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The Licensed Vocational Nurse (LVN) utilizes technical and manual skills under the direction of the Registered Nurse or a licensed physician in the assigned area. incumbent performs a wide range of patient care duties. The incumbent has the knowledge and skills to carry out nursing assignments for ambulatory care nursing. Competency will be validated during the orientation period, and annually thereafter. 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: 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); 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. Physical Standards: Must pass a pre-employment examination, if selected. 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), 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: Hepatology Experience Grade Determinations: GS-3 Experience and Education. None beyond the basic requirements. GS-4 Experience: Six (6) months of qualifying experience as an LPN or LVN.OR 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. OR Education: Graduation from an approved school of at least 24 months duration. GS-5 Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 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-4 LPN/LVN. In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following: 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 Experience: One (1) year of progressively responsible assignments and experience equivalent to the GS-5 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. In addition to meeting the basic requirements and grade determinations, applicant must demonstrate the following: 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. 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. 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. Physical Requirements: This position requires visual acuity (Correctable to 20/40), hearing clear distinctive speech (correctable to 20db), and manual dexterity to perform prescribed procedures/computer usage. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or during patient operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. ["The LVN is adaptable to function in pre, intra and and post procedural roles and utilizes the most current evidence to direct practice These roles include but are not limit to: Carry out physician orders, application of dressing, monitor vital signs, assists physicians during the examination, diagnostic, and interventional procedures. in coordination with RN, the LVNs must understand all components of standard of precautions, PPE, patient fall risk precautions, setting up procedural rooms with respect to sterility, cleanliness, availability of functioning endoscopic equipment and supplies May assist in reprocessing scopes as needed. Demonstrates knowledge of endoscopic principle to include knowledge of patient preparation, patient positioning, assisting with procedures, care and handling of specimens, infection control, and principles if asepsis. Must have a working knowledge of anatomy and physiology, and sterilizing principles. Minimum of one-year experience as an LVN with demonstrated clinical excellence. Previous experience in group teaching education; LVN engages in patient teaching. Must have computer skills to include Microsoft Word, Excel, and the ability to navigate a computerized patient record system. Ability to handle large number of patient phone calls for scheduling, etc. Excellence interpersonal and communication skills are required along with the ability to work effectively in a diverse team environment; actively fosters a work environment of teamwork, respect, and collaboration, and inclusion. Promotes positive experience and patient flow. Flexibility and the ability to change priorities are required. Work Schedule :Intermittent 8:00 a.m. -4:30 p.m. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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