Summary This Licensed Practical Nurse position is located within the Primary Care Service at the VA Providence Healthcare System. This position is full-time at 40 hours per week. Responsibilities The Licensed Practical Nurse is held accountable for delivering direct patient care to adult through geriatric aged patients. They recognizes the age-related needs and demonstrates knowledge and care appropriate to that age group while considering the cognitive, physical, emotional, and chronological maturation needs of the patients, demonstrating competence and correctly providing appropriate care for that age group or groups. Duties include, but are not limited to: Serves as an active member of the healthcare team with professional and supportive personnel; Attends meeting with the inter-disciplinary treatment team and contributes to the development and changes in the comprehensive treatment plans; Demonstrates the ability to vary the order and sequence of assigned procedures based on the knowledge of the patient's condition; Assumes the responsibility for patients, in accordance with standards and recommendations, with the Registered Nurse (RN) ultimately responsible; Identifies environmental hazards and initiates appropriate intervention; Adheres to safety regulations and infection control practices as outlined in the policy and procedure manuals; Collects data and collaborates in the assessment of the health status of a patient; Implements aspects of the plan of care as delegated; Participates in health screening, clinical reminders, telephone calls and treatments as assigned; Participates in the evaluation of patient responses to interventions; Recognizes, reports and records promptly change in physical condition and behavior of patients; Completes routine documentation of results of care and treatment according to policy, guidelines, instructions/templates utilizing the electronic record and information network; Uses proper channels to resolve ethical issues; Differentiates between emergent and non-emergent conditions. Reports promptly and accurately records critical/emergency situations; Ability to draw, centrifuge and package lab samples when indicated. Promotes a safe and therapeutic environment. Identifies potentially dangerous or emergency situations and takes appropriate action. Utilizes safety equipment and other devices/procedures appropriately; Provides input into the development of policies and procedures to support patient safety; Takes proper precautions to prevent injury to self, patients and others; Identifies and reports unsafe conditions to appropriate officials; Observes standard precautions; Serves as an advocate for the patient by communicating and collaborating with other health service personnel as delegated; Is sensitive to the individual patient's needs and responds so that a therapeutic relationship is established; Demonstrates common courtesy to patients, family members, visitors and staff. Responds to requests for assistance promptly and in a professional manner; Other duties as assigned. Work Schedule: Full-time, day shift (Tour of Duty will be determined based on the need of the facility.) Telework: Not Available. Virtual: This is not a virtual position. Functional Statement #: 650-F05311 Relocation/Recruitment Incentives: Not Authorized. Financial Disclosure Report: Not Required Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. This position is a LIUNA Bargaining Unit position. This position is covered by a special rate. Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment. Requirements 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. 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. Qualifications 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. English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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. Education. Graduate of a school of practical or vocational nursing approved/accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. GRADE DETERMINATIONS: In addition to the basic requirements, candidates must meet the following grade requirements. GS-6 Grade Level: Experience. At least 1 year of qualifying experience at the GS-5 level or equivalent, AND, In addition to the experience above, the candidate must demonstrate all of the following Knowledge, Skills and Abilities (KSAs): Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. 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. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. 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. 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. 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. 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. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. PREFERRED EXPERIENCE: Experience within Primary Care Service or Primary Care office equivalent; Assisting with triage as appropriate; Performing treatment and carries out orders as prescribed or written by the provider as they relate to the practice of nursing; Applying sterile and non-sterile dressings, collecting specimen, performing ear irrigation, assisting with oxygen, catheterizations; Assisting with exams and/or procedures; Completing clinical reminders; Conducting post-discharge follow-up telephone calls as directed; Tracking and administering require immunizations. REFERENCES: VA HANDBOOK 5005/3 PART II APPENDIX G13 PHYSICAL REQUIREMENTS: 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, and pushing. Transferring patients and objects 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 flexible and sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete Employee Health requirements. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer (TJO). Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP), va.gov/EMPLOYEE/docs/The-Fair-Chance-to-Compete-Act.pdf for more information.