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This Position Is No Longer Available

Job Title:  Licensed Vocational Nurse (LVN), Ambulatory Surgical Unit (ASU)
Department:  Department Of Veterans Affairs
Agency:  Veterans Affairs, Veterans Health Administration
Job Announcement Number:  VHA-664-13-ELK-916461

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.
$34,944.00 to $54,014.00 / Per Year
Wednesday, June 26, 2013 to Monday, July 08, 2013
Full Time - Excepted Service Permanent
1 vacancy in the following location:
San Diego, CA United StatesView Map
United States Citizens


Vacancy Identification Number (VIN) 916461

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.  

VHA provides patient centered care, delivered by engaged, collaborative teams in an integrated environment that supports learning and continuous improvement. The Veteran’s experience and health outcomes are improved with an emphasis on prevention through healing relationships in an optimal healing environment.


We are seeking new team members interested in working in this environment.We are looking for team members that possess high energy, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working for a collaborative, team-oriented system. The team member must be willing to build customer confidence by professional dress and demeanor.


We invite you to apply to become part of a team of professionals engaged in promoting positive organizational change to improve business outcomes and create a positive healthcare experience for patients, families, and caregivers.


The VA San Diego Healthcare System (VASDHS) has 1 full-time vacancy for a Licensed Vocational Nurse (LVN) on the Ambulatory Surgical Unit (ASU) at the main hospital in La Jolla, CA. The LVN is accountable to the RN, NP and/or CRNA for the delivery of nursing care. The Ambulatory Surgery Unit LVN reports to the unit Nurse Manager, who is the rating official; and to the Associate Nurse Executive of Perioperative Services, who is the approving official.


Note:  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.  The Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and recommend the grade and step at which the candidate will be placed.  The salary is based on the grade and step approved for the selected candidate.


VA encourages persons with disabilities to apply.  The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Expenses: Relocation/PCS expenses and Relocation/Recruitment incentives are not authorized for this position.


  • Must pass pre-employment examination
  • Must be proficient in written and spoken English
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required
  • U.S. Citizenship
  • Full unrestricted Licensure, Certification, or Registration required


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Under the supervision of a licensed registered nurse (RN) or physician, the Ambulatory Surgery Unit Licensed Vocational Nurse (LVN) is accountable for the quality of nursing care he or she provides to patients and utilizing the nursing process, assuming responsibility for planning, implementing, directing, and evaluating nursing care for assigned patients. The scope of functions and the variety of tasks depend on the area of assignment. The ASU LVN performs services requiring technical and manual skills, i.e., specimen collection (including phlebotomy) and12-lead EKGs; and obtains basic patient data, i.e., vital signs, weight; and executes interventions in accordance with the surgical care plan or treatment plan including pre-operative and post-operative telephone calls. Fosters/supports a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement.


WORK SCHEDULE: Full time permanent, 40 hours per week, Monday through Friday with overtime, off-tour hours, weekends, and holiday work is required to meet patient care needs. 



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  • U.S. citizenship.  Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.   
  • Graduate of a school practical or vocational nursing approved by the appropriate State agency and/or [accredited by] the National League for Nursing [Accrediting Commission (NLNAC)] at the time the program was completed by the applicant.
  • 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.
  • Physical Standards.
  • Proficient in both written and spoken English.

Preferred Experience:

  • Provides direct and indirect care to pre- and post-operative patients in the Ambulatory Surgery Unit and is a member of an interdisciplinary care team.
  • Demonstrated ability to appropriately collect ordered specimens (i.e., blood, urine, nasal); Phlebotomy certification/experience is highly preferred.
  • Minimum of 2-3 years of current experience as an LVN; ambulatory care experience preferred.
  • Ability to document in an EMR, as well as complete appropriate Clinical Reminders.
  • Minimum of 1 year of experience obtaining 12-lead EKG's is highly preferred.




A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Your resume MUST include the following: the month and year for each position held, and the number of work hours per week, e.g., 03/09 - 06/11 (or Present), 40hrs/week.



Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant.The following criteria must be met for each grade.The candidate’s qualifications must clearly demonstrate the level of competence required for the grade.Qualifying experience is successful nursing practice as an LPN/LVN, maintaining acceptable standards within a health care setting under the direction of a registered nurse (RN) or physician (MD/DO). This may include experience as a GPN or GVN (graduate practical [or vocational nurse) provided the candidate was utilized as a practical or vocational nurse and passed the State licensure examination on the first attempt.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.

(1)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.

(2)GS-4.[Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) 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.

(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.


(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.


(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.


PLEASE NOTE:  Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.)  Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.  Applicants can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency accordingly.  If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over.  SDVAMC is a major interdisciplinary teaching facility, serving Spinal Cord Injury, rehabilitation, medical, surgical, and neurological inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. The incumbent must be able to demonstrate knowledge and ability to provide full range of complex technical nursing care to patients with a variety of physical and/or behavior problems. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, pushing, use a keyboard, and perform CPR. Transferring patients and objects using appropriate assistive devices, push/pull an occupied gurney may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.  The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.  The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs, and perform all other activities of the position without restrictions. Reasonable accommodation may be considered in determining an applicant’s ability to perform the duties/functions of the position.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.

Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form.  For more information, please review the information for disabled Veterans in the application checklist or visit


Your application, résumé and/or supporting documentation will be verified.  Please follow all instructions carefully.  Errors or omissions may affect consideration for employment.


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Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life.  For more information please visit us at

Receiving Service Credit for Earning Annual (Vacation) Leave:  Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. 


This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.


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HOW TO APPLY: All applicants are encouraged to apply online.

To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section below.

The complete application package must be submitted by 11:59 PM (EST) on Monday, July 08, 2013 to receive consideration.
  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click the Submit My Answers button to submit your application package.
It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.  

To verify your application is complete, log into your USAJOBS account,, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.  Your uploaded documents may take several hours to clear the virus scan process.

To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.  You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.


All applicants are required to submit the following supporting document type(s):
   ·Other (VA FORM 10-2850c)

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
   ·Cover Letter
   ·Other Veterans Document

VA Form 10-2850c
- Application for Associated Health Occupations (Available at (required).

Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.

Faxing Applications or Supporting Documents:

You are encouraged to apply online.  Applying online will allow you to review and track the status of your application.

NOTE:  If you applied online and your application is complete, do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.

If you completed the occupational questionnaire online and are unable to upload supporting document(s):
  1. To fax your documents, you must use the following cover page and provide the required information.  The Vacancy ID is 916461.
  2. Fax your documents to 1-478-757-3144.
If you cannot complete the Application Package online, you may fax all of your materials.  The complete application package must be submitted by 11:59 PM (EST) on Monday, July 08, 2013Monday, July 08, 2013 to receive consideration.  Keep a copy of your fax confirmation in the event verification is needed.

To complete the occupational questionnaire and submit via fax:
  1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.
  2. Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items  
  3. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144.  Your 1203FX will serve as a cover page for your fax transmission.


VASDHS Human Resources
Phone: (858)552-8585x3401
Agency Information:
VHA San Diego HCS
Human Resources
San Diego, CA


After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements.  You will be notified when this decision is made.

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