pending laboratory testing
Imaging
Care gap closure
Preventive care reminders
Supports RN-delegated triage activities within LVN scope of practice.
Manages follow-up care instructions, consults, and post-visit coordination.
Assists in identifying Veterans needing same-day access, RN case management, or provider outreach.
Communication & Interdisciplinary Collaboration
Communicates effectively with Veterans, caregivers, and all PACT team members.
Participates in daily huddles, interdisciplinary discussions, and process improvement initiatives.
Serves as a liaison between Primary Care, Mental Health, Social Work, Pharmacy, and Specialty Clinics.
Utilizes therapeutic communication to support Veterans with chronic illness, behavioral health needs, and complex social factors.
Documentation
Documents comprehensive care data in CPRS accurately and promptly, including assessments, procedures, medications, education, and clinical reminders.
Completes PACT clinical reminders and specialty documentation templates with a high degree of reliability.
Ensures compliance with VA documentation standards and audit requirements.
Safety, Infection Control & Regulatory Compliance
Maintains strict adherence to infection control protocols, PPE use, and isolation procedures.
Ensures exam rooms and equipment meet safety, sanitation, and readiness standards.
Identifies, reports, and assists in resolving safety hazards or process deviations.
Participates in emergency drills and follows established emergency response workflows.
Leadership & Mentorship
Serves as a resource LVN for Primary Care and PACT operations and specialty care.
Precepts LVNs by providing guidance on clinical procedures and workflows.
Supports the training of new staff and students.
Contributes to team development and continuous improvement initiatives.
Work Schedule: Monday - Friday, 8:00am - 4:30pm
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 #: 000000
Permanent Change of Station (PCS): Not Authorized
US Department of Veterans Affairs