Summary

This Licensed Practical Nurse position is at the VA Boston Healthcare System located at the Jamaica Plain - MA location. This position is a full time position at 40 hours per week.

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
• Language: Must be proficient in the English language Licensure: Must have 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
• Education: 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
• Grade Determinations: GS-03 Qualifications: 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
• GS-04 Qualifications: Employees may be appointed at or advanced to GS-04 if they meet any of the criteria below: 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
• GS-05 Qualifications: Completion of at least 1 year of qualifying experience at the GS-04 level or equivalent
• In addition to meeting the Experience requirement - the applicant must demonstrate all Knowledge - Skills - and Abilities (KSA's) below: 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 NAs/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
• Demonstrated 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
• GS-06 Qualifications: Completion of at least 1 year of qualifying experience at the GS-05 level or equivalent - fully meeting all performance requirements for the GS-05 LPN/LVN
• In addition to meeting the experience/education requirement - the applicant must demonstrate all Knowledge - Skills - and Abilities (KSA's) below
• 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
• 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
• 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
• 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
• Preferred Experience: Substance abuse residential unit
• The full performance level of this vacancy is GS-06
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06.

Duties

• The incumbent serves as a Licensed Practical Nurse (LPN) under the Mental Health Service (MHSL)
• The position is located on the Jamaica Plain campus of the VA Boston Healthcare System (VA BHS) in the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) - which is one of the Mental Health Residential Rehabilitation Treatment Programs (MHRRTP) in VA BHS
• The incumbent performs direct patient care and participates in activities that support safety on the unit and enable the program to meet its general requirements
• The incumbent will interface with personal computer (PC) applications and numerous VISTA applications in the performance of his/her duties
• Duties may include - but are not limited to: Reviews reports of a patient's condition and other pertinent data - using judgment in selecting the most appropriate application of procedures and guidelines
• Demonstrates the ability to determine when changes in the patients' conditions are significant enough to notify the immediate supervisor for assistance in decision making and/or determining nursing care
• Makes recommendations for changes in the treatment plan based upon observations - analysis of patients' conditions and responses to the current plans
• Aids with care of patients by observing - identifying - and responding to specific patient needs on a physical and psychological level
• Prepares patients for off/on unit diagnostic procedures and administers more complex treatments under the close supervision of RN/ LPN/MD or other licensed staff
• Serves as an active member of the interdisciplinary team and contributes to the development of treatment plans - taking into consideration gender - cognitive - physical -emotional - and social factors in modifying the plans
• Contributes to the overall treatment plan - providing important information through assessment and observation of the patient
• In a timely manner - the LPN observes - reports - and documents the patients' conditions and changes noted in mental health or physical status
• Work Schedule: Monday thru Friday 10:00 pm - 6:00 am with rotations to weekends and holidays
• Recruitment Incentive (Sign-on Bonus): Not Authorized
• Permanent Change of Station (Relocation Assistance): Not Authorized
• Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year)
• Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available
• Virtual: This is not a virtual position
• Functional Statement #: F1082 - F1081 - F1080 & F1079
• Permanent Change of Station (PCS): Not Authorized
• PCS Appraised Value Offer (AVO): Not Authorized
• Financial Disclosure: Not Required
• Notifications: This position is in the Excepted Service
• This position is covered by a special rate
• This position is not a Bargaining Unit position
• The incumbent may be required to travel to other VA campuses and CBOC's
• Veterans' preference does not apply for internal or other current permanent Federal agency employees
• Due to a critical staffing shortage - 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement
• Narrative responses to the knowledge - skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment
• Current and former Federal employees may 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.