Summary

This Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) position is located in the Community Living Center (CLC) 3A at the Fayetteville VA Medical Center in Fayetteville - NC - aligned under the Nursing - Geriatrics and Extended Care Service Line. Providing safe and individualized nursing care to patients in the Community Living Center and Hospice/Rehabilitation settings. Interact and collaborate effectively with patients - families - other health care and supportive personnel.

Qualifications

Basic Requirements:

• United States Citizenship: Citizen of the United States
• English Language Proficiency: Must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d) - and 7407(d)
• 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
• 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/LVN 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
• 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
• 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
• The candidate's qualifications must clearly demonstrate the level of competence required for the grade
• GS-03- None beyond the basic requirements
• GS-04 - 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
• 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
• GS-06- 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 a 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 - 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
• 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
• Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• Preferred Experience: One year of LPV/LVN experience in long term care - hospice - or rehab
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• The full performance level of this vacancy is GS-03
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05
• Physical Requirements: See VA Directive and Handbook 5019.

Duties

• VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) 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/LVN also performs assigned duties in a manner that promotes quality health care - outstanding customer service - and the maintenance of an environment committed to serving the veteran
• Assists the Registered Nurse in the coordination of resident care activities with other departments by preparing for scheduled appointments/test/procedures
• Provides nursing care to residents - including feeding - bathing - shaving - wound care dressings - warm and cold compresses - suppositories - and administering enemas
• Reports - observes - and records physical and behavioral changes in resident's status
• Take and record resident blood pressure - temperature - pulse - weight - respiration - and collects specimens
• Provides and assists with lifting and positioning of residents - utilizing proper body mechanics - and lifting devices - as appropriate
• Assist the Physician - Nurse Practitioner - and/or Registered Nurse with diagnostic and therapeutic procedures
• Follows policies and procedures of standard - universal precautions
• Applies external devices - safety devices - and other supportive devices - as indicated or prescribed for residents
• Responds to call lights in a timely and courteous manner
• Reports and records current observations - such as resident's physical conditions - variations in emotional responses - vital signs - and results of procedures
• Administers oral - topical - subcutaneous/intramuscular and intradermal medications - may calculate medication dosages - observe effectiveness of medications - and document findings in resident's record
• Demonstrates knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribes oral - topical - subcutaneous - intramuscular - and/or intravenous medications permitted by approved medical center policies and procedures
• Administers and records treatments such as ostomy irrigations - tracheotomy care - catheterizations - and internal tube feedings
• Initiates CPR in critical emergencies - until the rapid response team arrives to the department
• Performs oral and tracheal suction through mouth or established tube - such as tracheotomy
• Assists the RN with admitting - transferring - and discharging residents
• Reports and records potentially unsafe unit and patient activities/equipment
• Perform all other duties as assigned
• Work Schedule: 7:45am-8:15Ppm or 7:45pm-8:15am - 12 hour shifts - Alternate weekends
• Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases
• 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 #: 000000 Permanent Change of Station (PCS): Not Authorized