Intermittent Licensed Vocational Nurse

Veterans Affairs, Veterans Health Administration
Visalia, CA

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 our Veterans.

Qualifications

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
  • In accordance with 38 U.S.C. 7402(d) and 7407(d) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
  • 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
  • Exceptions include: 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
  • OR Current GS-0620 LPN/LVN employee of the Veterans Health Administration (VHA) who was converted to an appointment under 38 U.S.C. 7401(3) in implementation of Public Law 98-160 - enacted November 21 - 1983 - or who was converted to an appointment under 38 U.S.C. 7405 in implementation of Public Law 99-576 - enacted October 28 - 1986
  • OR Individual granted a license by a jurisdiction that does not require graduation from an approved school
  • Licensure: Active - full - current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State - Territory - or Commonwealth (i.e. - Puerto Rico) - of the United States or the District of Columbia
  • Physical Requirements: As described in VA Directive & Handbook 5019 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 stated above - 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-03 - No experience beyond the basic requirements
  • LPNs at this grade level are expected to perform all duties within the scope of their license
  • GS-04 - Six months of qualifying experience as an LPN or LVN
  • OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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 - 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
  • 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 - 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
  • Ability to observe - identify - and respond to a 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 - 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.

Duties

  • VA Careers - Licensed Practical Nurse: The LPN/LVN also performs assigned duties in a manner that promotes quality health care - outstanding customer service - and the maintenance of an environment committed to serving the veteran
  • The LPN/LVN performs within the functional statement assigned for the grade level and under guidance of the Nurse Manager or designee
  • Assigned tasks require basic technical competence and skill
  • At the full performance functional level the LPN/LVN provides practical nursing care and the assigned duties: assisting with various minor procedures and clinical tasks for multiple surgical specialties - caring for a diverse Veteran population
  • Technically proficient in initiating - performing and completing assigned duties in providing care
  • Carries out assigned patient care based on the patents' 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
  • Observes - identifies and responds to the patient's needs for care including medication equipment-assisted care and (patient/family education)
  • 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
  • Recognizes urgent and emergent patient care situation - seeks assistance of the RN and/or MD/DO - and initiates appropriate emergency interventions
  • Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients - family members - and/or other inter/external customers
  • Performs 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 specialize 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
  • Seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
  • Work Schedule: Intermittent
  • varied schedule Recruitment Incentive (Sign-on Bonus): Not Authorized Pay: Competitive salary with regular increases
  • Starting pay may be set at a higher step within the appropriate grade based on exceptional qualifications or special organizational needs (Above Minimum Rate of the Grade)
  • Salary will be prorated based on hours worked
  • Telework: Not Available Virtual: This is not a virtual position
  • Functional Statement #:PD07287F - PD07286F - PD07285F - and PD07284F
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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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Posted 2026-05-30

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