The Licensed Practical Nurse (LPN) serves as a member of the multidisciplinary health care team with selected patients and provides care to them on a regular and recurring basis. This is an OPEN CONTINUOUS ANNOUNCEMENT. Applicants will be referred on an as needed basis. Applications remain on file for 180 days from the date of submission. For further consideration thereafter, please re-apply. NOTE: Announcement will remain open until no longer needed but no later than December 30, 2022. 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. (NOTE: This applies to the past, current, and upcoming VA Health Professional Trainees (HPT) only. HPT is an individual appointed to temporary positions in one or more VHA medical facilities performing clinical or research training experiences to satisfy program or degree requirements or receiving VA Health Professional Scholarship Program. HPTs can be either VA-paid or Without Compensation (WOC).) 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: Must be a graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing (NLNAC)/Accreditation Commission for Education in Nursing (ACEN). NOTE: 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. (Please submit transcripts/documentation with your application). License/Registration: 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. (Please submit copy of your license/registration with your application). English Language Proficiency: Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: GS-3: No requirements beyond the above listed basic requirements. GS-4: Six (6) 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-5: (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-6: (a) Completion of one (1) year of 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. References: VA Handbook 5005/3, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard, dated April 10, 2003. The full performance level of this vacancy is 06. The actual grade at which an applicant may be selected for this vacancy is in the range of 03 to 06. ["The LPN is an essential member of the Multidisciplinary Team. The LPN administers medication and vaccines, performs Point of Care testing, obtains vital signs & EKG's, reinforces teaching and provides a warm hand off to the next level of care as appropriate; all of which are essential to the health and well-being of the Veteran. Documents care provided observations, and responses on appropriate tools or forms. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular, and or intravenous) and perform treatments according to established policies/procedures. Returns phone calls, receiving calls, and take messages in collaboration with the interdisciplinary team members to ensure that care coordination is addressed in a timely manner. Initiates and assists with emergency procedures (e.g., CPR, fire, and code orange). Demonstrates competence according to adult basic CPR, safety, and emergency policies and procedures with minimal supervision. Recognizes and appropriately responds to breakage, malfunction or loss of equipment, safety hazards, and supply deficiencies by promptly reporting to appropriate personnel for corrective action. Administers nursing care to patients/Veteran, such as, treatments and minor dressing changes, as assigned. Participates in structured activities (e.g. groups, orientation and diversional activities) based on patient/Veteran care needs as identified in the plan of care. Collects data for assessment/reassessment. Takes vital signs, height and weight, and records in CPRS, according to policy and procedure. Vacancy locations: Baltimore City VA Medical Center, Baltimore VA Medical Center | VA Maryland Health Care | Veterans Affairs Cambridge VA CBOC, Cambridge VA Clinic | VA Maryland Health Care | Veterans Affairs Eastern Baltimore County VA CBOC, , Eastern Baltimore County VA Clinic | VA Maryland Health Care | Veterans Affairs Fort Meade VA CBOC, Fort Meade VA Clinic | VA Maryland Health Care | Veterans Affairs Glen Burnie VA CBOC, Glen Burnie VA Clinic | VA Maryland Health Care | Veterans Affairs Loch Raven Community Living Center (CLC), Loch Raven VA Medical Center | VA Maryland Health Care | Veterans Affairs Perry Point VA Medical Center- Perry Point VA Medical Center | VA Maryland Health Care | Veterans Affairs Pocomoke City VA CBOC - Pocomoke City VA Clinic | VA Maryland Health Care | Veterans Affairs Work Schedule: Monday - Friday, 8am-4:30pm; other shifts may be required based on the needs of the Service. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:000000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Pay: Competitive salary and regular salary increases. Pay may be set at a rate/step Above the Minimum Rate (AMR) for applicants with superior qualifications. 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: 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 child care 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)"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.