GS-5 GRADE LEVEL: 

i. 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. 

ii. 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. 

iii. 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. 

iv. 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. 

v. Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action. 

vi. 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 GRADE LEVEL: 

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

ii. 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. 

iii. 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. 

iv. 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. 

v. 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. 

vi. 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. 

vii. 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. 

viii. 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. 

ix. Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice. 

***Application Package Notification & Important Information*** 

We appreciate your interest in available positions within the Heart of Texas VA Health Care System. It is our goal to forward every eligible and qualified candidate for consideration. 

Due to the nature of our systems, it is imperative that your application package be accurate and complete. Therefore, prior to finalizing your application package and submitting for consideration: 

* Ensure all documents are appropriately selected, are legible, and have uploaded successfully (we recommend viewing them a second time to ensure no errors have occurred in the process). Missing documents may cause your application package to be ineligible for consideration. 

* Ensure that all responses to the assessment questions are accurate and correctly reflect your current situation. Question responses are used in determining if you meet specific eligibility and qualification requirements. 

Please Note: Until the closing date of the announcement, you can update or edit your package. However, once your application package is submitted and the announcement period closes, we are unable to add documentation or alter your responses. By submitting your package for consideration, you are attesting that your application package is complete and accurate. 

Some helpful tips: 

*Resume - Your resume must include the following information for each job listed: 

• Job title Grade Level (for federal positions) 

• Duties (be as detailed as possible and ensure they demonstrate how you meet the specialized experience and/or Knowledge, Skills and Abilities required for the position) 

• Month & year start/end dates (e.g. June 2019 to April 2020) 

• Full-time or part-time status (include hours worked per week) 

*Education - If you are basing your qualifications on education (or a combination of education and experience) or if the position requires a college education to qualify, you must submit a copy of your transcripts with your application. 

*Veteran's Preference - In order to receive appropriate preference consideration, you must submit proper documentation if you are claiming eligibility for Veteran's preference, which includes a copy of your DD-214 (Member Copy 4 or earlier version that shows character of service). Applicant's claiming 10-point preference should also submit an SF-15, Application for 10-point Veteran's Preference along with the required documentation listed on the SF-15 form (such as verification of service-connected disability percentage). 

*Current or former VA or Federal Employees - You must submit a copy of a current and/or highest grade held SF-50 - Notification of Personnel Action (not an award SF50) 

*Proof of current certification, licensure, or registration (if applicable). 

https://www.usajobs.gov/Help/working-in-government/unique-hiring-paths/students/transcripts/ 

https://www.usajobs.gov/Help/how-to/account/documents/resume/build/ 

https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/