Licensed Practical Nurse Neurological Clinic

LPN Duties include but not limited to;

• Communicate and interact appropriately and courteously with internal and external customers from variable patient populations
• Maintain confidentiality of written electronic and verbal patient employee information.
• Work and function within a safe manner including infection control and use of equipment.
• Assure that patient safety is paramount in all aspects of patient care.
• Utilize nursing research and literature in practice.
• Integrate and apply aspects of the Joint Commission on Accreditation of Healthcare Organizations National Patient Safety Goals as applicable to their area of practice.
• Provides for the patients privacy.
• Assists with data collection for outpatients and new admissions. Completes specific sections of the Nursing Admission Record. Observes reports and documents signs and symptoms of patients general condition. Participates in patient care conferences exchanging information about patients needs and condition. Provides input into the Nursing Care Plan and/or the Interdisciplinary Plan of Care.
• Provides direct nursing care to adult and geriatric patients according to nursing standards and Medical Center policy and procedure. This includes but is not limited to:
  • Bathing showering oral care shaving toe/fingernail care fingernail clipping feeding turning positioning and ambulating while considering age-specific needs e.g. the geriatric patients need for lubrication.
  • Collecting and labeling specimens e.g. sputum emesis urine stool.
  • Performing enterostomal care perinea! care administering enemas and colostomy irrigations while considering age specific needs e.g. the geriatric patients need for a bedpan.
• Providing bowel/bladder training applying external urinary devices performing bladder catheterization.
• Providing oral nasopharyngeal and tracheal suctioning tracheostomy care administering oxygen.
• Providing physical/emotional care to respirator dependent patients.
• Administering enteral feedings.
• Providing wound care and reporting any changes and/or progress to the RN
• Performing peritoneal dialysis.
• Applying abdominal binders anti-embolic stockings ace bandages and alternating pressure boots.
• Providing for lifting moving transferring and/or transporting patients.
• Using patient lifting devices pressure relief mattresses hyper/hypothermia blankets electronic scales feeding pumps.
• Applying protective/supporting devices restraints.
• Providing post-mortem care.
• Implements established care plan. Reports and documents progress or changes in patients behavior and/or physical condition to the RN and in the medical record.
• Performs check of emergency equipment.
• Recognizes and initiates emergency measures consistent with training. Calls Crises
• Intervention Team or Code 2000 according to campus and assists with the application of leather restraints and/or seclusion while providing for physical and safety needs.
• Calls Cardiac Arrest Team or Code 4000 depending on campus performs CPR.
• Follows appropriate procedure for Fire Drills.
• Follows appropriate policies and/or procedures for other emergencies e.g. disaster bomb threat.
• Provides care for pre-operative and post-operative patients including those having special procedures and treatments.
• Assures the presence of a signed informed consent.
• Assists in evaluating psychological and educational needs. Reports changes in patients behavior and or physical condition to the registered nurse and/or physician.
• Uses identified learning needs to provide patient education and teaching documents in the medical organizing and delivering care the LPN recognizes and considers emotional cultural spiritual socio-economic and age-specific factors e.g. the geriatric populations proneness to visual or hearing impairment will be addressed. Teaching may include pre- and post-op care diabetic self-care activities of daily living coughing deep breathing suctioning and tracheostomy care self-administration of medication and additional procedures as directed by the registered nurse.
• Performs such diagnostic procedures as cardiac monitoring (in specialty area) TPR 8/P Pulse Oximetry l&O heights weights finger sticks phlebotomies and EKGs. Recognizes deviations from normal. Documents and reports result to the reoistered nurse and/or physician.

Work Schedule: 8am - 4:30pm
Telework: Not Available
Virtual: This is not a virtual position.

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the Required Documents section of this announcement.

As a condition of employment for accepting this position you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.

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.
• 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.
• 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.
• 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).

Grade Determinations:

GS-3:None beyond the basic requirements.

GS-4:Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below(a) Six months of qualifying experience as an LPN or LVN or(b) 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(c) 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.(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.

GS-6:(a) 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.(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 patients needs for care including medication equipment-assisted care and patient/family 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 patients 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 patients 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.

Reference: For more information on this qualification standard please visit 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: The physical requirements of this position include lifting prolonged standing and sitting frequent bending walking (distance) climbing reaching (overhead extensive/repetitive) pulling pushing repetitive motion and stooping. The mental/sensory requirements include recall reasoning problem-solving hearing speaking clearly writing legibly keyboarding reading and logical thinking depth perception hearing (aide permitted); near/far vision correctable to meet Drivers License requirements. The environments pace can vary from steady to a sometimes-fast pace requiring handling of multiple priorities frequent sometimes intense customer interactions and the ability to adapt to frequent changes in a sometimes-noisy environment. There may be the need to use personal protective equipment to prevent exposure to disease illness and hazardous materials. Work requires extensive walking standing stretching and bending in caring for patients.