Summary
This Licensed Practical Nurse (LPN) position is located at the Fargo VA Medical Center - VA Community Living Center (CLC) - a 38 bed - long-term care unit where Veterans receive extended hospital care and short-term rehabilitation levels of care which includes help with activities of daily living - skilled nursing - hospice - and dementia care.
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
- English Language Proficiency
- In accordance with 38 U.S.C. 7402(d) and 7407(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
- (See "Education" section below for exceptions.) 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
- 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-03 - None beyond the basic requirements
- 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-04 - Six months of qualifying experience as an LPN or LVN
- OR 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 Graduation from an approved school of at least 24 months duration
- GS-05 - Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent
- 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
- 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
- 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
- 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 - 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
- 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
- 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
- Ability to observe - identify - and respond to a 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 - 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
- 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
- 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
- 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
- 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-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: This position requires some degree of fitness - strength - and agility.
Duties
- VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Major duties include - but are not limited to: Provides essential health care - performing routine examinations and assessments - providing social and recreational activities - and providing assistance with activities of daily living
- Observes - identifies - and responds to the patient's needs for care - including medication - equipment-assisted care - wound care - IV fluids/antibiotics - and end of life care
- Monitors and reports changes in patient's condition to the Registered Nurse (RN) and/or Provider
- Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication and socialization skills
- Prepares - administers - and documents prescribed medication and/or prescribed treatment regimens as permitted by approved local facility policies and procedures
- Assists in emergency situations and administers CPR as and when needed
- Serves as a preceptor in collaboration with the RN and/or provider to appropriately orientate/train less experienced LPN/LVN and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery
- Other duties as assigned
- Work Schedule: Sunday-Saturday - Rotating day/night shifts (7:30 a.m.-8 p.m. - 7:30 a.m.-4 p.m. - 7:30 p.m.-8 a.m
- or 11:30 p.m.-8 a.m.)
- Rotating holidays and weekends required
- Additional Pay: Shift Differential - 10% of basic pay for work performed during regularly scheduled hours between 6pm and 6am
- Weekend Premium - 25% of basic pay for work performed between the hours of midnight Friday and midnight Sunday
- This includes continuous service connected to work performed during these hours
- Holiday Pay - 2 times basic hourly rate for regularly scheduled - non-overtime work on a designated holiday
- Compressed/Flexible: Available Recruitment Incentive (Sign-on Bonus): May be authorized for eligible - highly qualified candidates
- 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
- Permanent Change of Station (PCS): Not Authorized