This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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: Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) 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. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. 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. 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). Grade Determinations: GS-3. None beyond the basic requirements. GS-4. Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below: (a) Six months of qualifying experience as an LPN or LVN; or (b) 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 (c) Graduation from an approved school of at least 24 months duration. (d) 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 (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) 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. (c) 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. (d) 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. (e) 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. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (g) 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 (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. ["If you are a federal employee, please apply to CBST-11576888. Duties include but are not limited to:\nTransfers patients in, to, and from bed, chair, stretchers, and escorts patients to appointments within the hospital.\nAdministers and records medications (IM, PO, rectal, topical, subcutaneous), monitors IV's, and performs treatments for patients using medical and/or surgical aseptic techniques, according to defined procedures for bladder catheterization, application of ointments, lotions, and powders and assists physician or professional nurse with other procedures.\nMeasures, reports, and/or documents vital parameters of body functions and changes in physical, mental, or behavioral states as indicated.\nThe employee provides patient care, which is appropriate to the cognitive, emotional, and chronological maturation needs of the young/middle/older patient.\nProvides for personal hygiene (bathing, shaving, shampooing hair, skin, and mouth care) for assigned patients according to defined procedures.\nFeeds and/or encourage diets, nourishments, and fluids to meet nutrition and hydration needs of assigned patients.\nTurns, positions, and transfers patients in, to, and from bed, chair, stretchers, and escorts patients to appointments as assigned.\nAssist in the elimination needs of patient by promoting bowel and bladder evacuation using a bedpan, urinal, external catheter, and cares for established colostomies and indwelling catheters.\nCollects, tests and/or processes specimens of body excretions and/or secretions according to established procedures.\nCares for, observes, and documents the physical, mental, and behavioral states of patients on special observation in accordance with defined procedure.\nThe employee provides patient care, which is appropriate to the cognitive, emotional, and chronological maturation needs of the adult and/or geriatric patient.\nDemonstrates knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.\nAble to vary the order and the sequence of assigned procedures based on the patient's condition and to use judgement in selecting the most appropriate application of procedures and guidelines.\nDemonstrated ability to observe, identify, and respond to the patient's needs for nursing, medications, and equipment-assisted care (if applicable) and to recognize deviations from normal.\nEstablishes constructive relationships with individual patients to elicit feelings and attitudes and to promote positive relationships, communications, and socialization skills.\nAdministers prescribed medications and performs more complex treatments.\nAs applicable, performs support duties for diagnostic procedures, which include preparing the patient and assisting in the diagnostic examination, preparing, and passing instruments, and monitoring the patient's condition.\nAble to vary the order and the sequence of assigned procedures based on the patient's condition and to use judgement in selection of the most appropriate application of procedures and guidelines.\nDemonstrates knowledge and skill to provide emergency care for patients according to defined nursing procedures in situations including cardiac and respiratory arrest, suicide attempts, assaultive acting out, seizures, diabetic coma, insulin shock, obstructed airway, and drug/alcohol intoxication and/or withdrawal.\nLeads formal, structured, therapeutic groups such as current events, reality orientation, AOL, socialization, and reminiscence groups in psychiatric and Extended Care areas.\nAdministers TB skin test (PPD), interprets results, and initiates necessary follow-up.\nRefrains from any activity, which could constitute, or give the appearance of patient abuse. Work Schedule: 7:00am-7:30pm; 7:00pm-7:30am with rotation weekend off\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 00054-F\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Contact Brandilyn.Wasson@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
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