Summary

The Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) - GS-7 performs more complexnursing assignments within their setting. The LPN/LVN possesses comprehensive practical nursingknowledge and skills in specialized procedures and practices. The LPN/LVN GS-7 role is ofconsiderable difficulty and responsibility is performed under general supervision. Individuals inthese positions are - to a considerable extent - expected to exercise independent technical judgments.

Qualifications

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: The Qualification Standard authorizes waiver of the requirement that licensed practical or licensed vocational nurses graduate from an approved school
• Exceptions include: 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/L VN licensure will be accepted as meeting the education requirements for VHA employment
• 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
• 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
• An LPN/LVN who has or has ever had - any license(s) revoked - suspended - denied - restricted - limited - or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3 - section B - paragraph 16 of this part
• Qualifications: The GS-7 grade level is for select - complex LPN/L VN positions - as established by each health care facility
• To be advanced - employees must meet all of the following standards - provided the standard is part of their assignment.( a ) Completion of at least one (1) year of additional qualifying experience at the GS-6 level or equivalent - fully meeting all of the performance requirements for the GS-6 LPN/L VN.( b ) Knowledge and skills necessary to carry out more specialized patient care duties - including assignments in selected - more complex inpatient and/or outpatient care settings
• Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions
• Positions at this grade level require broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in the development and modification of treatment plans.( c ) Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery
• Makes astute observations of subtle - less obvious changes - both physical and emotional - in patient's condition - and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan
• Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention
• At this grade level - the LPN/L VN is expected to participate to a greater degree in prioritizing - and - as appropriate - modifying patient care treatment
• They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations.( d ) Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments - accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received
• (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions - promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate - prescribed interventions
• Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels.( e ) Knowledge and skill to promptly recognize potential urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene - as directed - to assure the continuation of optimal - safe and therapeutic patient care delivery
• At this grade level - the LPN/L VN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate.( f ) Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes
• Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control - resistant or abusive behaviors - or impediments in their ability to understand or follow instructions
• This includes the ability to effectively deal with the above types of patients under very general supervision.( g ) Exhibits skill - creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces - research projects or in developing educational materials/media
• Actively promotes and effectively incorporates established customer service standards in all aspects of their practice.( h ) Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care
• Serves as a role model and mentor to other nursing staff in the application of more complex technology - effectively guiding and directing their continuing practice in these areas
• 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)
• The full performance level of this vacancy is GS7
• 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)
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: To perform in a fully successful manner - the individual must have the physical ability to perform job-related duties which require lifting - standing - bending - transferring - stooping - stretching - walking - pushing - or pulling without assistance from another patient care provider or significant other
• Utilizes Safe Patient handling equipment
• The incumbent will be exposed to fluoroscopy and must be able to wear lead protective equipment for extended periods of time
• A health examination must be successfully completed prior to this assignment and periodically thereafter as required by the Employee Health Clinic policy
• There will be intermittent exposure to blood and body fluids.

Duties

• VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The LPN/LVN is responsible for goals and interventions that promote veterans in attaining maximum functional potential
• This is accomplished through but not limited to modalities such as ambulation - bowel and bladder training - dressing - grooming - bathing - oral hygiene - range of motion exercises and fall prevention modalities.The work is performed in the Endoscopy suites and in most patient care areas of the hospital
• The individual will be working with some patients with potentially communicable disease: work is performed in an environment where x-rays are utilized as an adjunct to diagnostic procedures and chemicals are used for sterilizing instruments
• However - risks are minimal with usual precautionary measures
• Incumbents will be required to work rotating on call hours including nights - holidays and weekends
• The LPN has assignments above the level of a GS-6 and completes specialized patient care duty assignments in a more complex patient care setting which demand an exceptional degree of Practical Nursing knowledge - skills - and self-direction
• Positions at this grade level require broader knowledge and skills as supervision is more general and LPN\"s are expected to be involved in a greater degree in the development and modification of treatment plans
• Demonstrates ability to vary the order/sequence of assigned procedures based on the knowledge of the patient's condition
• Assumes responsibility for a designated unit in accordance with Joint Commission (JC) standards and recommendations - with a Registered Nurse (RN) ultimately responsible
• Assists with travel and /or housing arrangements for appointments and surgical procedures
• Communicates with patients directly as well as telephonically regarding pre/post-operative - pre/post admission - pre/post procedure instructions - status - and care - stresses the importance of follow-up care and appointments - no-shows - travel arrangements - etc
• and documents encounters in the Medical Record
• Assumes responsibility for developing/contributing to performance improvement plans - data collection and interpretation
• Reports monthly progress - trends and initiatives to the Nurse Manager
• Orients/Mentors employees to the clinical area
• Assists in the supervision of day-to-day operations in selected specialized clinical areas with guidance and supervision from charge nurse and nurse manager
• Supervises/Mentor GS-6 and below LPN's include nursing assistants and Health Technicians
• Preferred Experience: 1-2 years experience in a procedural area
• Critical thinking skills
• 6 to 12 months of direct endoscopy or GI Lab experiences
• Work Schedule: 0700-1530 Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Pay Schedule: VZ29 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 #: 51109-F Permanent Change of Station (PCS): Not Authorized