Veterans Affairs, Veterans Health Administration Licensed Vocational Nurse in Fresno, California

Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
  • Fresno, CA
Work Schedule is Full Time - Excepted Service Permanent

Opened Monday 10/17/2016 (9 day(s) ago)

** Closes Friday 11/4/2016 (9 day(s) away)

Job Overview

Vacancy Identification Number (VIN): 1827414

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?

As a VA professional, your opportunities are endless. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. 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 on the Department of Veterans Affairs, go to 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.**

Current, permanent VA Nationwide employees should apply under announcement NP-17-TAL-1827370-BU in order to receive consideration as an internal candidate. Applications received under this announcement will be considered as external candidates. NOTE: Fee Basis, WOC, Contract, Volunteer, Resident/Trainee, and Temporary personnel must apply to this external announcement in order to receive consideration.

First area of consideration will be given to current, permanent VA Central CA Healthcare System employees.

Veteran's preference will be applied to this announcement and applied separately for each grade level in the following order:

1st – CPS/CP Veterans (10% - 30%+ Disabled veteran)

2nd - XP Veterans (other disabled veterans, Purple Heart recipients, or "derived preference" for mothers and spouses).

3rd - TP Veterans (5-Point)

4th - SSP (Sole Survivorship Preference)

5th - All other candidates (U.S. Citizens that do not have veteran's preference).

NOTE: The 2nd group forward is not utilized if there are qualified candidates in the 1st group. If claiming veteran's preference, you must submit your DD214(s) and your disability rating letter from the Veterans Benefits Administration, if claiming disability.


This Licensed Vocational Nurse (LVN) position is located in our Primary Care Service at the VA Central California Healthcare System (VACCHCS), Fresno, CA. The LVN is a member of the Patient Aligned Care Team (PACT) and Expanded Team involved in providing care to the patient and in developing the PACT plan. The LVN/LPN is expected to demonstrate knowledge and ability to vary the order and sequence of assigned procedures based on patient's condition; to use judgement in selecting the most appropriate application of procedures and guidelines; and to accurately report and record significant patient information. Other duties include, but are not limited to:

  • Observe, identify, and respond to the patient's needs for nursing, medication, and equipment-assisted care and to recognize deviations from normal. In modifying patient care plans, the employee considers the physical, emotional and social factors.

  • Prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, intradermal, subcutaneous, and/or intramuscular mediations, immunizations or skin tests as permitted by approved local facility policies and procedures.

  • Observe and document a patient's response to medications administered and report any change in patient's condition to RN or MD/DO, as appropriate. Recognize the need for and 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

  • Adhere to standards of practice and safe technique in preparation and administration of medications.

  • Complete health nurse procedures, including EKGs, wound care, taking vital signs, ear lavage, etc.

  • Based on the patient's goals, provide the patient, family and caregiver health education to include self-management, prevention and wellness.

  • Participate within the PACT team secure messaging framework, typically as triage team member.

  • Maintain a clean clinic environment and stocking assigned exam rooms daily.

Work Schedule:Full-time, Monday - Friday, 8:00 am to 4:30 pm Functional Statement Title: Licensed Vocational Nurse, GS-0620-3/4/5/6

Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination
  • Must be proficient in written and spoken English
  • 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.

Basic Requirements:

  • U.S. citizenship. Non-citizens may 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 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.

  • 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.

Grade Determinations:

GS-3: None beyond basic requirements.

GS-4: Six months of qualifying experience as an LPN or LVN; OR graduate 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; OR graduate from an approved school of at least 24 months duration.

GS-5:Completion of at least 1 year of qualifying experience as a LPN or LVN at the GS-4 level or equivalent and must meet the following:

  • Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.

  • Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel 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 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.

GS-6: Completion of at least one year of additional qualifying experience (total of 2 years) at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. Must also meet the following:

  • 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.

  • 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.

  • Prepares and administers prescribed medications 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.

NOTE: Human Resources can't assume any qualifying elements including experience that is not documented in your resume or application packet. Resumes must list the following information in order to be rated appropriately. Missing information may cause an ineligible rating:

  • Position Title

  • Duties (be detailed in your descriptions)

  • Dates of employment, include month and year (i.e., June 2004 to September 2012)

  • Full Time or Part Status, include number of hours worked per week*

  • Grade level held, if Federal employment (i.e., GS-6)

*Full-time work is considered to be 35-40 hours per week. Part-time work will be credited based on the hours actually worked.

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 Handbook 5005, Part II, Appendix G13. This can be found in the local Human Resources Office.

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: 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.

Physical Requirements: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (7 to 8 hours); Pushing (7 to 8 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (7 to 8 hours); Standing (1 hour); kneeling (1 hour); Repeated bending (7 to 8 hours); both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; Hearing (aid permitted); emotional/ mental stability.

Security Clearance


Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision 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 active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

Other Information

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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

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

Salary Range: $36,002.00 to $52,504.00 / Per Year

Series & Grade: GS-0620-03/06

Promotion Potential: 06

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 453610900

Job Announcement Number: NP-17-TAL-1827414-BU