Licensed Vocational Nurse Domiciliary

• 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.

As a condition of employment for accepting this position you will be required to serve a 1 or 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.

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: United States Citizenship
• English Language Proficiency: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
• Education or Training: Must be a graduate of a practical or vocational nursing program approved by the appropriate State accrediting agency and/or the Accreditation Commission for Education in Nursing at the time the program was completed by the applicant or have you completed Health care education in the military service or training in the military service.
• 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.

Grade Determinations:
GS-3 Experience: None beyond the basic requirements.

GS-4 Experience: At least (6) six months of qualifying experience as an LPN or LVN. OR Graduation from an approved school and have (1) 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-5 Experience: Completion of at least one year at the GS-4 level or equivalent of qualifying experience as an LPN and can 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. 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. Recognize 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: Completion of at least one year at the GS 5 level or equivalent of qualifying experience as an LPN or LVN fully meeting all performance requirements for the GS 5 LPN and am technically proficient in initiating performing and completing assigned duties in providing care to variable patient populations. Completed work needs only a general review by a registered nurse (RN) or physician (ND/DO) for appropriateness and conformity with established policies/procedures.

Preferred Experience:

• 1-2 years of experience in Mental Health.
• Experience independently obtaining and trending vital signs pain scores targeted assessments health histories and clinical screenings (PHQ-9 AUDIT-C suicide risk fall risk etc.).
• Experience recognizing subtle clinical changes and initiating appropriate actions while notifying the RN or provider.
• Experience performing EKGs.
• Experience with glucose monitoring and specialty point-of-care testing.
• Experience assisting with complex wound care.
• Experience performing ear lavage.

References: VA Handbook 5005 Part II Appendix G13

The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06.

Physical Requirements: Lifting pushing and pulling up to 35lbs Walking standing stooping bending kneeling for up to 4-6 hours intermittently. Pushing for up to 4-5 hours intermittently. Reaching above the shoulder required. Carrying up to 15lbs