OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans? 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: Written and Spoken Physical Standards: All applicants must meet the physical standards for the position. A physical examination prior to employment may be required. 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. 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. 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. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Preferred Experience: Preferred experience is two years LPN experience Grade Determinations: In addition to the basic requirements stated in section A, 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. GS-4 Six months of qualifying experience as an LPN or LVN; 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. GS-5 Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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. 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. 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 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. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 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. References: VA Handbook 5005/27, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 10, 2003.The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. ["The Float LPN is responsible for the evidence-based care of a group of patients as follows: Assists the RN, charge LPN, and other members of the interdisciplinary team (IDT) with providing input in the development of care plan based on the Veterans care needs Administration of medications within the LPN scope of practice Under the direction of the RN or charge LPN, provides health care services to the Veteran to include, but not limited to: Foley Catheter insertion/discontinuation/care; obtaining the Veteran's vital signs, blood glucose, or EKG; activities of daily living (ADL); and post-mortem care. Takes appropriate action when indicated regarding equipment safety (Wander guard unit, crash cart, refrigerators, etc.).Communicates to appropriate staff when immediate intervention is needed for safe care. Initiates and maintains standards of cleanliness and safety in Veteran environment and exercises proper use and maintenance of equipment. Monitors Veterans' risks for behaviors including, but not limited to: Elopement, wandering, suicide, fall, behavior, and pressure ulcer and taking action, when indicated, to include communicating to appropriate personnel, when further intervention is needed, and completing necessary documentation. Sits with patient on 1:1 for safety, as needed. Under the direction of the RN or charge LPN, monitor bladder and bowel functioning, tracking of input and output (I&O) and hydration. Performs nursing care, as applicable to the Veteran, including all aspects of personal care and grooming. Consistently follows policies, standard operating procedures (SOPs), and procedures as applicable to reusable medical equipment (RME) and infection control. Observes Veterans and reports changes in Veteran behavior and condition to the unit charge nurse. Reports required information for hand-off communication to charge nurse and co-workers including to other members of the IDT and other applicable staff and departments. Completes the necessary documentation for these duties. Under the direction of the RN or charge LPN, educates the Veterans on their care needs, as appropriate to LPN skill level. Communicates with families and significant others, as appropriate Promptly reports any deviations from normal practice patterns to the charge nurse, NM, or the nursing supervisor. Completes all assigned routine documentation Responds during emergencies, assisting during fire drills, and responding to any safety issues as they arise Demonstrates self-direction in applying knowledge of fire, safety, and disaster regulations, practices, and procedures, and communicates expectations to staff. Uses proper body mechanics and safe lifting equipment, including personal protective equipment (PPE), that promotes a safe workplace. Encourages other staff compliance with safety policies. Participates on committees or other workgroups as requested. Participates in quality improvement activities. Actively seeks educational opportunities to enhance nursing knowledge and skills. Completes mandatory education requirements. Ensuring the cleanliness of rooms by emptying trash, cleaning bedside tables, and ensuring that belongings are stored appropriately. Promotes the values of cultural transformation and Veteran-centered care to nursing staff in the Community Living Center (CLC). Actively seeks Veteran choice in care plan participation and goal development. Manage patient care by monitoring of psychiatric symptoms, assisting in medical and psychiatric emergencies, administering medications, assessing withdrawal symptoms, and providing appropriate, clinically sound care. Identifying and caring for suicidal Veterans and managing disturbed behavior through their specialized training One-to-One observation of patients for high risk of suicide, elopement, falls, etc. Additional duties as assigned. Work Schedule: Intermittent - varied shifts available - One shift per pay period, one weekend per month, one major winter holiday and one major summer holiday. Financial Disclosure Report: Not required Physical Requirements: Standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning; repositioning patients, assisting with transfers; pushing or lifting in excess of 45 pounds; visual (corrected to 20/30 or better with color discrimination); auditory acuity; arms above shoulder level; neck in a fully flexed or extended position; work on computers for extended periods of time. Work is primarily conducted in a well-ventilated, adequately heated and cooled building. May be exposed to inclement weather when traveling around medical center. May be exposed to normal office irritants - dust, pollen, noise, vibrations, or odors. May be exposed to therapy animals with and without advanced notice. May be exposed to patients and family in emotional upheaval or extreme pain. Must have emotional stability to properly care for usual patient population."]

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