Licensed Practical Nurse - Community Living Center

We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate, navigation, legal, EEO, scam-warning, duplicated lines, application instructions. Also remove the YouTube embed link? It's part of duties maybe but it's a link to video; we can keep as part of duties? It's a URL; we can keep as plain text maybe. But we should not include navigation etc. We need to parse the posting. Key info: - Summary: This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. Must meet specific individual eligibility requirements per VHA policy and submit EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) and eligibility period (one to five years) determined by VHA Education Loan Repayment Services program office after complete review of the EDRP application. - Qualifications: Basic Requirements: US Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Graduate of a school of practical or vocational nursing approved by appropriate State agency and/or accredited by NLNAC at time program completed. Verification can be obtained from State approving agency or NLNAC address. Health care education in military service or training accepted by licensing body as qualifying for full LPN/LVN licensure will be accepted as meeting education requirements for VHA employment. VHA employees who were converted to appointments under 38 U.S.C. 7401(3) ... (some text about waiver). Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Licensure: Full - active - current and unrestricted licensure as a licensed practical or vocational nurse in a State - Territory or Commonwealth of the United States. An LPN who has or has ever had any license revoked - suspended - denied - restricted - limited - or issued/placed in a probationary status may be appointed only in accordance with provisions in chapter 3 - section B - paragraph 16. Physical Standards: See VA Directive and Handbook 5019. English Language Proficiency: LPN/LVNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) - and 7407(d). Grade Determinations: GS-3: None beyond the basic requirements. LPNs at this grade level are expected to perform all duties within the scope of their license. GS-4: Six months of qualifying experience as an LPN. 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. 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-5 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/Health Technicians 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 with patients - family members - professional and 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-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. 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 only a general review by a registered nurse or physician appropriateness and conformity with established policies/procedures. Ability to observe - identify and respond to the patient's needs for care - medication - equipment-assisted care and patient/family education. In organizing/ delivering care - the LPN recognizes/ 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. - Duties: There's a YouTube embed link (maybe ignore). Then: This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30 - 2026. The initial cut-off date for referral of eligible applications will be September 30 - 2026. 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. Major Duties: Administers oral - subcutaneous - and intramuscular medications. Administers immunizations independently upon completion of Immunization Competency Module. Observes - reports and documents. Implements established care plans. Reports and documents progress or changes in patient's behavior and/or physical condition to the RN and in the medical record patient's response to medication including adverse reactions and possible medication errors. Following competency verification - monitors intravenous therapy for prescribed rate - patency - infiltration and/or extravasation. Discontinues intravenous infusion when directed by the RN or the physician. Documents and reports findings. Performs such diagnostic procedures as TPR - B/P - pain screen - pulse oximetry - bladder scanning - l&O - heights - weights - finger sticks - and EKGs. Recognizes deviations from normal. Documents and reports results to the registered nurse and/or physician. Performs narcotic count as per policy/procedure and immediately notifies the Charge RN of discrepancies. Makes frequent rounds on patients - noting environment - changes in patient's behavior and/or physical condition. Reports and documents all observed problems and indicates which might have an adverse effect on patients - visitors - or personnel. Observes - documents - and reports unpredictable behavior that may lead to violence - potential for injury related to wandering or fall risk. Uses diversional activities to promote restraint-free environment. Performs support duties for therapeutic and diagnostic procedures such as: Reinforces patient teaching and documents patient health education appropriately. Assuring presence of signed informed consent. Assisting with physical examinations. Monitoring patient's condition and providing follow up care. Caring for - maintaining - and ordering supplies and equipment - including reporting equipment malfunctions. Provides for a safe - clean - and therapeutic environment including work area. Follows all safety policies and procedures including using good body mechanics and wearing personal protective equipment as needed. Reinforces patient's performance of exercises and other concepts recommended by the Physical Medicine & Rehabilitative Service program. Procedures and exercises include but are not limited to: Applying assistive devices to upper and lower extremities - range of motion to upper and lower extremities - manual stretching of joints to prevent contractures - ambulation. Promoting body alignment with body positioning. Applying protective/supporting devices or restraints under the direction of the RN or medical provider without any personal limitations or physical restrictions. Administering nasogastric tube feedings. Performing enterostomal care - perinea! care - administering enemas and colostomy irrigations. Providing bowel/bladder training - applying external urinary devices - performing bladder catheterization. Work Schedule: 8 Hour Shifts - Rotating Weekends and Holidays Compressed/Flexible: Authorized Telework: Not Authorized Virtual: This is not a virtual position. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHAV (maybe truncated). We need to decide sections. We have content for: - About the role: maybe summary about EDRP eligibility etc. Could be "About the role" includes summary about position, EDRP eligibility, open continuous announcement, etc. - Responsibilities: Major Duties list. - Requirements: Basic requirements (citizenship, education, licensure, physical standards, English proficiency). Could be "Requirements". - Qualifications: Grade determinations (GS-3, GS-4, GS-5, GS-6) maybe under "Qualifications" or "Skills"? The posting has "Qualifications" heading originally. We'll keep "Qualifications" for grade-specific qualifications. - Skills: maybe not separate; we could embed skills within qualifications/duties. But we need to include a section only if there is real specific content. Could we have a "Skills" section summarizing skills like patient care, medication administration, etc? Might be redundant. Better to not create thin sections. - Benefits: EDRP info (student loan repayment up to $200k, eligibility period 1-5 years). That's a benefit. Also maybe mention former EDRP participants ineligible. So we can have Benefits section. - Pay: Not specified; no pay info. So we should NOT create Pay section. - Schedule: Work Schedule: 8 Hour Shifts - Rotating Weekends and Holidays Compressed/Flexible: Authorized Telework: Not Authorized Virtual: This is not a virtual position. That's schedule info