Preferred Experience: IV certification; 2 years med/surg experience as LPN; prefer clinic and leadership skills.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
To qualify at the GS-4 level.
Applicants must have six months of qualifying experience as
an LPN or LVN; or 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 Graduation from an approved school of at least 24 months
To qualify at the GS-5 level.
Applicants must have
completed 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 patients response
to medication administered and the reporting of any noted change in patients
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.
To qualify at the GS-6 level.
Applicants must have
completed 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
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 patients 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
patients 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) 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.
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 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.
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.
VA Handbook 5005, Part II, Appendix G13, dated April 10, 2003.