Licensed Vocational Nurse Surgical Specialty Clinics

The LVN assumes the following responsibilities:

1. This position requires flexibility in schedule and assignments as this is a 24/7 hospital.
2. BLS certified.
3. Obtains/collects specimens as ordered.
4. Participate in performance improvements.
5. Administers medications and treatments to patients with complex nursing problems.
6. Participates in daily DMS huddles and unit specific staff meetings.
7. Participates in coaching and mentoring of colleagues or new employees.
8. Performs and documents within the electronic medical record.
9. Completes CPRS documentation and closes encounters by facility policy.
10. Provides timely patient follow-up.
11. Maintains confidentiality of patient information.
12. Seeking opportunities for self-improvement and participating in performance improvements.
13. Collaborates and communicates effectively with the Interdisciplinary Care Team.
14. Documentation is factual objective accurate consistent timely and complete.
15. Documents and signs all patient related activity within tour of duty.
16. Assists with coordinating care of patients.
17. Adhere to ethical principles and standards in delivering care.
18. Communicate with team members regarding patient care.
19. Seeking opportunities for self-improvement.
20. Demonstrate mandatory and clinical competencies of the position.
21. Implements nursing interventions/orders in a timely and complete manner.
changes in patients condition and deviations from baseline that require immediate intervention.
patient education related to managing risk factors medications procedures and other medical regimens related to disease process/specialty clinic within scope of practice.
patients on provided discharge instructions related to their disease process ensuring the patient can ask questions.
changes in patients condition and deviations from baseline that require immediate intervention.
26. Apply infection control measures appropriately in delivering care.
providers (physicians/nurse practitioners) of abnormal signs and symptoms and/or abnormal test results to expedite care.
with the Registered Nurse or Charge Nurse when the patient requires a higher level of care that is not manageable on the unit.
29. Obtains Nail Certification within 12 months of hire.
30. Performs other duties as assigned.

Surgical Specialty Clinics:
1. Provides direct patient care to Surgical Specialty patients in accordance with hospital policies and practice standards and guidelines.
2. Gathers additional data (face to face or via phone) related to patient needs for treatment determination of Surgical Specialty Clinics needs. Participates in ongoing quality improvement workplace activities including conducting unit audits as appropriate to the individuals position education and practice.
3. Participates in Surgical Specialty performance measure activities such as but not limited to hand hygiene universal protocol and access to clinics.
4. Assists RN with coordinating care of patients as needed including patients consulted.
5. Assured patients have pre-appointment requirements completed prior to Surgical Specialty procedure.

Preferred Experience: 1-2 Current experience in Ambulatory Care (PACT Surgical Specialty). Experience in gynecology podiatry orthopedic ED inpatient care helpful.

Work Schedule: Full Time
Tour of Duty: Monday - Friday 0730 - 1730
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

• 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.

• 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. In accordance with 38 U.S.C. 7402(d) no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• 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. Exceptions include 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 OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.
• Licensure - Active full current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State Territory or Commonwealth (i.e. Puerto Rico) of the United States or the District of Columbia.

• Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent
• Knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.
• Ability to serve as a responsible member of a nursing team and interact in an appropriate manner with patients family members professional and/or other support personnel involved in the delivery of patient care.
• Knowledge and skill sufficient to prepare administer and appropriately document actions taken specific to commonly prescribed oral topical subcutaneous intramuscular and/or intravenous medications. This includes observing and documenting patient responses to medication and reporting noted changes in the patients condition.
• Knowledge and ability to recognize the need for and to institute emergency measures and assist in resuscitation procedures in cardia and/or pulmonary arrest.
• Recognize and appropriately respond to breakage/malfunction or loss of equipment safety hazards and supply deficiencies.

• 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.
• Proficiency 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 using judgment in selecting the appropriate order and sequence of procedures and treatments and accurately recognizing reporting and recording relevant patient information
• Ability to observe identify and respond to a patients needs for care including medication equipment-assisted care and patient/family organizing and delivering care the LPN/LVN recognizes and considers emotional 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 documents and reports physical and/or emotional changes in the patients condition from prescribed medications/treatments.
• Knowledge and ability to recognize urgent or emergent patient care situations and initiating appropriate emergency interventions as directed.
• Knowledge and understanding of human behavior patient motivations and reactions to situations and the 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 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 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 includes preparing the patient and 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.