Veterans Affairs, Veterans Health Administration Licensed Practical Nurse (Patient Aligned Care Team Community Based Outpatient Clinic) in Cheboygan, Michigan

Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
  • Cheboygan, MI
Work Schedule is Part Time 40 hours - Excepted Service Permanent

Opened Wednesday 10/5/2016 (16 day(s) ago)

** Closes Wednesday 10/26/2016 (5 day(s) away)

Job Overview

Vacancy Identification Number (VIN): 1808624

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

This is an external job announcement. Current permanent Aleda E. Lutz employees, current permanent VA employees from another facility, and current permanent employees from another Federal Agency MUST apply under the INTERNAL announcement, BK-HYB-16-1808621-BU unless applying by using Veteran Preference. All applicants applying under this external announcement will be subject to Veterans' preference.

Michigan is in the heart of the Great Lakes region, a diverse, medically-advanced community that is the gateway to Michigan's famous four seasons of recreational opportunities, such as hunting, skiing, and boating. With an affordable cost of living, exemplary public schools, and various museums, you can spend your winters in snow and your summers on sandy beaches, all while serving America's heroes. For more information about the Saginaw area, visit the Great Lakes Bay Region website. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. For more information, please visit the Department of Veterans Affairs. **VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Relocation Expenses: Relocation expenses are not authorized for this position.

Professional Standards Board: The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-06 to* GS-06*. The Professional Standards Board (a peer-review group) will recommend the grade and salary at which the candidate will be placed. For internal selectees eligible for promotion, the board will determine grade and HR will determine step in accordance with policy.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.


Incumbent provides clinical care including lab services as an Licensed Practical Nurse (LPN) at a Community Based Outpatient Clinic (CBOC) under the Aleda E. Lutz Veteran Affairs Medical Center, Saginaw, Michigan and may be requested to provide coverage at another CBOCs or at the Medical Center in Saginaw. The LPN/Licensed Vocational Nurse (LVN) and provides a wide range of clinical services to the Veteran that demonstrates complex technical judgment under direct supervision of a registered nurse or Medical Doctor. The Patient Aligned Care Team (PACT) LPN is assigned to one PACT team and panel of patients. The LPN utilizes basic nursing skills and techniques, of varying degrees of complexity, in a general care setting, to provide personal and general nursing care to adult patients, aged 18-85 and older, who require treatment for common medical conditions. In addition, the LPN utilizes Clinical Video Telehealth equipment to facilitate primary care remote visits. The LPN participates in data collection, implementation, and evaluation of care for all aged patients treated. In care of the elderly, planning and implementation is aimed at providing care to support and reduce the effects of the aging process, health maintenance and promotion, minimizing adverse effects of drugs, and maintenance of optimal psychosocial functioning, including assisting with the management of confusion and disorientation. This nurse will travel occasionally to a nearby CBOC to cover lab and/or patient care; thus a valid driver's license is required for this position. Duties if this position include, but are not limited to:

  • Collects and processes lab specimens per Licensed Independent Practitioner (LIP) and/or nursing standing orders.

  • Administers medication accurately and promptly under the general supervision of a registered nurse or LIP. Demonstrates understanding of the effects and/or reactions caused by medications, treatments, and procedures. Records and reports these observations.

  • Performs basic physiological measures as ordered and PRN (e.g., temperature, pulse, respirations, blood pressure, pain, diabetic foot screen, height/weight, Nx I&O;). Demonstrates ability to make astute observations and thoroughly documents care and patient response. Assists the Registered Nurse (RN) in evaluating changes in patient condition.

  • Obtains, records and reports objective and subjective data relevant to a historical biopsychosocial profile using Computerized Patient Record System (CPRS) templates, notes and reminders and medication reconciliation notes. Demonstrates expertise in patient observation and reporting.

  • Administers influenza, pneumococcal and tetanus and adult vaccinations per protocol.

  • Performs testing as ordered: Glucometer, Holter, Electrocardiogram (EKG), pulse oximetry, skin tests.

Work Schedule: 7:30 AM to 4:00 PM or 8:00 AM to 4:30 PM (20 hours per week, Monday through Friday, may be required to work some evenings; Saturdays are as needed)

Functional Statement Title: Licensed Practical Nurse Community Based Outpatient Clinic (CBOC PACT)


Travel Required
  • Occasional Travel
  • Travel to and from nearby Community Based Outpatient Clinic's to cover patient care
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and-or Random Drug Testing required.
  • Background and-or Security Investigation required.
  • Selective Service Registration is required for males born after 12/31/1959.

To qualify for this position, applicants must meet all requirements by the closing date of this announcement: Wednesday, October 26, 2016.

Basic Requirements:

  • Citizenship. Citizen of the United States.

  • 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. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. 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.

  • VHA employees who were converted to appointments under 38 U.S.C. 7401(3) in implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28, 1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions.

  • 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 (i.e., Puerto Rico) of the United States, or District of Columbia.

  • English Language Proficiency. Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English.

PLEASE 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. Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation from the following web site: 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.

Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met determining the grade of candidates.


Experience. Completion of at least one year of qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN/LVN.

You will be rated on the following Knowledge, Skills, and Abilities based on your application for this position: Please make sure that each is addressed in detail in the body of your resume.

  1. Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

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; religions; 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.

References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard.

Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted.

Physical Requirements:

Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about on feet to accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies. This position requires exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects. This position requires writing or otherwise working with fingers and/or hands, including one or both hands frequently. This is done when taking a patient's pulse, utilizing a stethoscope, administering medications, entering information into the computer, etc. This position requires substantial movements (motion) of the wrists, hands, and/or fingers, as is done when entering patient notes into the computer.

Security Clearance


Additional Information
What To Expect Next

If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration. The documents you submit must support your responses to the online questionnaire. If your application contradicts or does not support your questionnaire responses, you will receive a rating of "not qualified," "not eligible," or "incomplete application" and you will not receive further consideration for this job. To check the status of your application or return to a previous or incomplete application, log into your USAJobs Account, select My Applications, and click on the more information link under the application status for this position. If you do not provide an email address, you are responsible for checking status updates and notifications in USAJOBS. Hard copy notifications will not be sent to you. All referred applicants receive a final notification once a selection has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on "Application Status." For a more detailed update of your status, click on "more information." Information regarding applicant notification points can be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides an overview of the benefits currently offered:

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

Other Information

This job opportunity announcement may be used to fill additional vacancies.

* This position is in the Excepted Service and does not confer competitive status.*

Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.

Probationary Period: You may be required to complete a one year probationary period.

Equal Employment Opportunity: Actions to fill this position will not be based on discriminatory factors such as sex, race, color, national origin, lawful political affiliation, marital status, physical handicap, age, gender identity, or expression, which are prohibited by law.

Reasonable Accommodations: Department of Veterans Affairs provides reasonable accommodation to applicants and employees with disabilities. If you need reasonable accommodations for any part of the applicant and hiring process, please notify Ms. Jeanne Barbosa, Selective Placement Coordinator at (989) 497-2500, extension 13075. Reasonable accommodation decisions are made on a case-by-case basis.

Telework:VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

Veterans and Transitioning Service Members:Please visit the VA for Vets site for career-search tools for Veteran seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Please visit the Mythbuster on Federal Hiring Policies document for more information.

Salary Range: $38,854.00 to $48,304.00 / Per Year

Series & Grade: GS-0620-06/06

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 451477800

Job Announcement Number: BK-HYB-16-1808624-BU