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Summary 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. Program 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. Responsibilities VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf This Practical Nurse position is located in the Nursing Service (Mental Health) at the Bedford VA Healthcare Medical Center, in Bedford, Massachusetts. This announcement is intended to fill multiple vacancies throughout the Veterans Affairs Medical Center in Bedford, MA. Available shifts could be days, evenings, nights, or include weekends/holidays to cover shortages or high patient volume. Shift changes will be considered based on patient and facility needs. Under the direct supervision of the RN, MD, DO, NP or PA the Practical Nurse is held accountable for delivering direct patient care to adult through geriatric aged patients. He/she recognizes the age-related needs and demonstrates knowledge and care appropriate to that age group. He/she considers the cognitive, physical, emotional, and chronological maturation needs of the patients, demonstrates competence, and correctly provides appropriate care for that age group or groups. Major Duties in addition to basic Practical Nurse duties include, but are not limited to: 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 the evaluation of patient responses to interventions. Participates in health teaching and counseling to promote, attain, and maintain the optimum health level of patients, as delegated. Recognizes, reports and records promptly all changes in physical condition and behavior of patients. Completes routine documentation of results of care and treatment according to policy, guidelines, instructions, (e.g. flow sheets) 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. Demonstrates knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and /or behavioral problems. Demonstrates a broad working knowledge of practical nursing procedures under the general supervision of an RN or MD/DO. Technically efficient 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. Knowledge and ability to use judgment in selecting the appropriate order and sequence of procedures and treatments. Ability to observe, identify and respond to the patient's needs for care, including medication, equipment assisted care and patient/family education. Knowledge and skill in performing support duties for complex, diagnostic tests and /or specialized practices or procedures. (ie: 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). Inpatient Units - Part of being an employee with the Bedford VA includes taking care of all of the veterans across the hospital. All inpatient units include Mental Health, Acute Psychiatric, Long Term Psychiatric, Residential, Long Term Care, Short Term Care, Hospice, Rehabilitation, and Dementia. All staff are required and may have to float to support the needs of the inpatient units. Work Schedule: Multiple tours available; to be discussed at interview and determined on selection. Recruitment Incentive (Sign-on Bonus): Not authorized EDRP Authorized: Authorized (Former EDRP participants ineligible to apply for incentive. Contact VISN1 EDRP Support VISN1EDRPSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: F1966, F1967, F1968, F1969 Permanent Change of Station (PCS): Not Authorized Notifications: This position is in the Excepted Service. This position is a NAGE bargaining unit position. This position is on a Special Salary Rate. 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. 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. 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 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: Nursing Assistants 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). 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. License: 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). Grade Determinations: In addition to meeting the Basic Requirements, applicants will need to meet the grade level requirements, and the Demonstrated Knowledge, Skills, and Abilities (KSAs). To meet the grade level requirement the applicants must have the following listed below: Requirements for GS-3 Grade: None beyond the basic requirements. Requirements for GS-4 Grade: Experience: Six months of qualifying experience as an LPN or LVN (To be creditable, this must be supported by your application materials); OR Education: Graduation from an approved school of at least 24 months duration NOTE: Transcripts must be submitted with application. Education cannot be credited without documentation; OR Combination: 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. Requirements for GS-5 Grade: Possess at least 1 year of qualifying experience perform all duties expected of employees at the GS 4 grade level; AND Demonstrated Knowledge, Skills, and Abilities (KSAs): Ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Work with 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. Provide effective education to patients and/or family members in relation to common disease processes, medication, and /or prescribed treatment regimes. Ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. 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. 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. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. 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. Requirements for GS-6 Grade: Possess at least 1 year of qualifying experience perform all duties expected of employees at the GS 5 grade level or equivalent; AND Demonstrated 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. In organizing and delivering] care, the LPN/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. 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. 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. 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. Reference: VA Handbook 5005 Part II Appendix G13 For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS 6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS 3 to GS 6. Physical Requirements: This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. 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. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.