**Recruitment incentive may be authorized for highly qualified candidates** This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. 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: a. Citizenship. Citizen of the United States. b. 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. Verification can be obtained from the State approving agency [or] the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. 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). c. 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. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. d. 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 REQUIREMENTS: Grade Determinations. In addition to the basic requirements, the following criteria must be met when determining the grade of candidates: GS-3: None beyond the basic requirements listed above. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below: 1. Six months of qualifying experience as an LPN or LVN; or 2. Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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 3. Graduation from an approved school of at least 24 months duration. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques. GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 1.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. 2. 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. 3. 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. 4. 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. 5. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.6. 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: 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. 1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 2. 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. 3. 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. 4. Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures.5. 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. 6. 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. 7. Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. 8. 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 instruments. 9. Actively seeks out educational opportunities to enhance nursing knowledge and skills. References: VA Handbook 5005/3, Part II, Appendix G13. Preferred Experience: Outpatient experience preferred. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. ["This is an open and continuous announcement which will be used to fill LPN positions in multiple service at LTC Charles S Kettles VA Medical Center employees and/or community based outpatient clinics (CBOCs). The presence of a location on this announcement does not necessarily indicate a current vacancy. Applications will be reviewed and referred upon request from the service as vacancies arise. Duties include but are not limited to the following:\nThe Licensed Practical/Vocational Nurse (LPN) is organizationally aligned under Ambulatory Care Services, where he/she will work as part of, and in collaboration with, a larger clinical team to provide sub-specialty care services to the VA Ann Arbor Healthcare System Veteran patient population. The LPN will be eligible for consideration for their sub-specialty medicine clinic of choice as long as he/she meets the specific criteria outlined below. The sub-specialty LPN will assume routine clinical care delivery, including telemedicine modalities, and administrative roles consistent with his/her sub-specialty clinic selection. Interested applicants are encouraged to select from the list of available sub-specialty medicine clinics below and may choose more than one option for consideration. Note: priority of selection is determined at a later stage in the hiring process. Clinic availability is as follows: Hematology/Oncology (Hem/Onc), Physical Medicine & Rehabilitation (PM&R), Rheumatology, Women's Health, Infectious Disease, Pulmonary/Pulmonology, Endocrine/Endocrinology, Neurology, Gastroenterology (G.I.), Geriatrics, Renal, Sleep, Liver, Peripheral Vascular, Pre-op, and Palliative Care. The LPN is directly responsible to the Sub-Specialty Care Clinics Nurse Manager. Work Schedule: Monday- Friday, primarily day shift (weekends and holidays may be required); tour specifics will be discussed during interview.\nCompressed/Flexible: Potential for compressed tour - to be discussed during interview.\nTelework: May be available based on needs of service and facility policy.\nVirtual: This is not a virtual position.\nRecruitment Incentives: Authorized\nEDRP Authorized: Contact the EDRP Coordinator for questions/assistance at VISN10HREDRPSLRP@va.gov\nFinancial Disclosure Report: Not required"]
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.