License Practical Nurse

VA Careers - Licensed Clinical Social Worker: Rewards of a Allied Health Professional

Duties include but are not limited to:

• Provides specialized nursing care to adult and geriatric Veterans at high risk for limb loss related to diabetes peripheral vascular disease or neuropathy.
• Performs podiatric procedures including foot examinations wound management keratosis reduction and suture removal following established clinical protocols.
• Identifies signs of infection impaired circulation or neurologic changes in the feet reporting findings to the provider for further evaluation and management per established clinical protocols.
• Assists the Podiatrist with office-based procedures such as matrixectomies biopsies verruca removal casting for offloading and orthotic in the planning implementation and evaluation of individualized care plans coordinating with providers and specialty services to ensure continuity of care.
• Serves as leader or co-leader in a nursing unit or for a specifically identified group of patients providing direction coordination and clinical oversight in collaboration with the interdisciplinary team.
• Functions under the general supervision of an RN MD or Podiatrist demonstrating independent technical judgment and broad clinical expertise within the High-Risk Foot Care (HRFC) clinic.
• Provides patient education based on established clinical protocols related to foot care limb preservation and disease management.
• Ensures accurate timely documentation in the electronic health record (EHR).
• Contributes to quality improvement activities by tracking and analyzing infection rates wound healing outcomes and amputation trends.
• Maintains compliance with VA policies for handling cleaning and reprocessing Reusable Medical Devices (RMD) ensuring equipment functionality readiness and patient safety.
• Maintains required certification and specialized training in High-Risk Foot Care (HRFC) per VA/VHA policy to ensure competency and promote optimal limb preservation outcomes.
• Rotates across Mann-Grandstaff VA locations including but not limited to the main facility Spokane Valley CBOC and Coeur dAlene Idaho CBOC reporting to the assigned site per scheduled rotation.

• 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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation.
• 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.

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: 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).
• Licensure: Must possess a 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.

• Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment.
• VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 enacted November 21 1983 and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576 enacted October 28 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions.
• Individuals granted a license by a jurisdiction that does not require graduation from an approved school. See paragraph 4 section C.

• Knowledge and skills necessary to care out more specialized patient care duties including assignments in more complex inpatient and/or outpatient care settings.
• Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery making astute observations of subtle less obvious changes (both physical and emotional) in patients conditions and taking the appropriate action.
• Ability to proactively assist the RN or MD/OD in addressing patients needs for medication/treatments accurately administering prescribed medications/treatments and appropriately recording patients response to medications/treatments received.
• Knowledge and skill to promptly recognize potential urgent or emergent patient care situations.
• Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control resistant or abusive behaviors or impediments in their ability to understand or follow instructions.
• Exhibits skill creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels.
• Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care.
• Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery.
• Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are to a considerable extent expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision.
• Actively seeks out educational opportunities to enhance nursing knowledge and skills and providing leadership in assisting other staff improve and advance their nursing practice.

• 2 years LPN experience. Experince with nail and podiatry care.