The LVN also performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to serving the veteran. The LVN is considered a novice and performs within this functional statement under close supervision of the Nurse Manager or designee. Assigned tasks require basic technical competence and skill. 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: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Education: Graduate of a school of vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission 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]. Exceptions include: Individuals granted a license by a jurisdiction that does not require graduation from an approved school. 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. 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. Licensure: Must have a full, current, active and unrestricted license as a graduate licensed practical or vocational nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia. GS-6: At least 1 year of qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements and meet the following Knowledge, Skills and Abilities (KSA's): Technically proficient in initiating, performing & 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 & 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 patient's needs for care, including medication, equipment-assisted care and patient/family education. In 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) & performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's 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, & 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, & other staff. Establishes constructive relationships with individual patients and their families to elicit feelings & attitudes, & to promote positive relationships, communication & 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, & or other internal/external customers Knowledge & 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 & handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure. Serves as a preceptor in orienting, educating, & 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 & skills, sharing new knowledge gained with other staff to improve & advance nursing practice. Preferred Experiences A minimum of two years of current PACT ambulatory Care Experience preferred Two years LVN experience A minimum of one year of Med/Surg experience preferred Physical Requirements: Moderate Lifting (15-44 pounds), Light Lifting (under 15 pounds), Pulling hand over hand (8-12 hours), Pushing (8-12 hours), Reaching above shoulder, use of fingers, both hands required, walking (8-12 hours), standing (8-12 hours), kneeling, repeat bending (8-12 hours), climbing, legs only (8-12 hours), climbing, use of legs and arms, both legs required, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Ability to distinguish basic colors, Hearing (aid may be permitted). References: VA Handbook 5005/3, Part II, Appendix G-13 Licensed Practical or Vocational Nurse Qualification Standard, dated April 10, 2003.The 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. ["The LVN is expected to be able to function as a member of the nursing care team providing safe, competent, compassionate care in a timely manner under close supervision of the RN. The Licensed Vocational Nurse, Patient Aligned Care Team (PACT) duties include, but are not limited to the following: 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 or medical provider for appropriateness and conformity with established policies/procedures. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care, and patient/family education. In organizing and delivering care, the LVN/LPN 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 physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN and/or a provider. Knowledge and ability to recognize urgent and emergent patient care situations, seek assistance of the RN and/or provider 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 patient's condition before, during and following the procedure. Serves as a preceptor in orienting, educating, and training less experienced LVN/LPNs or Nursing Assistants (NAs)/Health Technicians (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. Collaborate with the PACT teamlet throughout the day for appropriateness and conformity of team's expectations. Needs only a general review by an RN for technical soundness, appropriateness and conformity with policy and nursing assignments. Additional duties as assigned Preferred Experience: A minimum of two years of current PACT ambulatory Care Experience preferred Two years LVN experience A minimum of one year of Med/Surg experience preferred Work Schedule: 0745a-1615p; 0900a-1730p May be required to work other shifts, be on call, work weekends and/or holidays as patient care and needs of the service require. Should operational needs dictate, candidates must be willing to work within other units (including community based outpatient clinics, for example) to assist and support continuation of the provision of care/services.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]