The Licensed Practical Nurse (LPN) reports to the designated Nurse Manager and is responsible and accountable for the provision of patient care and for delivery of quality nursing care to a culturally diverse veteran patient population (internal/external).

Duties

Duties include but not limited to: Reports to the designated Nurse Manager and is responsible and accountable for the provision of patient care and for delivery of quality nursing care to a culturally diverse veteran patient population (internal/external). Demonstrates working practices that include adherence to infection control standards and the safe use and operation of equipment. Seeks guidance from RN and/or provider regarding resolution of clinical issues. May be assigned other duties deem necessary to support organizational goals. Initiates, performs, and completes assigned duties in providing care to variable patient populations with technical proficiency. Observes, identifies, and responds to the patient's needs for acre including medication equipment-assisted care and patient/family education. Recognizes and considers emotional, cultural, spiritual, socio-economic, and age related factors. Assists during emergency situations, initiates, and/or assists with CPR, choking, fire emergencies, psychiatric emergencies, etc. and obtains equipment and supplies as requested by the RN or physician. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatment according to established policies and 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. Initiates, administers, assesses, monitors and reports IV sites, start intravenous fluids and piggyback solutions prepared by Pharmacy. Performs duties for complex diagnostic tests and/or specialized practices or procedures, which include prescribing patients, assisting in the diagnostic examination, preparing, and handling specialized instruments or other specialized equipment, and monitors patient's conditions before, during, and following the procedure. Documents vital signs, treatments and procedures performed in Computerized Patient Record System (CPRS). Retrieves data via computer, completes competency for assigned role, completes unit level activities and unit in-services according to Nursing Service policy/procedures. Possesses the skill to provide care to the young adult, adult, and geriatric patients, i.e. ages 18 years through 100+ years old with knowledge of the principles of growth and development over this life span. Work Schedule: Rotating shifts, variable schedule. Permanent Change of Station (Relocation Assistance): Not authorized. Telework: Not available. Virtual: This is not a virtual position. Functional Statement #:000000 Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required

Requirements

Qualifications

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 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). 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: In addition to the basic requirements stated above the following qualification criteria must be met for each grade. GS-3 None beyond the basic requirements listed above. GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below: Six months of qualifying experience as an LPN or LVN; OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. 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. 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 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. Preferred Experience: 1 year of Mental Health experience. References: VA Handbook 5005/3, Part II, Appendix G-13, Licensed Practical or Vocational Nurse Qualification Standard dated April 10, 2003. The full performance level of this vacancy is GS06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS03 to GS06. Physical Requirements: Heavy lifting (45 lbs and over); Straight pulling; Pulling hand overhand; Reaching above shoulders; Use of fingers, both hands required; Walking; Standing ; Kneeling; Repeated bending, both legs required; Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/40 in the other; Ability to distinguish basic and shades of colors; Hearing without aid; Hearing whispers; Mental and Emotional Stability

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Hampton VA Medical Center 100 Emancipation Drive Hampton, VA 23667 US
• Name: Charlotte Wright
• Phone: 804-948-4830
• Email: [email protected]