The primary purpose of the LPN is to perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veteran. The LPN, should be skilled and technically proficient at starting, implementing, and completing assigned duties in providing care to a variable patient population. They should actively seek out educational opportunities to enhance nursing knowledge and skills. 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; or Health care education in the military service or training in the military which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure; or Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Licensure: Candidates must be currently licensed to practice as practical or vocational nurse in a state or territory of the United States or the District of Columbia, and must possess current, full active and unrestricted license registration of said license. English Language Proficiency: Applicants must be proficient in spoken and written English as required by 38 USC 7402(d) and 7407 (d). (No person that is not proficient in spoken and written English will be appointed under authority of 38 USC Chapter 73 or 74 to serve in a direct patient-care capacity. Grade Determinations: Upon Selection a review will be conducted of the selected candidate's education and experience in order to determine the grade and salary at which the candidate qualified for and will be placed in. Qualifications and required KSA's (Knowledge, Skills, and Abilities) required to be appointed at each grade level are as follows: GS-03: None beyond the basic requirements listed above. GS-04: Six months of qualifying experience as an LPN; 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-05: 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-06: Completion of at least one (1) year of additional qualifying experience at the GS-05 level or equivalent, fully meeting all performance requirements for the LPN AND 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. Ability 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 or NAs/HTs related to support duties for these more complex, specialized tests/procedures. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Reference: VA Directive and Handbook 5005/3, Part II, Appendix G13; Practical Nurse Qualification Standard, dated April 10,2003 The full performance level is GS 6. The actual grade which an applicant may be selected is in the range of GS 3 to 6. Physical Requirement: See additional information section. ["This is an OPEN CONTINUOUS ANNOUNCEMENT for the James A Haley VAMC and surrounding CBOCs. The initial cut-off date for referral of eligible applicants will be 04/21/2023. Eligible applications received after this date will be referred at regular intervals or as additional vacancies occur until 06/30/2023. Applications expire after 3 months. To continue to be considered applications require updates. The LPN collaborates with multiple specialty care providers in scheduling and providing care to our Veterans. Maintains acceptable standards of practice under the direction of the nurse manager or designee and engages in nursing care, which requires the knowledge and skills represented by licensure as an LPN. Assignments are limited to situations demanding an exceptional degree of practical nursing knowledge and skills. Other duties include but are not limited to: Ambulatory Care (PACT, Specialty Care) The individual selected for this position is accountable to the Nurse Manager in the ambulatory care setting/Primary Care/PACT/Specialty care and works under the direction of the Registered Nurse (RN) and within identified teams. Responsible for the treatment, observation and care of the Veteran within the scope of LPN functions and other duties as assigned. Assist in the overall PACT clinic management, functions and operations, facilitation patient flow, thorough check in and checkout process. Provide patient education and/or instructions. Work with care team and community resources. Participate in performance improvement activities and other activities that enhance patient care and clinic operations. Maintain patient's privacy and confidentiality. Document pertinent information in the electronic medical record. Assist with coordination of all services for the patient with PACT Team and group visits. Work with the patient, significant other and health care team to establish patient centered short- and long-term goals. Demonstrate knowledge and skills 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 the Registered Nurse. GEC (CLC-C, CLC-D) Community Living Center at the James A Haley VA offers special in-patient care to its veteran population. Patients receive preventative, acute, sub-acute chronic, maintenance and hospice care. Periop (Dermatology, APU) Provides skilled and individualized practical nursing care to all levels of patients including most complex patients who are acutely and/or chronically ill in the outpatient care setting. The LPN recognizes the need for and seeks guidance when necessary to ensure quality patient care. In organizing and delivering care, the LPN recognizes and considers emotional, cultural, spiritual, and age related factors. The LPN actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. Polytrauma Rehab (Outpatient, Rehab, Transitional Rehab, Polytrauma) The Rehabilitation Nursing Service LPN is a key member of the nursing and rehabilitation treatment team. The nursing assistant could service in polytrauma, comprehensive rehabilitation and outpatient pain clinic. Mental Health (DOM) The Domiciliary Residential Rehabilitation (DOM) is residential rehabilitation program focusing on physical, mental, social, rehabilitative, & vocational services. Work Schedule: Multiple Work Schedules, dependent upon the service, discussed during interviews. Flexibility may be required to ensure coverage for the operations of the facility. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]

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