Duties
VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4
Total Rewards of a Allied Health Professional
Duties and Responsibilities:
- Provides direct patient care services under the direction of the Nurse Manager and is assigned to Specialty Care Services at SFVAHCS, San Francisco, CA.
- Provides direct patient care services under the direction of the Registered Nurse and is assigned to the Specialty Care Service at SFVAHCS, San Francisco, CA.
- Engages in nursing care and practices that do not require complete professional education but require the knowledge and skills represented by licensure as an LVN.
- Serve as a healthcare team member assigned to selected patients and provide care to them regularly.
- Completes assigned duties with minimal supervision.
- Demonstrate an understanding of nonstandard and specialized practical nursing activities.
Direct Patient (Critical)
- Provides quality care to patients with multi-system problems and assists patients with a full range of personal care with attention to preserving dignity, autonomy, religious preferences, and cultural values.
- Demonstrates knowledge and skill in supporting providers with complex diagnostic tests and procedures, which may include: a. Preparing the patient b. Assisting provider with diagnostic examination or procedure c. Preparing and handling specialized instruments/equipment d. Monitoring the patient's condition before, during, and after the procedure
- Prepares, administers, and documents medications and treatments, including patient's response, as prescribed.
- Completes preventative screenings, clinical reminders, and encounters.
- Measures and charts vital signs; reports abnormal findings to RN or provider.
- Consistently distinguishes, evaluates, and reports changes in patient status and initiates appropriate action.
- Complies with universal precaution and infection control policies and procedures.
- Communicates with patients, family members, caregivers, and community-based services via different modalities, including but not limited to secure messaging, phone calls, and face-to-face.
- Observe, identify, and respond to patient/family education needs and teach by current clinical practice standards.
- Proficient in initiating, performing, and completing assigned duties for variable patient populations
- Recognizes and promptly reports patient abuse Indirect Patient Care (Critical).
- Maintains a safe/clean work environment and completes assigned environmental duties.
- Demonstrates appropriate action in environmental emergencies.
- Employs appropriate lifting/moving, transfer, and assistive devices while consistently demonstrating proper and safe body mechanics.
- Report unsafe equipment and working conditions to appropriate individuals and intervene appropriately.
- Participate in Quality Improvement activities.
- Practice cost-effective measures with the use of equipment and supplies.
- Actively participates in huddles or team meetings.
- Assists the team in meeting specialty clinic outcome measures, which may also include data collection and reports.
- Demonstrates knowledge of pertinent Standard Operating Procedures (SOP) and competency in the set-up, proper use, and disinfection of Reusable Medical Equipment (RME) and Reusable Medical Devices (RMD).
- Establishes work priorities and completes assignments based on established protocols/accepted medical service practices, SFVAHCS policy and procedures, and VHA Guidelines.
Other duties as assigned.
Work Schedule: Monday-Friday, 8:30am -5:00pm PST
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Available
Virtual: This is not a virtual position.
Requirements
Conditions of employment
- You must be a U.S. Citizen to apply for this job.
- 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.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- Complete all application requirements detailed in the "Required Documents" section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
- your performance and conduct;
- the needs and interests of the agency;
- whether your continued employment would advance organizational goals of the agency or the Government; and
- whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
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:
- 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).
- Licensure - Full, Active, Current and Unrestricted license as a licensed practical or vocational nurse in a State, Territory or Commonwealth of the United States or District of Columbia
- English Language Proficiency - Appointment to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d) and 7408(d).
Grade Determinations:
GS-03 - None beyond the basic requirements.
GS-04 - Six months of qualifying experience as 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
(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 practice.
(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 action.
(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.
GS-06
(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. 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.
(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.
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-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: Requires Visual Acuity; keen hearing; clear distinctive speech; Moderate Lifting up to 35 pounds; Walking, Standing intermittently up to 4 hours; Ability for rapid mental and muscular coordination simultaneously; Ability to distinguish shades of colors; Intermittent typing; Sitting; Bending and stooping; Reaching above shoulder, Fine motor movement of hands/fingers; Hearing acuity to auscultate using stethoscope (i.e. blood pressure, etc.); Corrected Vision to 20/30; ability to exert 20 pounds of pressure to compress adult chest 2 inches for CPR
Preference: 1-2 years experience preferred.
Education
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.
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.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
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.
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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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.