Advanced Licensed Practical Nurse

VA Careers - Licensed Practical Nurse: Rewards of a Allied Health Professional

Major Duties:
Prepares and administers prescribed medications (oral topical subcutaneous Intramuscular and/or intravenous) and performs treatments according to established policies/procedures.

Supports the team in monitoring the practice of unlicensed nursing staff or non-medical staff to ensure safe patient care delivery.

Manages patient care problems and deviations using self-direction in accordance with VA Nursing Practice and LPN licensure standards.

Assists with diagnostic procedures that include preparing the patient setting up sterile field and instrumentation and monitoring the patients condition including joint injections cystoscopy vasectomy and prostate needle biopsy.

Assists in coordination of care during and after the transition of a patient from inpatient to outpatient and vice versa.

Collaborates with team RN to identify and proactively manage high-risk patients through frequent telephone contacts and/or face-to-face visits.

Responds to telephone calls in a timely manner to address patient care needs requests from other healthcare facilities etc including same-day access requests.

Serves as a formal and informal preceptor/mentor for all new LPN/HT (and RN when needed) hires in the clinic.

Work Schedule: Day Shift Variable Start Times-This is intermittent.
Pay: Competitive salary and regular salary increases.
Telework: Not available.
Virtual: This is not a virtual position.
Functional Statement #: 08222F
Permanent Change of Station (PCS): Not authorized
PCS Appraised Value Offer (AVO): Not authorized

• 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.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the Required Documents section of this announcement.

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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: Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
• Education: 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. requirements for VHA employment Exceptions include: Health care education in the military service 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.
• Licensure:Must possess a 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. (COPY OF LICENSE REQUIRED)

• 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 patients condition and accurately and thoroughly documents care delivered and patients response to care that could require immediate modification of the patients care plan. Appropriately seeks assistance and guidance by informing RN or MD/DO of changes in patients 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 patients needs for medication/treatments accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patients 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 patients 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/ 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.