Licensed Practical Nurse (Patient Aligned Care Team)
Company: Veterans Health Administration
Posted on: April 9, 2021
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.Graduate of a school of
practical or vocational nursing. 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. Licensed practical or
vocational nurses appointed to direct patient care positions must
be proficient in both spoken and written English. Preferred
Experience: Previous experience in outpatient clinic settings
preferred. Grade Determinations:
None beyond the basic requirements. LPNs at this grade level are
expected to perform all duties within the scope of their license
(e.g., medication administration); however, completed work may
require routine or detailed higher level review depending upon the
complexity of the duties involved.
a) Six months of qualifying experience as an LPN or LVN; or
b) 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
c) Graduation from an approved school of at least 24 months
duration. 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
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
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
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.
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
c) Knowledge and ability to appropriately carry out assigned
patient care based on the patients' conditions; 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.
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. References: VA Handbook 5005, Part
II, Appendix G13, Licensed Practical or Vocational Nurse
Qualification. The full performance level of this vacancy is GS-06.
The actual grade at which an applicant may be selected for this
vacancy is in the range of GS-03 to GS-06. Physical Requirements:
This position requires the ability to perform the following
physical standards & environmental factors: Heavy Lifting, 45
pounds heavy carrying, 45 pounds straight pulling (4 hours);
pushing (4 hours); use of fingers; both hands required; walking &
standing 8-12 hours; repeated bending 8 hours; both legs required;
ability for rapid mental & muscular coordination simultaneously;
near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision
correctable in one eye to 20/20 and to 20/40 in the other; depth
perception; ability to distinguish shades of colors; hearing (aide
permitted). Working closely with others; & protracted or irregular
hours of work. Transferring patients and objects may be required.
The incumbent may be exposed to infected patients and contaminated
materials and is required to adhere to infection control practices.
The incumbent may occasionally be exposed to patients who are
combative secondary to delirium, dementia, or psychiatric
disorders. The incumbent must be a mature, flexible, sensible
individual capable of working effectively in stressful situations,
able to shift priorities based on patient needs.
Keywords: Veterans Health Administration, Flint , Licensed Practical Nurse (Patient Aligned Care Team), Healthcare , Howell, Michigan
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