This LPN GS-7 is under the supervision of a Registered Nurse yet demonstrates independent technical judgment with minimal oversight. Such individuals may serve as leaders or Charge role of a nursing unit for a specific group of residents at the Wilmington, DE VA Health System To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 03/28/2023. 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: Written and Spoken Physical Standards: All applicants must meet the physical standards for the position. A physical examination prior to employment may be required. 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 agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC)] at the time the program was completed by the applicant. 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. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Preferred Experience: Demonstrating Leadership Qualities Grade Determinations: In addition to the basic requirements stated in section A, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-07: The GS-07 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment. Completion of at least one (1) year of additional qualifying experience at the GS-06 level or equivalent, fully meeting all of the performance requirements for the GS-06 LPN/LVN. The following Knowledge, Skills, and Abilities (KSAs) must be met: Knowledge and skills necessary to care out more specialized patient care duties, including assignments in more complex inpatient and/or outpatient care settings. Ability to assist DPM and/or to appropriately prioritize overall patient care needs and adjust plans for care delivery making astute observations of subtle, less obvious changes (both physical and emotional) in patient's conditions and taking the appropriate action. Ability to proactively assist the DPM or RN in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments and appropriately recording patient's response to medications/treatments received. Knowledge and skill to promptly recognize potential urgent or emergent patient care situations. Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive 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. Skill, creativity, and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels. 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. Ability to support the DPM or RN in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery. References: VA Handbook 5005/27, Part II, Appendix G13, LICENSED PRACTICAL OR VOCATIONAL NURSE QUALIFICATION STANDARD, dated April 10, 2003. The full performance level of this vacancy is GS-7. Physical Standards: The population of male and female Veterans served ranges from the adult, age 18 to the elderly adult, age 65 and over. Wilmington VA Health System is a major interdisciplinary teaching facility, serving medical and surgical inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, pushing, lifting 45 pounds or more, reaching above the shoulder, frequent pushing medication carts; and use finger and both and hand and legs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The incumbent must be able to navigate all areas of the facility, use a keyboard, perform cardiopulmonary resuscitation (CPR) when necessary, as well as direct others to perform it, and perform other activities of the position without any restrictions. Please Note: In accordance with Office of Human Resources Management (OHRM) bulletin (dated 10/1/2019), Human Resources Management Letter NO. 05-19-12, although hybrid title 38 occupations follow title 5 Veterans' preference rules, as required by the Merit Systems Protection Board (Graves v. VA, 117 M.S.P.R. 697 (2012)), 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference to external applicants for appointments made during FY 2020 to hybrid title 38 occupations reported among the occupations with the largest staffing shortages. FY 2020 VHA Shortage Occupations Approved for Waiver of Veterans' Preference are as follows: Diagnostic Radiologic Technologist, 0647; Medical Instrument Technician, 0649; Medical Records Technician, 0675; Medical Supply Aide and Technician, 0622; Medical Support Assistant, 0679; Medical Technologist, 0644; Practical Nurse, 0620; Psychologist, 0180. ["Duties, but not limited to the following: 1. Provide care in a safe and cost-effective manner. He/she will follow all policies/procedures pertaining to own personal safety including the use of standard precautions. The LPN will maintain a safe environment using appropriate equipment, devices, and safety measures for all residents with demonstrated special awareness of the needs of all residents with impaired mobility. 2. Contribute to the evaluation of Fall Risk residents and implement appropriate preventative measure; assist residents to cope with and/or compensate for changes affecting mobility and balance for geriatric residents, residents with impaired mobility, surgery residents, and orthopedic residents. 3. Implement care for more complex/specialized resident care duties based on broader knowledge and skills with less direct supervision. 4. Incorporate current resident care data by gathering data and actively contributing to the development and modification of treatment plans. Assist the registered nurse (RN) and/or provider to appropriately prioritize overall resident care needs and adjust plans of care delivery. 5. Demonstrate knowledge of the principles of resident teaching, effective communication techniques, conducting nursing groups, conference participation, and initiation. He/she will take an active role in promoting healthy lifestyles to increase positive resident outcomes. He/she will provide one-on-one group teaching as appropriate. The LPN GS 7 will communicate calmly, courteously, and tactfully with all residents, personnel, and visitors maintaining confidentiality in accordance with UIPP A regulations and medical center policies. He/she will utilize advanced skills to communicate with verbally or physical abusive residents or visitors. 6. Demonstrate broad knowledge and skill with respect to medications, contraindications, actions, and recognition of the more subtle signs and symptoms of potential actual drug reactions, and demonstrate the ability to proactively assist the RN or provider in managing the resident's medications/treatments. He/she will promptly recognizes potential or actual drug reactions, promptly informing the RN or provider of observed changes in resident condition and initiating appropriate, prescribed intervention with safe and therapeutic resident care delivery. 7. Perform capillary and/or whole blood glucose testing, evaluate glucose results, and act accordingly. 8. Interpret mental and physical changes based on theoretical and practical understanding of psychology, anatomy, and physiology. He/she will cope quickly and decisively with emergency situations or unpredictable behavior. 9. Contribute to the evaluation of pain/comfort status consistently using the scale of 1-10 or the FLA CC scale and implements interventions to maintain comfort status. 10. Promote the values of cultural transformation and Veteran Centered Care in the Community Living Center. He/she actively seeks Veteran choice in care plan participation and goal participation. 11. Identify and encourage participation in the rehabilitation aspect of resident care, such as re-motivation and other resident therapy groups. He/she will ensure resident recreational needs are met and resident is out of bed unless acutely ill. 12. Demonstrate knowledge of medical equipment and supplies with advanced skill to set up and/or operate specialized equipment. Work Schedule: Monday - Friday 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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