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The Licensed Practical Nurse serves as a member of the multidisciplinary health care team with selected patients and provides care to them on a regular and recurring basis. The LPN completes assigned duties and responsibilities, which involve performing standard and specialized practical nursing activities and which require broad work experience. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. 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: (1) 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. (2) 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. [(3) Individuals granted a license by a jurisdiction that does not require graduation from an approved school. See paragraph 4, section C.] 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: GS-06 (Full Performance Level): (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. References: VA Handbook 5005/3 Part II Appendix G13. Licensed Practical or Vocational Nurse Qualification Standard. The full performance level of this vacancy is GS-06 Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. This position requires the ability to lift 50lbs. Transferring patients and objects may be required. Work requires the ability to physically intervene with disruptive patient/Veteran and protect self and others from injury using the knowledge gained from training. The LPN must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["Patient Aligned Care Team LPN Major Duties include the following: Direct patient care giver who proactively gathers information and identifying data regarding the Veteran and collaborates with the clinic team members to coordinate the Veteran's plan of care Scrub List; Scrub patient list two- three weeks prior to the appointment - differentiate who the Veteran needs an appointment with a (Provider, Nurse, Telephone visit, Pharm-D, Mental Health, etc.) Sends Letters (no show, A1C, HTN) Collaborates with RN in completing ED Post Discharge Calls Patient intake process/check in process- Greeting, vital signs, documentation and managing the team's flow. CPRS - Nursing Documentation; uses the AECCC nursing template/personalizes Veteran's plan of care, documents and follows up on the Veteran's goals Addresses Clinical Reminders with each visit (clinical reminders may also be addressed on a telephone visit) Performs 12 Lead EKG, phlebotomy for lab draws, specimen collecting, ear irrigation, Staple/Suture removal, wound care, Performs Point of Care Testing to include: Glucometer, A1C, UhCg Closes Encounters daily after each visit and before COB Prepares & administers prescribed medications (Omnicell) Gives \"Did You Know\" form at every visit/Ask the Veteran their healthcare goals Secure Messaging (answering/assigning) Microsoft Teams must be daily while working Attend daily clinic huddles Attend PACT huddles Assist the RN with Triple Threats, HTN, DM, LDL colorectal/mammogram/cervical screening, etc.) Inform Veterans about delays/Round in reception area Completes monthly chart audits as assigned Performs weekly EOC rounding and quarterly fresh eyes Annual competency, assigned TMS training Work Schedule: Monday - Friday 730am - 430pm Telework: Not available. Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required This position is covered by AFGE bargaining unit. Per the AFGE Master Agreement, the Area of Consideration will be: 1st Area of Consideration: Current permanent Facility (including satellites) employees 2nd Area of Consideration: Current permanent VA employees 3rd Area of Consideration -Federal employees of other agencies"]

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