Vacancy Identification Number (VIN):|
GRADE TO BE DETERMINDED BY A PROFESSIONAL STANDARDS BOARD.
How would you like to become a part of a team providing compassionate care to Veterans?
This position is located in our Gastroenterology clinic, part of the Primary Care Service Line at the Minneapolis VA Health Care System. You will be an integral member of a team devoted to providing the best possible care to our nations' veterans and helping the Minneapolis VA Health Care System and the Veterans Integrated Service Network (VISN) 23 meet its' mission.
As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.
FIRST Consideration will be given to - Permanent employees of the Minneapolis VA Health Care System; SECOND- Any other promotion candidate or candidate required to compete from other VA Facilities, THIRD- Reassignments, Reinstatements, and other eligible applicants
Special Employment Consideration:
VA encourages persons with disabilities to apply.
To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans.
U. S. Citizenship
Must pass pre-employment examination
English Language Proficiency required
Designated and-or Random Drug Testing required
Background and-or Security Investigation required
Responsible for direct patient care activities under the supervision of the Registered Nurse (RN).
The LPN in the
GI clinic will be responsible for participating in procedures as the technical nurse and responsible for pre-cleaning of scope and other reusable medical equipment.
Work in a self-directed manner which requires minimal supervision from the RN. Work is occasionally observed for purposes of competency validation.
The practical nurse seeks guidance from the
RN when difficulty and/or question is encountered with the assignment. The knowledge and complexity of this position includes the performance of non-standard/specialized patient-centered physical and behavioral intervention competencies.
Nursing activities are targeted toward the maximal attainment of patient self-management.
Serves as a member of a health care team with selected patients. Provides care on a regular and recurring basis. Completes assigned duties/responsibilities which involve performing non-standard and specialized practical nursing activities. Demonstrates skill sufficient to resolve a range of nursing problems.
Delivers safe, basic physical and emotional care to patients with simple needs while developing technical skills.
Adheres to VA and Nursing policies, procedures and standards.
bathing, oral hygiene, denture care, shaving, grooming, bed making.
Positioning and Activity
Positions patients using principles of body mechanics in lifting, alignment, turning, ambulation, transferring and repositioning patients with the use of proper equipment.
Nutrition and Fluids
Assists patients at meal times and feeds patients as needed.
Utilizes adaptive feeding equipment.
Checks for proper nasogastric or gastrostomy tube placement and NG residuals.
Administers tube feedings and irrigates NG tubes as assigned.
Measures and irrigates NG tubes as assigned.
Measures and records intake and output.
Maintains bowel function.
Measures and records output and disposes of bodily wastes as assigned.
Gives cleansing and retention enemas.
Collects specimens as indicated.
Implements the use of a variety of urinary drainage devices and related care. Performs bladder scans.
Sets up and administers oxygen therapy.
Positions patient to promote breathing and to maintain airway.
Performs oral and naso-pharyngeal suctioning.
Performs pummeling and assists patient/s with incentive spirometry.
Promotes skin healing through the use of a) wound irrigation/packing, b) dressing changes, c) stoma care, d) gastrostomy care, e) application of ostomy appliances, f) application of topical medication, g) routine tracheostomy care, h) routine oral and tracheostomy suctioning.
Performs identified unit specific activities as directed.
Offers physiological, psychological and spiritual comfort to the dying patient, his/her family and/or significant others.
Performs care of the body after death. Obtains, records, reports vital signs and measurements which include temperature, pulse, respirations, pain, blood pressure, height, weight, abdominal or extremity girth, peripheral blood sugar sample and pulse oximetry. Documents and reports patient responses according to hospital policy. Recognizes, documents and reports changes in patients mental status and behavior.
Gathers data to provide input to the accountable nurse to assist in developing and updating plans of care.
Obtains and records objective and subjective data relevant to a bio-psychosocial profile under the supervision of the accountable nurse. Performs 24-hour chart check for transcription/verification of all written, active medication and treatment orders.
Administers medications in accordance with VAMC Policy and Procedures.
Has increased knowledge of untoward effects and desired effects of drugs administered.
Monitors patients accordingly.
Counts narcotics with the RN at the beginning and /or end of the tour of duty where the Pyxis machine is unavailable. Hangs premixed IV fluids and antibiotics to include peripheral, central and
PICC lines.Verifies blood/blood products with a RN. Monitors blood/blood product infusion after blood product is hung by RN. Does not push IV medications or fluids, administer chemo therapy or IV narcotics, hang hyperalimentation or heparin drip.
Monitors heparin drip under RN supervision. Flushes peripheral, central and PICC lines. Recognizes the individuals level of understanding and uses the most effective means of communication in teaching the patient and/or significant other about his/her disease process, utilizing the standards of care and documenting client response. Recognizes, reports and assists in emergent and non/emergent situations. Utilizes a variety of pain control measures.
Observes the patient for the presence of pain, utilizing the 0 - 10 pain scale.
Evaluates, documents, and reports the effectiveness of pain interventions to the accountable nurse. Performs support duties for diagnostic procedures including preparing the patient, assisting in the diagnostic examination and monitoring the patients condition
Assists in the coordination of patient care activities with other departments/services.
Performs PHN referrals and Nursing Home calls. Cleans RME (Reusable Medical Equipment) per SOP (Standard Operating Procedure).
Tour of Duty:
7:30am - 4:00pm, Monday through Friday. Possibility of 9 hour shifts. Weekend/holiday on-call is required.
Citizen of the United States.
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.
Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33
Floor, New York, NY 10006.
Additional information may also be obtained from the
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 requirements for VHA employment.
VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority.
The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions.
Individuals granted a license by a jurisdiction that does not require graduation from an approved school.
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.
An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part.
English Language Proficiency.
Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in [both] spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
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.
Six months of qualifying experience as an LPN or LVN; OR 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 Graduation from an approved school of at least 24 months duration. LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques.
Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. 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. 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.
Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. 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. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
VA Handbook 5005/3, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 2003, and OPM Individual Qualification Standard for Practical Nurse Series at
APPLICANTS PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website:
All education claimed by applicants will be verified by the appointing agency accordingly. 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.
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit
HOW YOU WILL BE EVALUATED:
Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.
Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is...