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The Licensed Practical Nurse (LPN) position works in the Ambulatory Care Department within the Primary Care Outpatient Clinics, at the Jesse Brown VA Medical Center. The Licensed Practical Nurse works in collaboration with the interdisciplinary team to provide primary care services for patients. 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. 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). 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. 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. Exceptions include: 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. Grade Determinations: In addition to the basic requirements stated in section A, 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. Grade Determinations: 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.(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. Preferred Experience: 2 years of ambulatory care experience EKG skills Experience with administration of medications and injections Excellent interpersonal skills and customer service skills Works well with interdisciplinary team Self-directed with rational problem solving skills Evidence of good written and oral communication skills Basic computer skills References: VA HANDBOOK 5005/3 PART II APPENDIX G13 The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is GS-06. Physical Requirements: Functions require extensive periods of standing and walking. Work with patients requires regular and recurring bending, lifting, stooping, stretching, and similar activities. The employee may be scheduled to work varying hours of duty and may, on occasion, be detailed to other patient care areas. ["The LPN for the Primary Care Outpatient Clinics located at the Jesse Brown VA Medical Center works in collaboration with the interdisciplinary team to provide primary care services for veterans in a busy Ambulatory Care Department. The LPN works under the supervision of a licensed RN, Nurse Practitioner, or Physician. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan. The LPN's responsibilities include but are not limited to: supporting veteran health in the Primary Care Clinics; completion of clinical reminders, vital signs, injection administration, and EKGs; contacting veterans for upcoming appointments; patient education; supporting the other Primary Care Clinics, etc. The LPN is responsible for active communication and collaboration with the Patient Aligned Care Team (PACT) which includes the patient, primary care provider, RN case manager and patient support assistant. In addition, the LPN is responsible for active collaboration with the larger team (family/caregiver, internal and community based services and disciplines involved in providing care to the patient). Cross coverage to all Primary Care Outpatient Clinics is required as needed. Per local facility policy, the LPN is responsible for maintaining Basic Life Support (BLS) certification. Work Schedule: Day Shift 8:00am to 4:30 pm Day Shift 8:30 AM to 5:00 PM Coverage for early and late clinics required as needed Functional Statement #: 000000 Financial Disclosure Report: Not required"]

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