Licensed Vocational Nurse (PACT)
Duties include, but are not limited to:
The position in the primary care clinics at the El Paso VA Health Care System is responsible for the daily operations in support of a primary care provider with the following duties:
Patient screening with vital signs and reason for seeking care documented Completion of clinical reminders Medication administration via oral, intramuscular and topical routes Immunizations Patient calls, routing and follow up of patient messages Dressing changes Assisting providers with invasive procedures such as joint injections. Conducting blood pressure and glucose checks as ordered by provider staff. Entering all clinical documentation in the electronic patient record with strict security protocols followed. Work Schedule:
Monday thru Friday; 7:
30a.m. to 4:
15p.m. Financial Disclosure Report:
Not required This is a Bargaining Unit position. Physical Requirements:
Heavy lifting, 45 pounds and over, heavy carrying, 45 pounds and over, straight pulling (1 hour), pulling hand over hand (1/2 hour), pushing (1 hour), reaching above shoulder, use of fingers, both hands required, walking (6 hours), standing (6 hours), crawling (1 hour), kneeling (1 hour), repeated bending (1 hour), climbing, legs only (1 hour), both legs required, ability for rapid mental and muscular coordination simultaneously, 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, both eyes required, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid may be permitted) and mental/emotional stability. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/30/2020. 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. Education:
Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or 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. 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. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Physical Standards. 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. English Language Proficiency:
Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred
Experience:
One year of experience as an LVN Must have computer skills to include Microsoft Word, Excel, and the ability to navigate a computerized patient record system. At least 1 year of experience in a Primary and Ambulatory Care setting preferred. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations Licensed Vocational Nurse, GS-3 None beyond the basic requirements. Licensed Vocational Nurse, GS-4(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 & 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. Licensed Vocational Nurse, GS-5 Experience. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Demonstrated Knowledge, Skills, and Abilities. (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. Licensed Vocational Nurse, GS-6 Experience. 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. Demonstrated Knowledge, Skills, and Abilities. (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.(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 reporting 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) 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. (g)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. References:
VA Handbook 5005/3, Part II, Appendix G-13.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.
Estimated Salary: $20 to $28 per hour based on qualifications.
The position in the primary care clinics at the El Paso VA Health Care System is responsible for the daily operations in support of a primary care provider with the following duties:
Patient screening with vital signs and reason for seeking care documented Completion of clinical reminders Medication administration via oral, intramuscular and topical routes Immunizations Patient calls, routing and follow up of patient messages Dressing changes Assisting providers with invasive procedures such as joint injections. Conducting blood pressure and glucose checks as ordered by provider staff. Entering all clinical documentation in the electronic patient record with strict security protocols followed. Work Schedule:
Monday thru Friday; 7:
30a.m. to 4:
15p.m. Financial Disclosure Report:
Not required This is a Bargaining Unit position. Physical Requirements:
Heavy lifting, 45 pounds and over, heavy carrying, 45 pounds and over, straight pulling (1 hour), pulling hand over hand (1/2 hour), pushing (1 hour), reaching above shoulder, use of fingers, both hands required, walking (6 hours), standing (6 hours), crawling (1 hour), kneeling (1 hour), repeated bending (1 hour), climbing, legs only (1 hour), both legs required, ability for rapid mental and muscular coordination simultaneously, 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, both eyes required, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid may be permitted) and mental/emotional stability. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/30/2020. 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. Education:
Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or 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. 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. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Physical Standards. 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. English Language Proficiency:
Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred
Experience:
One year of experience as an LVN Must have computer skills to include Microsoft Word, Excel, and the ability to navigate a computerized patient record system. At least 1 year of experience in a Primary and Ambulatory Care setting preferred. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations Licensed Vocational Nurse, GS-3 None beyond the basic requirements. Licensed Vocational Nurse, GS-4(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 & 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. Licensed Vocational Nurse, GS-5 Experience. Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. Demonstrated Knowledge, Skills, and Abilities. (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. Licensed Vocational Nurse, GS-6 Experience. 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. Demonstrated Knowledge, Skills, and Abilities. (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.(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 reporting 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) 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. (g)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. References:
VA Handbook 5005/3, Part II, Appendix G-13.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.
- Department:
0620 Practical Nurse - Salary Range:
$30,778 to $56,018 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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