Practical Nurse

Summary

The incumbent performs a variety of supportive - nursing and medical tasks necessary to the care of patients during diagnostic and therapeutic visits to any ECHCS VA Primary Care Clinic location. The Licensed Practical Nurse's (LPN) practice is modeled on the standards established within the VHA model for Patient Aligned Care Teams.

Qualifications

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.

• 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 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 (i.e.
  
  - Puerto Rico) 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
• Grade Determinations:
  In addition to the basic requirements - 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 basic requirements
• GS-04:
  Six months of qualifying experience as an LPN or LVN 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 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 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
• 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…