Licensed Practical Nurse - Intermittent - Specialty Clinic Job in Grand Island, NE

Vacancy No. CBSY-12595960-25-EB Department Veterans Health Administration
Salary $43,813.00 to $68,779.00 Grade 3 to 6
Perm/Temp Permanent FT/PT Part-time
Open Date 10/30/2024 Close Date 1/3/2025
Job Link Apply Online Who may apply Public
Locations:
Grand Island, NE


Summary

This Licensed Practical Nurse (LPN) position is located at the Grand Island VA Medical Center in Grand Island, NE. This outpatient LPN works on an intermittent basis under the direction of an RN and will assist with various Specialty Clinics to include Cardiology, Dermatology, Orhopedics, Pulmonary, Rheumatology, Urology and Wound Clinics.

This job is open to

Clarification from the agency

This announcement is open to All US Citizens including Federal employees of agencies other than the VA. Current, permanent employees of the Nebraska-Western Iowa VA Health Care System including Community Based Outpatient Clinics (CBOCs) and current VA nationwide employees should apply to announcement CBSY-12595959-25-EB.

Duties


VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4
Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf

Major duties of this position include, but are not limited to:

  • Perform vitals and Specialty Intake Note for each Veteran, completing any clinical reminders that may be due.
  • Prepare and administer any medications/immunizations as per policy or as ordered by the provider.
  • Perform and assist provider with any procedures to include, shave biopsies, toenail removal, wound care, catheterizations, or other procedures.
  • Complete IMED consents when needed for any procedures that require consents.
  • Recognize and support suicide prevention initiatives.
  • Recognize and respond to patient emergencies, initiating life saving measures while waiting for assistance to arrive.
  • Document data and assessments into the electronic medical record following established guidelines.
  • Other duties as assigned.
Work Schedule: Intermittent employment is defined as non-fulltime employment in which employees serve under an appointment without a regularly scheduled tour of duty. A position with an intermittent work schedule is sporadic and unpredictable so that a tour of duty cannot be regularly scheduled in advance. Clinic hours are M-F 7:30am - 4:00pm. This position will be expected to work at least 2 shifts per month.
Compressed/Flexible: Compressed schedule is not available
Recruitment Incentive (Sign-on Bonus): Not authorized
Permanent Change of Station (Relocation Assistance): Not authorized
Pay: Competitive salary and regular salary increases
Paid Time Off: This position does not accrue annual or sick leave
Insurance: Intermittent employees are not eligible for benefits unless expected to work 130 hours per month or more for at least 90 days.
Retirement: Intermittent employees are typically not eligible for retirement benefits. Current Federal Employees should reach out to their local HR office to inquire about how this position may affect their current benefits.
Telework: Not available
Virtual: This is not a virtual position
Permanent Change of Station (PCS): Not authorized
Physical requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.

Nebraska-Western Iowa is part of the VA Midwest Health Care Network (VISN 23). The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Requirements

Conditions of Employment

  • You must be a U.S. Citizen to apply for this job. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination or evaluation.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
  • Basic Life Support (BLS) certification required. Training provided.

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.

Basic Requirements. To be at least minimally qualified for appointment as a LPN or LVN (licensed practical or vocational nurse) in VHA, applicants must meet the following education and licensure requirements:
  • Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or the Accreditation Commission for Education in Nursing (Formerly: National League for Nursing Accrediting Commission). See "Education" section for additional requirements and exceptions.
  • 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. 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. In addition to the basic requirements stated above, additional criteria must be met for each grade. Human Resources will determine eligibility and qualifications and recommend the appropriate grade level to the selecting official. This determination will be made based on the information in your application. To receive full consideration at the GS-5 and -6 levels, your application must clearly demonstrate the Knowledge, Skills, and Abilities (KSAs) described below.

GS-03. None beyond the basic requirements.

GS-04. May qualify for the GS-4 level based on experience and/or experience as described below:
  • 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. Must have completed at least 1 year of qualifying experience at the GS-4 level or equivalent that demonstrates the following KSAs:
  • 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 registered nurse (RN) and/or physician (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. Must have completed at least 1 year of additional qualifying experience at the GS-5 level or equivalent that demonstrates the following KSAs:
  • 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 RN or MD/DO for appropriateness and conformity with established policies/procedures.
  • 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/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.
  • 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 with patients, family members, and/or other internal/external customers.
  • 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.
References: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Preferred Experience: The following experience is preferred, but not required: At least 2 years of outpatient clinic experience, experience in any of the following areas: Cardiology, Dermatology, Wound Care, Urology, Orthopedics, Rheumatology and/or ENT Clinics.

Education

IMPORTANT: This position has a positive education requirement. Transcripts are required to verify your education. A transcript must be submitted with your application if you are basing all or part of your qualifications on education at the GS-3 and -4 levels. You do not need to submit an official copy with your application; however, your submitted transcript must include your name, name of school, name of program, total credits completed, date degree/certificate conferred. If currently enrolled, you may be asked to provide proof of enrollment from your school's Registrar's office.

Your education program must be approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (Formerly: National League for Nursing Accrediting Commission) at the time the program was completed.

Exceptions/Deviations:

  • 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. Appointing officials may, at their discretion, waive the education requirement if an LPN/LVN was licensed in a jurisdiction that does not require graduation from an approved school, provided the individual has demonstrated successful practice as an LPN/LVN. One year of successful practice is considered the equivalent of graduation from an approved school of 12 months duration.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

To receive full consideration for this position at the GS-5 and -6 levels, your application must clearly demonstrate the Knowledge, Skills and Abilities (KSAs) required by the Licensed Practical or Vocational Nurse Qualification Standard found in VA Handbook 5005/3, Part II, Appendix G13.

What are KSAs?

In the federal hiring process, Knowledge, Skills, and Abilities (KSAs) are a list of special qualifications and personal attributes that you need to have for a particular job/grade level (see Qualifications section of this announcement).

  • Knowledge statements refer to an organized body of information usually of a factual or procedural nature which, if applied, makes adequate performance on the job possible. A body of information applied directly to the performance of a function. Skill statements refer to the proficient manual, verbal or mental manipulation of data or things.
  • Skills can be readily measured by a performance test where quantity and quality of performance are tested, usually within an established time limit.
  • Ability statements refer to the power to perform an observable activity at the present time. This means that abilities have been evidenced through activities or behaviors that are similar to those required on the job. Note that abilities are different from aptitudes. Aptitudes are only the potential for performing the activity.
Although not required at the time of application, we highly recommend submitting a supplemental document with your written responses to the KSAs required at each grade level you wish to be considered. If you choose not to submit KSA responses, please ensure your resume includes details of your experience that fully demonstrate the required KSAs as described in the "Qualifications" section of this announcement.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • Resume


Transcripts may be required at the time of application, depending on how you meet the qualification requirements. Please see education section of this announcement for additional information.

Candidates who do not yet meet the basic education requirement but are currently enrolled in a post high school technical school, junior college, college, or university completing coursework related to the Nursing Assistant occupation, must provide proof of enrollment at the time of application.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

  • DD-214/ Statement of Service
  • Disability Letter (VA)
  • License
  • Supplemental document with written responses to Knowledge, Skills, and Abilities (See Qualifications section of announcement)
  • Professional Certification
  • Proof of Enrollment
  • Resume
  • SF-50/ Notification of Personnel Action
  • Transcript

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until January 3rd, 2025. Eligible applications will be referred at regular intervals on an as-needed basis until positions are filled. Vacancies may not presently exist for all work schedules but may become available at any point during the open period of this vacancy announcement.

Applications will be reviewed and referred to the selecting official at regular intervals. Your application may be referred to the selecting official several times depending on the number of vacancies available at the time of referral. If no vacancies exist, applications may be returned without selection. You will receive notice each time your application is referred/returned.

Your application will remain active for 3 months. If you have not been selected after 3 months from your application date, you must resubmit to receive further consideration.

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 01/03/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12595960.

  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

Agency contact information

Erika Buchholz
Address
VA Nebraska-Western Iowa HCS - Omaha
4101 Woolworth Avenue
Omaha, NE 68105
US
Learn more about this agency

Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.


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