The Central Texas Veterans Health Care System is a Complexity Level 1A medical center facility with over 4,000 employees which serves 39 counties in Central Texas and consists of two hospitals located in Temple and Waco; one clinic in Austin; four community based outpatient clinics in Brownwood, Cedar Park, College Station, and Palestine; a community living center (CLC) situated at each of the Temple and Waco campuses; one domiciliary in Temple; a Blind Rehabilitation Unit in Waco; a rehabilitation unit for Post-traumatic Stress Disorder (PTSD) in Waco and Serious Mental Illness Life Empowerment (SMILE) in Waco; a rural community outreach clinic in La Grange; and an outpatient clinic annex in Temple. GS-4 [Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs 3b(2)(a) through (c) below: (a) Six months of qualifying experience as an LPN or LVN; or (b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) 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 (c) Graduation from an approved school of at least 24 months duration (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 techniques.