The Licensed Practical Nurse at the VA Puget Sound Health Care
System in Seattle, Washington provides patient care in accordance
with established clinical nursing practices under the direction of
an RN or physician
Learn more about this agency
The inpatient LPN may be assigned to one of the following
Spinal Cord Injury unit provides care for medically complex
patients including vent dependent patients, and provides acute SCI
rehabilitation, medical rehospitalizations, post-op care, pressure
ulcer treatment, annual evaluations, and outpatient treatment.
Blind Rehabilitation provides rehabilitative skills and
residential training to Veterans with impaired vision. The patient
population includes all ranges of age (young adult through
geriatric) and all ranges of medical conditions (fully healthy
through multiple chronic medical conditions).
- LPN Duties include but are not limited to:
- Delivers care to patients in a respectful non-judgmental manner
and according to Patient Care Plan
- Demonstrates understanding of age - and population - specific
characteristics that affect the health care needs of the
- Performs aspects of admission /discharge procedures as
- Collects patient data including observations of patient status
(i.e. vital signs, intake/output, skin condition, mental status,
- Accurately reports patient/client information.
- Recognizes subtle and significant changes in the patient in
response to nursing care.
- Promptly recognizes urgent or emergent patient care situations,
seeks assistance and effectively intervenes as directed when
- Communicates changes in patient condition/response to nursing
- Organizes/ prioritizes routine and non-routine nursing care
activities (ADLs, medication administration, wound care, EKG, foley
catheter insertion, bladder scan, etc.)
- Provides care to patients/clients appropriate to their
cognitive, physical, emotional and chronological maturation.
- Accurately documents and retrieves patient/clinical information
using electronic medical record.
- Provides effective education to patients and/or family members
in relation to common disease processes, medications, and/or
prescribed diagnostic and/or treatment regimes, as directed.
- Adheres to standards of practice and safe technique in
preparation and administration of medicine, documents
administration in BCMA.
- Observes patient for adverse effects from medication and
reports to the team RN.
Blind Rehab: Days Shift 0700-1530, Night Shifts 2330-0800 To be
determined by managers upon hire, based on needs of the unit.
Spinal Cord Injury - Rotating 8 and 12 hour Day/Evening/Night
shifts to cover 24/7 inpatient unit; Seattle, WA
Financial Disclosure Report: Not required
0620 Practical Nurse
Conditions of Employment
- You must be a U.S. Citizen to apply for this job
- Designated and/or random drug testing may be required
- Selective Service Registration is required for males born after
- You may be required to serve a probationary period
- Subject to a background/security investigation
- Must be proficient in written and spoken English
- Selected applicants will be required to complete an online
- Basic Requirements:
- United States Citizenship: Must be a US Citizen.
- Licensure: Eligible candidate must possess current, full,
active, and unrestricted registration as a LPN/LVN in a US State,
Commonwealth, Territory, or the District of Columbia.
- Education/Experience: Candidate must be a graduate of a school
of practical or vocational nursing approved by the appropriate
State agency and/or accredited by the Accreditation Commission for
Education in Nursing (ACEN) at the time you completed the program.
Exceptions include: (1) Health care education in the military
service or training in the military service that is accepted by the
licensing body in the jurisdiction in which licensed as qualifying
for full LPN/LVN licensure meets the education requirements. (2)
Individuals granted a license by a jurisdiction that does not
require graduation from an approved school
- Language Proficiency: Eligible candidates must be proficient in
English (spoken and written).
GS-3: 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-4: Candidates may be appointed at or advanced to GS-4 if they
meet any of the following criteria:
(a) Six months of qualifying experience as an LPN or LVN;
(b) 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
(c) Graduation from an approved school of at least 24 months
(d) 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
GS-5: Completion of at least 1 year of qualifying experience at
the GS-4 level or equivalent AND
(a) 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
.(b) 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
(c) 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.(d)
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.
(e) Recognizes and appropriately responds to
breakage/malfunction or loss of equipment, safety hazards, and
supply deficiencies, promptly reporting to appropriate personnel
for corrective action.
(f) 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: 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 AND
(a) Technically proficient in initiating, performing and
completing assigned duties in providing care to variable patient
(b) 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
(c) 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.
(d) 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 reports any deviations
from normal to RN or MD/DO.
(e) 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.
(f) 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.
(g) 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
(h) 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,
(i) Actively seeks out educational opportunities to enhance
nursing knowledge and skills, sharing new knowledge gained with
other staff to improve and advance nursing practice.
References: VA Handbook 5005/3 Part II Appendix G13
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: See VA Directive and Handbook 5019.
IMPORTANT: A transcript must be submitted with your application
if you are basing all or part of your qualifications on
Note: Only education or degrees recognized by the U.S.
Department of Education from accredited colleges, universities,
schools, or institutions may be used to qualify for Federal
employment. You can verify your education here: http://ope.ed.gov/accreditation/.
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.
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