This position is located in Lyons, NJ Community Living Center. Incumbent demonstrates sound techniques in complex nursing care procedures and basic care of the acutely ill chronic and longterm residents/patients in all areas of the VA New Jersey Health Care System to include, Mental Health, Primary Care, Specialty Clinics and Medical-Surgical and Community Living Center. 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: Must be proficient in both written and spoken English (as required by 38 USC 7402(d) and 7407(d). Education: Must be a graduate of practical nursing approved by the appropriate State accrediting agency and/or the National League for Nursing at the time the program was completed by the applicant. Licensure: Full, current, active and unrestricted licensure as a graduate licensed practical nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or District of Columbia. Grade Determinations: In addition to the basic requirements, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. 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 Employees may be appointed at or advanced to GS-4 if they meet any of the criteria below:(a) Six months of qualifying experience as an LPN or LVN; or(b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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. 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 (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent.(b) 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.(c) 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.(d) 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.(e) 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.(f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.(g) 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 (a) 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.(b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.(c) 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.(d) 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.(e) 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 reporting any deviations from normal to RN or MD/DO.(f) 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.(g) 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.(h) 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.(i) 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.(j) 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, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD. This can be found in the local Human Resources Office. 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: All applicants must meet physical requirements for this position. See VA Directive and Handbook 5019. This position requires the ability to bend, lift, stop, push, and pull. ["VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws\nVA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY\nVA Careers - Prosthetics: https://youtube.com/embed/3NUvF5jjErQ\nVA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU The nursing care activities listed below are representative but are not all inclusive of the tasks performed at this level. Is responsible for primary nursing care to an assigned group of selected patients/residents and for the plan of action in carrying out patient/resident care assignments. Reports and records current observations such as patient's/resident's physical condition, emotional response and results of procedures; observes skin conditions, variations in vital signs, personal habits of patients/residents, and listens for clues to patient's/resident's reaction to illness and treatment. Performs assigned nursing care responsibilities requiring the use of advanced equipment, technology, or knowledge in procedures performed in the GU Clinic, Eye Clinic, General Medical, Surgical, Orthopedic, Diabetic, Urology Clinics, Vital Signs area, and Patient Transport. Provides patient/resident and family education regarding the patient's/resident's condition, procedures, and preventive health care; reinforces health teaching initiated by the multidisciplinary treatment team. Recognizes the need for and initiates action in emergencies, i.e., cardiac/respiratory arrest, seizures, and/or assaultive behavior. Maintains precise adherence to basic principles of asepsis, safety, and standard precautions to provide a safe environment for patients/residents, families, and employees. Utilizes specialized equipment such as, Doppler Units, Oximeter, Visual Field Analyzer, Electro-fulguration Machine, Cryothermia Machine, Computer Terminal, and Printer. Escorts acutely ill patients/residents to and from clinics and/or outside the facility for special tests. Provides one-to-one nursing care to assigned outpatients whose care requires close observation. 2 Follows policies and procedures related to fire and disaster drills, safety and security measures. Interprets Medical Center Regulations and policies to patients, relatives, and visitors. Assists the physician and/or nurse with therapeutic or diagnostic procedures, including skin biopsies, joint aspirations, phlebotomies, pap smears, pelvic examinations, minor eye surgeries, and minor GU procedures. Obtains and arranges necessary equipment. Correctly positions the patient/resident, provides information, and reassurance to the patient. Observes and responds to changes in patient's/resident's behavior by providing emotional support, intervening to correct the problem, or reporting the situation to the Registered Nurse. Accepts and supports established Medical Center policies and procedures. Performs other related duties as indicated by the needs of the patient and the unit. Work Schedule: DT with Rotation\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"]
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.