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LPN (pact)

Company: Department of Veterans Affairs
Location: Manchester
Posted on: May 3, 2021

Job Description:

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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

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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 cultural needs.

Technical Competence

  • 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 equipment.
  • Appropriately responds to patient needs and reports changing patient condition to RN and/or provider.
  • Recognizes and responds appropriately to emergency situations.
  • Maintains BLS Certification and completes annual mandatory training.
  • 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 care.
  • 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 communications.
  • 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 emotional.
  • 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 stay.
  • (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.

Care Planning

  • 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 and activities.
  • Actively seeks out educational opportunities to enhance nursing knowledge and skills.
  • Conducts self-assessment and proposes a plan for individual improvement.
  • Orients new staff members and readily accepts them into the group, providing direction of physical layout and best practices.

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

Travel Required

Not required

Supervisory status


Promotion Potential


  • Job family (Series)

0620 Practical Nurse

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  • Requirements



Conditions of Employment

  • You must be a U.S. Citizen to apply for this job
  • Selective Service Registration is required for males born after 12/31/1959
  • 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 process.
  • VA Form 10-2850c Application for Associated Health Occupations
  • Selected applicants will be required to complete an online onboarding process and complete additional forms to proceed with employment process.
  • 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.


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.
  • 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 employment.

Grade Determinations:

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 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


(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 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.

(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.

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 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: 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:

Keywords: Department of Veterans Affairs, Manchester , LPN (pact), Other , Manchester, New Hampshire

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