The Licensed Vocational Nurse (LVN) is a direct-care provider who has the technical proficiency and observation skills necessary for initiating, performing, and completing assigned duties in delivering comprehensive practical nursing care to variable patient populations. The LVN is a member of the Patient Aligned Care Ream (PACT) (Patient, Primary Care Provider, RN Care Manger and Patient Support Technician) and Expanded Team (family/caregiver) involved in providing care to the patient. Basic Requirements: U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education or Training. Graduate of a school of practical or vocational nursing approved by the appropriate State Agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) at the time the program was completed by the applicant; OR Received health care education/training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualified for full LPN/LVN licensure. 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. [NOTE: YOU MUST PROVIDE YOUR LICENSE NUMBER OR SUBMIT A COPY OF YOUR CURRENT LICENSURE WITH THE APPLICATION PACKAGE]. 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). 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). Preferred Experience: Current Basic Life Support (BLS) provider card issued by American Heart Association (AHA) or Military Training Network (MTN). Grade Determinations: GS-3 Licensed Vocational Nurse: Experience and Education. None beyond the basic requirements. GS-4 Licensed Vocational Nurse: A) Experience. Six (6) months of qualifying experience as an LPN or LVN. OR B) Education. Graduation from an approved school of at least 24 months duration. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.] OR C) Education and Experience. 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. [NOTE: TRANSCRIPT(S) MUST BE SUBMITTED IF EDUCATION IS BEING USED TO QUALIFY. UNOFFICIAL TRANSCRIPT(S) OK.] GS-5 Licensed Vocational Nurse: Experience. One (1) year of progressively responsible assignments and experience equivalent to the GS-04 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-04 LPN/LVN: 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. 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. 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. GS-6 Licensed Vocational Nurse: Experience. One (1) year of progressively responsible assignments and experience equivalent to the GS-05 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment and fully meets all of the performance requirements for the GS-5 LPN/LVN: 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. 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. 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. 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. 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. 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. References: VA Handbook 5005/3, Part II, Appendix G13 Licensed Practical or Vocational Nurse Qualifications Standard, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf 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 walking, standing, and sitting for long periods of time. Incumbent will be climbing stairs, lifting up to 50 pounds, use dexterity of the hand and wrist and arm strength to perform dispensing of medication orders. ["This is an open and continuous announcement, names will be referred to the service every two weeks after the initial cut off date of November 5, 2021, until the position is filled or this announcement closes. The incumbent demonstrates the ability to balance many competing demands and sets priorities effectively, while supporting multiple providers. Has the knowledge and ability to appropriately carry-out assigned patient care based on patients' conditions. Demonstrates competency in dealing with a high volume of patients with chronic disease (e.g., Hypertension, Diabetes, Cardiac and Pulmonary Disease), as well as acute episodes of illness. Completed work requires a general review by Registered Nurse for appropriateness and conformity with established policies and procedures. Major duties include, but are not limited to: Utilizes judgement in selecting the appropriate order and sequence of procedures and treatments Provides care utilizing Systems Redesign principles such as Patient Aligned Care Team Model. Initiates and participates in preventive health screening and instruction(e.g., diet and exercise, alcohol abuse, smoking cessation, immunizations, etc.) for ambulatory care patients. Initiates completion of the Health Habits Screening, Clinical Reminders, and encounters as indicated Observes, identifies, and responds to patients' needs for care, including medication and equipment- assisted care, and recognized deviations from normal. Screens phone calls and messages from patients for appointments, coordinates group visits, and identifies additional services needed by Veteran/ Family. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Recognizes and promptly reports suspected patient abuse. Observes, identifies, and responds to patient/ family's education needs, and teaches in accordance with current clinical practice standards. Participates in research under direction of RN, when assigned Work Schedule: Monday- Friday 8:00 A.M. to 4:30 P.M.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: PD000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required **Below is the breakdown for the salary range for each location: Modesto: $41, 717- $73, 280 per annum Livermore: $47,409 - $85,920 per annum San Jose: $47,209 - $85,920 per annum Fremont: $47,209 - $85,920 per annum Monterey: $47,209 - $85,920 per annum Stockton: $43,008 - $78,274 per annum"]
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.