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:
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
- 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. 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.
- Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the 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-04
- Within this organization functions as a nursing team member under the direction and guidance of the Registered Nurse. He/she is responsible for delivering safe physical and emotional care to patients with increasingly complex needs, in a variety of settings, while enhancing technical skills. The LPN. GS4 carries out all functions and duties outlined for the LPN.
- The LPN 4 will perform at the advanced beginner level. He/she is responsible for direct patient care activities under the supervision of the Registered Nurse (RN). Written assignment. with supplemental verbal instructions that are given by the RN. Work performance is observed and regularly evaluated by the Registered Nurse-for purposes of competency validation. The practical nurse seeks guidance from the RN when difficulty is encountered with the assignment.
- Demonstrate ability to serve as a responsible member of the clinic and interact with patients, family members, professional and supportive personnel who provide patient care, and with members of other services.
- Assist with answering the phone, conveying timely messages to the appropriate staff, placing calls/pages as needed.
- Have the option to participate in the accurate collection of data as instructed by the Nurse Manager or designee.
- Have the option to make recommendations for the application of current research findings to practice as well as applying those findings as assigned by the Nurse Manager or designee.
GS-05
- Demonstrates knowledge and ability to provide full range of practical nursing care to patients with a variety of physical and/or behavioral problems.
- Works with the RN and/or MD to appropriately orient train less experienced LPN's, NAs, and Health Technicians (HT) according to acceptable standards of practice in the delivery optimal patient care.
- Demonstrate ability to serve as a responsible member of the clinic and interact with patients, family members, professional and supportive personnel who provide patient care, and with members of other services.
- Assist with answering the phone, conveying timely messages to the appropriate staff, placing calls/pages as needed.
- Have the option to participate in the accurate collection of data as instructed by the Nurse Manager or designee.
- Have the option to make recommendations for the application of current research findings to practice as well as applying those findings as assigned by the Nurse Manager or designee.
GS-06
- Proficiency 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, using judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognizing, reporting, and recording relevant patient information.
- Ability to observe, identify, and response to a patient's needs for care including medication, equipment-assisted care, and patient/family education.
- Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for, documents, and reports physical and/or emotional changes in the patient's condition from prescribed medications/treatments.
- Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed.
- Knowledge and understanding of human behavior, patient motivations and reactions to situations and the ability to appropriately utilize this knowledge in working effectively with patients, family members and other staff.
- Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which includes preparing the patient and 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.
Preferred Experience:
- 3-5 years of experience as in LPN/LVN experience.
- Dependability and experience in a variety of clinical setting such as Primary Care, internal medicine or other specialty outpatient clinic experience.
- Knowledge and ability to participate actively in teaching the patient, family and /or significant other.
- Ability to function in outpatient clinics with minimal supervision.
- Ability to recognize and respond to potential emergent patient situations.
- Electronic medical record experience.
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-6.
Physical Requirements:
The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. James H. Quillen Veterans Affairs Medical Center (JHQVAMC) is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, lifting more than 10 pounds, and pushing. Transferring patients and objects may be required. The LPN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The LPN may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The LPN must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The employee may on occasion, be assigned to other Veteran care areas.