Licensed Practical Nurse (Ambulatory Care)

The Licensed Practical Nurse provides safe and individualized nursing care to patients in the Ambulatory Care area which includes Primary Care Specialty Care and Vaccine clinic settings. He/she interacts collaborates and communicates effectively with the veteran families caregivers professionals and other supportive staff both internal and external. He/she initiates appropriate actions based on his/her observations of the patients condition. He/she requires minimum of supervision and performs the functions listed below consistently with skill and effectiveness. Duties are performed under the general supervision of a RN or Healthcare Provider (HCP). Individuals at this grade are expected to have broad working knowledge of practice nursing procedures however completion of more complex practices or procedures may be subject to closer high-level the Primary Care clinic the LPN/LVN serves as a one of the core members of the Patient Aligned Care Team (PACT). The LPN/LVN works in collaboration with the Primary Care Provider (PCP) Care Manager Registered Nurse (RN) and the Medical Support Assistant (MSA). Together with the patient and their caregiver support system they work to manage the care of a panel of adult patients across the continuum. Additional duties include but are not limited to:

• Demonstrates proficiency in initiating performing and completing assigned duties while providing care to diverse patient populations.
• Maintains knowledge and ability to carry out patient care determined by the patients condition utilizing judgement in selecting appropriate orders procedures and treatments; and recognizing reporting and recording relevant patient information to include urgent and emergent situations.
• Observes identifies and responds to patient needs for medication medical equipment and patient/ family education while considering emotional cultural spiritual socio-economic and age-related factors.
• Maintains knowledge and skill to prepare safely 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.
• Identifies patients educational needs to include equipment medication treatment procedures and diagnosis. Assists with teaching patient/family as appropriate.
• Demonstrates flexibility by willing and promptly accepting changes in work assignment and locations.
• Communicates effectively and professionally with both internal and external customers.
• Ability to organize work set priorities delegate tasks/responsibilities and follow-up for completeness in order to provide and expedite patient care.

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.
• 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.

• 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.

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:

• Citizenship: Citizen of the United States. (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. 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.
• 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).

• 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.
• 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.

• 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 patients response to medication administered and the reporting of any noted change in patients 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.

• 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 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.
• 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.
• 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 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.
• Actively seeks out educational opportunities to enhance nursing knowledge and skills sharing new knowledge gained with other staff to improve and advance nursing practice.