Preferred Experience: IV certification; Endoscopy/special procedures clinical experience.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
To qualify at the GS-4 level.
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 duration.
To qualify at the GS-5 level.
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.
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.
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
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
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.
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.
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.
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.
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
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.
seeks out educational opportunities to enhance nursing knowledge and skills,
sharing new knowledge gained with other staff to improve and advance nursing
References: VA Handbook 5005, Part II, Appendix G2, Licensed Practical or Vocational
Nurse Qualification Standard.