This position is eligible for the Education Debt Reduction
Program (EDRP), a student loan payment reimbursement program. You
must meet specific individual eligibility requirements in
accordance with VHA policy and submit your EDRP application within
four months of appointment. Approval, award amount (up to $200,000)
and eligibility period (one to five years) are determined by the
VHA Education Loan Repayment Services program office after complete
review of the EDRP application. Learn more
Learn more about this agency
This Licensed Practical Nurse position is located in Primary
Care Service at the Manchester VAMC. This position is full-time at
40 hours per week.
The Licensed Practical Nurse under the direction of the
Registered Nurse or Service Line Manager is responsible for
providing direct and/or indirect patient care to an assigned group
of patients. She/he will have the knowledge, skill and experience
to carry out assignments involving treatments, diagnostic studies,
and patient/family education. This population-specific care takes
into consideration all physical, psychosocial, spiritual and
- Safely handles, prepares, administers and records medications
and treatments in accordance with policy.
- Self-directed in carrying out complex nursing care assignments,
requiring skilled nursing care, and needs for medication, and
- Appropriately responds to patient needs and reports changing
patient condition to RN and/or provider.
- Recognizes and responds appropriately to emergency
- Maintains BLS Certification and completes annual mandatory
- Documents care appropriately in the patient record.
- Demonstrates clinical competence in working with all equipment
and instrumentation including handling and cleaning of Reusable
Medical Equipment (RME) per Medical Center Policy.
Interpersonal Skills/Customer Service
- Demonstrates effective communication skills working with
patients, families, and other staff members, demonstrating
courtesy, respect, and dignity, providing timely access to health
- Meets patients' diverse needs based on age, culture, ethnic,
spiritual, and war conflict group.
- Maintains privacy and confidentiality for patients, families,
co-workers and colleagues.
- Provides effective patient teaching considering the level of
understanding of the patient and family.
- Communicates effectively and appropriately when transferring
patients to a different level of care- hand-off
- Serves a mediator for patient, families and colleagues to
improve quality of communication and interactions.
- Gives support, education and teaching to other LPN's.
Observation, Reporting & Documentation
- Identifies common changes in condition, both physical and
- Employs practical knowledge and experience of human actions to
situations for diverse groups. Reports these in a timely manner and
initiates appropriate action.
- (Inpatient only) Collects and documents intake data on new
admissions and at regular intervals throughout the patient
- (Outpatient only) Collects and documents preventive indexes and
clinic practice guidelines with guidance.
- Recognizes need for change of patient care plan.
- Collaborates with team members to initiate changes.
- Implements team decisions and reports outcomes and participates
in evaluation of outcomes.
- Uses independent judgment in selecting appropriate application
of procedures to resolve patient care problems.
- Contributes to the interdisciplinary team in the development,
implementation and evaluation of the patient's treatment plan.
- Teaches patients and family principles of health, self-care,
and treatments related to wellness.
Maintaining A Safe & Therapeutic Environment
- Utilizes proper body mechanics, equipment and supplies in order
to prevent injury. Adheres to the no lift policy.
- Identifies potential risks and takes necessary precautions to
insure the safety of patients.
- Identifies and reports environmental hazards in a timely manner
and submits a work order.
- Assumes responsibility to follow infection control guidelines
and reports infection control issues.
- Checks crash cart, refrigerator temperature and documents
appropriately and reports any out of range findings.
- Consistently adheres to "time out" procedures and National
patient safety goals.
- Maintains ADP security and protects access codes, utilizing
computer access for VA business only, and ensures confidentiality
and data security of all data and information.
- Demonstrates and understanding of the Vision, Mission, Values
and Goals of the VA Health Care System, and supports these through
participation in assigned team activities.
- Collects and documents data for the unit/area QI assignments
- Actively seeks out educational opportunities to enhance nursing
knowledge and skills.
- Conducts self-assessment and proposes a plan for individual
- Orients new staff members and readily accepts them into the
group, providing direction of physical layout and best
Additional duties: Performs other duties as assigned. Requires
daily phlebotomy and lab work.
Work Schedule: Monday - Friday; 7:30 am to 4:00 pm
Telework: Not Authorized
Virtual: Not Authorized
Remote Work: Not Authorized
Relocation or Travel Incentives: Not Authorized
Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
0620 Practical Nurse
Conditions of Employment
- You must be a U.S. Citizen to apply for this job
- Selective Service Registration is required for males born after
- You may be required to serve a probationary period
- Subject to a background/security investigation
- Must be proficient in written and spoken English
- Must pass pre-employment physical examination.
- May be subject to satisfactory completion of our credentialing
- VA Form 10-2850c Application for Associated Health
- Selected applicants will be required to complete an online
onboarding process and complete additional forms to proceed with
- Drug Testing Position: Subject to urinalysis to screen for
illegal drug use prior to appointment. Applicants who refuse to be
tested will be denied employment with VA.
- United States Citizenship: Non-citizens may only be appointed
when it is not possible to recruit qualified citizens in accordance
with VA Policy.
- Must be proficient in written and spoken English. (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 7404(d).)
- Must possess a full, active, current and unrestricted licensure
as a Licensed Practical or Vocational Nurse in a State, Territory
of Commonwealth (i.e., Puerto Rico) of the United States, or in the
District of Columbia.
- Must be a 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. (Health
care education 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
In addition to the basic requirements, the following
qualification criteria must be met for each grade.
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.
(a) Six months of qualifying experience as an LPN or LVN; or
(b) 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
(c) Graduation from an approved school of at least 24 months
(d) LPNs at the GS-4 grade level perform all duties expected of
employees at the GS-3 grade level
(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 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 year of 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
(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
(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
(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,
(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.
References: VA Handbook 5005/3 Part II Appendix G13.
Preferred Experience: Primary Care and phlebotomy
Physical Requirements: The ability to stand, walk, sit and bend
for 8 hours is required. The work requires some standing, walking,
bending, lifting and carrying of light items. The work requires
agility and dexterity and may require heavy lifting of equipment or
patients. In many situations, the duration of the activity (such as
most of a shift) contributes to the arduous nature of the job.
Duties require extensive periods of standing and walking. Working
with patients requires regular and recurring bending, lifting,
stooping, stretching and similar activities.
IMPORTANT: A transcript must be submitted with your application
if you are basing all or part of your qualifications on
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.
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