The VA Hudson Valley Health Care System is recruiting for one (1) full-time Licensed Practical Nurse for the Ambulatory Procedure Department. 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. 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. 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). American Heart Association BLS certification required. Preferred Experience: Experience in medical/surgical and ambulatory procedures preferred. Start IVs and perform as scrub LPN in APU procedures, provide clinical care in surgical, dermatology, ENT, urology, endoscopy, EGD, colonoscopy, TEE. Provides patient education, pre and post procedure instructions, and follow up calls. Set up, pre cleaning , maintenance of RMD. 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, specimen collection, wound care etc. Grade Determinations: 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. References: VA Handbook 5005, Appendix G-13. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is GS-6. Physical Requirements: The physical requirements of this position include lifting, prolonged standing and sitting, frequent bending, walking (distance), climbing, reaching (overhead, extensive/repetitive), pulling, pushing, repetitive motion and stooping. The mental/sensory requirements include recall, reasoning, problem solving, hearing, speaking clearly, writing legibly, keyboarding, reading and logical thinking, depth perception, hearing (aide permitted); near/far vision correctable to meet Driver's License requirements. The environment's pace can vary from steady to a sometimes fast pace requiring handling of multiple priorities, frequent, sometimes intense customer interactions, and the ability to adapt to frequent changes in a sometimes noisy environment. This position has the potential for exposure to hazardous waste and chemicals, infectious disease and requires the use of personal protective equipment (PPE) is required to minimize exposure to disease, illness and hazardous materials. Work requires extensive walking, standing, stretching and bending in caring for patients. This position requires emotional and mental stability to effectively perform the essential functions of the job and respond appropriately in emergency situations. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for long periods of time with arms above shoulder level or with neck fully flexed or extended position and the ability to physically control or defend against emotionally ill patients. ["This LPN Ambulatory Care Procedure (APU) position in Nursing Service provides patient centered care to all patients being cared for within the Ambulatory Procedure setting which involve performing nonstandard and specialized practical nursing activities requiring broad work experience and demonstrated skill sufficient to resolve a range of nursing problems. The LPN provides care which includes and is not limited to patients scheduled for endoscopic procedures-colonoscopy, esophagogastroduodenoscopy, TEE, laryngoscopy; cystoscopy, dermatology, surgical, radiology/MRI/CT, prostate biopsy procedures, GI , surgical, urology clinics, preprocedural and postprocedural education. The LPN is expected to have broad working knowledge of nursing procedures and perform all duties within the scope of their license; however, completed work may require routine or detailed higher-level review depending on the complexity of the duties involved. Most completed work requires only a general review by Registered Nurse. The Licensed Practical Nurse (LPN) working in the Ambulatory Procedure area is responsible for providing safe, effective clinical and administrative support in a wide variety of patient care and related activities. The LPN functions as a member of the health care team by demonstrating the practical nursing knowledge and skills necessary in carrying out complex practical nursing care assignments within Ambulatory Procedure unit. The purpose of this position is to be a productive team member carrying out and ensuring quality and timely delivery of Veteran centric care. The incumbent must possess the personal qualities, desire and attitude necessary to adapt to rapidly changing demands on time and workload and have necessary skills to perform specific tasks/tests/procedures to meet the Veteran's complex, healthcare needs.\nUnder the direction of the Registered Professional nurse, the LPN provides a broad range of direct, age-specific patient care activities and supportive services, as identified in age-specific competencies, including demonstrating knowledge of changes associated with aging and principles of growth and development relevant to the adult and geriatric age groups. Using traditional face to face and/or telehealth modalities, demonstrates the ability to interpret, report and document data about the patient's status; the ability to identify age-specific needs and provide appropriate care based upon the age-related factors noted including assisting with procedures, providing patient education and other duties as needed. The population of male and female Veterans served ranges from the adult, age 18, to the elderly adult, age 65 and older. Age-related and cultural interventions appropriate to the cognitive, physical, and emotional needs will always be employed, tailored to the individual patient, providing patient centered care while incorporating knowledge of changes associated with aging and principles of growth and development. Work Schedule: 7:30am - 4:00pm, or 8:00am - 4:30pm\nTelework: Not Available.\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized.\nPermanent Change of Station (PCS): Not Authorized.\nFinancial Disclosure Report: Not required."]