The Licensed Practical Nurse at the VA Puget Sound Health Care System in Seattle, Washington provides patient care in accordance with established clinical nursing practices under the direction of an RN or physician. **A recruitment or relocation incentive may be authorized** Basic Requirements: United States Citizenship: Must be a US Citizen. Licensure: Eligible candidate must possess current, full, active, and unrestricted registration as a LPN/LVN in a US State, Commonwealth, Territory, or the District of Columbia. Education/Experience: Candidate must be a graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) at the time you completed the program. Exceptions include: (1) Health care education in the military service or training in the military service that is accepted by the licensing body in the jurisdiction in which licensed as qualifying for full LPN/LVN licensure meets the education requirements. (2) Individuals granted a license by a jurisdiction that does not require graduation from an approved school Language Proficiency: Eligible candidates must be proficient in English (spoken and written). Grade Determinations: GS-3: None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license (e.g., medication administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4: Candidates may be appointed at or advanced to GS-4 if they meet any of the following criteria: (a) Six months of qualifying experience as an LPN or LVN; or (b) Graduation from an approved school 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 (c) Graduation from an approved school of at least 24 months duration. (d) 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. GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent AND (a) 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 .(b) 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. (c) 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 patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO.(d) 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. (e) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. (f) 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. GS-6: 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 AND (a) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. (b) 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. (c) 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. (d) 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 patient's condition from prescribed medications/treatments. Promptly and accurately documenting noted changes, and reports any deviations from normal to RN or MD/DO. (e) 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. (f) 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. (g) 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. (h) 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 LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures. (i) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. References: VA Handbook 5005/3 Part II Appendix G13 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. Physical Requirements: See VA Directive and Handbook 5019. ["The inpatient LPN may be assigned to one of the following units: 6 West is a 30 bed inpatient unit that provide medical care and specializes in cardiac and neurology care. The Community Living Center provides inpatient Veteran/resident care for Veterans with acute and chronic health conditions with diverse culture and religious/gender orientation. Veterans may need dementia, rehabilitation, long term, palliative and/or hospice care. DOM - The Mental Health Residential Rehabilitation Program facility, also known as the Domiciliary, is a 64-bed residential treatment facility that provides treatment and rehabilitation for male and female Veterans suffering from PTSD, homelessness and substance abuse. Of these, 20 beds are specifically allocated to Veterans dealing with military related PTSD, including military sexual trauma LPN Duties include but are not limited to: Delivers care to patients in a respectful non-judgmental manner and according to Patient Care Plan Demonstrates understanding of age - and population - specific characteristics that affect the health care needs of the veteran. Performs aspects of admission /discharge procedures as directed Collects patient data including observations of patient status (i.e. vital signs, intake/output, skin condition, mental status, etc.). Accurately reports patient/client information. Recognizes subtle and significant changes in the patient in response to nursing care. Promptly recognizes urgent or emergent patient care situations, seeks assistance and effectively intervenes as directed when appropriate. Communicates changes in patient condition/response to nursing care. Organizes/ prioritizes routine and non-routine nursing care activities (ADLs, medication administration, wound care, EKG, foley catheter insertion, bladder scan, etc.) Provides care to patients/clients appropriate to their cognitive, physical, emotional and chronological maturation. Accurately documents and retrieves patient/clinical information using electronic medical record. Provides effective education to patients and/or family members in relation to common disease processes, medications, and/or prescribed diagnostic and/or treatment regimes, as directed. Adheres to standards of practice and safe technique in preparation and administration of medicine, documents administration in BCMA. Observes patient for adverse effects from medication and reports to the team RN. Work Schedule:\nInpatient Acute Care ( 5 East, ) is 24-hour units, shifts variable, to be determined by manager upon hire, based on needs of the unit.\nCLC American Lake: 24-hour units, Day Shift 0600-1430, Evening shift 1400-2230, and Night Shift 2200-0630, to be determined by managers upon hire, based on needs of the unit.\nCLC Seattle: 24-hour units, Day Shift 0730-1600, Evening shift 1530-0000, and Night Shift 0000-0800, to be determined by managers upon hire, based on needs of the unit.\nDOM: days (0730-1600), weekend coverage as needed, and rotation to other shifts as needed for coverage Financial Disclosure Report: Not required **A recruitment or relocation incentive may be authorized**"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.