Practical Nurse-Patient Aligned Care TeamVeterans Affairs, Veterans Health Administration • Billings, MT, United States
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Practical Nurse-Patient Aligned Care Team
Veterans Affairs, Veterans Health Administration • Billings, MT, United States
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job_description.job_card.job_descriptionUnited States Citizenship : Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Licensure : 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 : Graduate of a school of practical or vocational nursing approved by the appropriate State-accrediting agency and / or the National League for Nursing Accrediting Commission (NLNAC) (copy of transcripts required) OR 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 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) 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 the Basic Requirements - candidates must meet requirements for each grade level applied for as outlined below : GS-03 : None beyond basic requirements GS-04 : Six months of qualifying experience as an LPN or LVN OR - Graduation from an approved school and one year of experience 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 GS-05 : Requires at least 1 year of qualifying experience at the GS-4 level or equivalent In addition the following criteria must be met : Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and / or behavioral problems Demonstrated ability to serve as a responsible member of the nursing team and interact with patients - family members - professional and supportive personnel 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-6 : Requires at least 1 year of additional qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN In addition the following criteria must be met : 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 patient' conditions Ability to observe - identify - and respond to the patient's needs for care - including medication - equipment-assisted care - and patient / family education Prepare and administer prescribed medication (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 Establish constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication - and socialization skills 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 Actively seek out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice Preferred Experience : PACT or Primary Care experience preferred Reference : For more information on this qualification standard - please visit 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 includes a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling See VA Handbook 5019 and local LPN / LVN physical standards Examples may include but are not limited to : - Significant amounts of time standing assisting assigned patients - Utilization of safe patient handling and mobility protocols Position specific duties / expectations are detailed in the associated competency and should be performed once the competency has been validated Total Rewards of a Allied Health Professional 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 patient's 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 or physician 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 recognized and considers emotional - 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 medication / treatments - promptly and accurately documenting noted changes - and reporting any deviations from normal to RN or MD / DO Knowledge and ability to recognize urgent and emergent patient care situation - 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 Established 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 inter / external customers Knowledge and skill in performing support duties for complex diagnostic tests and / or specialized practices or procedures - which include preparing the patients - 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 Completes focused data collection using all clinical reminders as outlined in the clinical guidelines and standing order policy Perform pre-visit phone calls to prepare patients for upcoming appointments by reviewing necessary information - ensuring an efficient clinic visit for both the patient and provider Work Schedule : Monday-Friday 8 : 00am-4 : 30pm 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 # : 52837-A - 52838-A - 52839-A & 52840-A Permanent Change of Station (PCS) : Not Authorized
Summary
The primary purpose of the Licensed Practical / License Vocational Nurse (LPN / LVN) is to perform assigned duties in a manner that promotes quality health care - positive customer service and the maintenance of an environment committed to serving the veteran.
Qualifications
- This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until February 13th - 2026. The initial cut-off date for referral of eligible applications will be November 28th - 2025 - with subsequent cut-off dates on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.
- 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 :
Duties
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Practical Care Team • Billings, MT, United States
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