Clarification from the agency

This announcement is open to All US Citizens including Federal employees of agencies other than the VA. Current, permanent employees of the Nebraska-Western Iowa VA Health Care System including Community Based Outpatient Clinics (CBOCs) and current VA nationwide employees should apply to announcement CBSY-12395636-24-EB.

Videos

VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4
Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf

Major duties include but not limited to:

• Assist with minor Ear, Nose and Throat (ENT) surgical procedures in clinic.
• Prep and reconcile 14 clinics embedded within the ENT service line.
• Monitor and effectively communicate with logistics all ENT supply needs.
• Collaborate with Sterile Processing Service (SPS) for maintenance on endoscopes and other RMD equipment.
• Perform daily glucometer checks.
• Lead post clinic group identifying Veterans needing additional appointments, diagnostics, biopsies, and referrals to other service lines.
• Assist with scheduling Veterans into the appropriate ENT clinics.
• Assist in managing clinic flow, alerting Veterans of clinic delays.
• Complete daily rounding readiness checks, performing nursing intake for ENT patients and reports abnormal findings to the providers.
• Serve as a clinic champion by supporting, advocating for, and implementing initiatives in the areas of reusable medical supplies, Aeroscout temperature control, chemical and sharps inventory and resuscitation quality improvement.
• Assist clinic Nurse Manager with action plans from quality tracers.
• Provide orientation and education for new residents for notes, encounters, orders, etc.
• Serve as resource for other staff in organizing and implementing more complex/specialized patient care.
• Support RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery.
• Act in the role of charge nurse in the absence of the Nurse Manager.
• Other duties as assigned to support clinical functions and ensure Veteran Centric care is provided.

Nebraska Western Iowa is part of the VA Midwest Health Care Network (VISN 23). The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Work Schedule: Monday - Friday, 7:30am-4:00pm
Compressed/Flexible:Not available.
Recruitment Incentive (Sign-on Bonus): Not authorized.
Permanent Change of Station (Relocation Assistance): Not authorized.
Telework: Not available.
Virtual: This is not a virtual position.
Permanent Change of Station (PCS): Not authorized.
Financial Disclosure Report: Not required.

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination or evaluation.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
• Basic Life Support (BLS) certification required. Training provided.

Qualifications

Basic Requirements:

• Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or the Accreditation Commission for Education in Nursing (Formerly: National League for Nursing Accrediting Commission). See "Education" section for additional requirements and exceptions.
• 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.

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).

GS-7 Grade Requirements: The GS-7 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To qualify at the GS-7 level, candidates must have a total of 3 years' progressively responsible experience as a LPN/LVN, maintaining acceptable standards within a health care setting under the direction of a registered nurse (RN) or physician (MD/DO). This includes one year of experience at the GS-6 level or equivalent. In addition, the GS-7 candidate must demonstrate demonstrate the following GS-7 level Knowledge, Skills, and Abilities (KSAs):

• Knowledge and skills necessary to carry out more specialized patient care duties, including assignments in selected, more complex inpatient and/or outpatient care settings. Knowledge base promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions. Positions at this grade level require broader knowledge and skills because supervision is more general, and employees are expected to be involved to a greater degree in the development and modification of treatment plans.
• Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery. Makes astute observations of subtle, less obvious changes, both physical and emotional, in patient's condition, and accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patient's condition requiring higher-level intervention. At this grade level, the LPN/LVN is expected to participate to a greater degree in prioritizing, and, as appropriate, modifying patient care treatment. They must also possess the ability to observe more subtle physical and emotional changes in patients and demonstrate taking appropriate action based on those observations.
• Ability to proactively assist the RN or MD/DO in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patient's response to medications/treatments received. (This may include restricted medication locally authorized for administration by employees at this grade level.) Demonstrates the knowledge and ability to readily recognize the more subtle signs and symptoms of potential or actual drug reactions, promptly inform the RN or MD/DO of observed changes in patient's condition and initiate appropriate, prescribed interventions. Employees at this grade level demonstrate broader knowledge and skill with respect to these responsibilities than employees at lower grade levels.
• Knowledge and skill to promptly recognize potential urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO for appropriate team intervention and effectively intervene, as directed, to assure the continuation of optimal, safe and therapeutic patient care delivery.
• At this grade level, the LPN/LVN must have a broader knowledge of the patient treatment process and exercise judgment that demonstrates the ability to effectively intervene when appropriate.
• Assists individuals or groups of patients and their families to take an active role in promoting healthy lifestyles for more positive patient outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions. This includes the ability to effectively deal with the above types of patients under very general supervision.
• Exhibits skill, creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels through active participation in committees/task forces, research projects or in developing educational materials/media. Actively promotes and effectively incorporates established customer service standards in all aspects of their practice.
• Possesses comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care. Serves as a role model and mentor to other nursing staff in the application of more complex technology, effectively guiding and directing their continuing practice in these areas.
• Supports the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. Promptly reports any deviations from normal practice patterns to the RN or MD/DO. In addition to responsibilities at the lower grade level, the LPN/LVN is responsible for monitoring the practice of non-licensed nursing and medical staff.
• Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision.
• Actively seeks out educational opportunities to enhance nursing knowledge and skills and providing leadership in assisting other staff improve and advance their nursing practice.

To be creditable, practical nursing experience as an LPN/LVN must be documented on your application and verified in an employment reference and/or through other independent means. If your resume/application documents do not clearly demonstrate the required knowledge, skills, and abilities (KSAs), you will be asked to submit a supplemental document with written responses to the KSAs required at the GS-6 and -7 levels. We will not make assumptions when reviewing applications. Failure to demonstrate your experience in your resume may result in disqualification. It is strongly recommended that you write to each KSA in your resume/application package.

Preferred Experience: Procedural care in a clinic setting is preferred, but not required.

References: VA Handbook 5005/3 Part II Appendix G13

Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

To receive full consideration for this position at the GS-7 level your application must clearly demonstrate the Knowledge, Skills and Abilities (KSAs) required by the Licensed Practical or Vocational Nurse Qualification Standard found in VA Handbook 5005/3, Part II, Appendix G13.

What are KSAs?

In the federal hiring process, Knowledge, Skills, and Abilities (KSAs) are a list of special qualifications and personal attributes that you need to have for a particular job/grade level (see Qualifications section of this announcement).

• Knowledge statements refer to an organized body of information usually of a factual or procedural nature which, if applied, makes adequate performance on the job possible. A body of information applied directly to the performance of a function. Skill statements refer to the proficient manual, verbal or mental manipulation of data or things.
• Skills can be readily measured by a performance test where quantity and quality of performance are tested, usually within an established time limit.
• Ability statements refer to the power to perform an observable activity at the present time. This means that abilities have been evidenced through activities or behaviors that are similar to those required on the job. Note that abilities are different from aptitudes. Aptitudes are only the potential for performing the activity.

Although not required at the time of application, we highly recommend submitting a supplemental document with your written responses to the KSAs required at each grade level you wish to be considered. If you choose not to submit KSA responses, please ensure your resume includes details of your experience that fully demonstrate the required KSAs as described in the "Qualifications" section of this announcement.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.