Registered Nurse (Preventative Management & Disruptive Behavior)
Job Description
Veterans Affairs, Veterans Health Administration
Internal Number: 825316600
The Registered Nurse functions as an advanced clinician and executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Assesses, plans, develops, implements, and evaluates the Preventative Management and Disruptive Behavior (PMDB) program to improve staff competency in the delivery of patient-centered care. Assumes responsibility for the program and demonstrates competency in theoretical and classroom teaching. Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master’s level bridge program in nursing who have completed coursework equivalent to a bachelor’s level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12652141. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master’s degree in nursing (MSN) and no additional professional nursing experience; OR a Master’s degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master’s degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master’s degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: BSN, Preventative Management & Disruptive Behavior (PMDB) Instructor, Teaching or Nurse Educator Experience, TMS administration experience helpful, Instructors should be comfortable with public speaking. Physical Requirements: The position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. Mechanical devices available and are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. This position requires visual acuity, good hearing, distinctive speech and manual dexterity. The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients. [“Major Duties include, but not limited to: Demonstrates leadership, experience, and creative approaches to improvement in quality-of-care outcomes. Collaborates with all services in assessing and evaluating the need for PMDB education, training, and continuing education related to mandatory requirements and individual or group needs. Demonstrates competencies in Principles of Adult Learning, instructional skills, competency assessment, development and validation methodologies, communication skills, strategic planning skills, and creation/visionary skills. Accountable for the development and delivery of the PMDB Program including needs assessments, planning, implementation, and evaluation. Responsible for the assignment of additional levels of PMDB training to employees based on the facility’s annual Workplace Behavioral Risk Assessment (WBRA). Develop and implement information systems to track service education and prevention activities. Collaborate with facility leadership and Quality & Performance to ensure facility policies are compliant with The Joint Commission (TJC) and Occupational Safety and Health Administration (OSHA) requirements regarding workplace violence prevention training. Partners with Education to track training assignments and completions for all facility staff. Submits training plans, assignments, and completions to the Veterans Affairs Central office (VACO) PMDB Program per VACO PMDB Program instructions. Ensures PMDB Facility Trainers are initially certified by completing a Train-The-Trainer (TTT) course and then recertified via the annual PMDB Trainer Recalibration Conference or a Facility Trainer Recertification Assessment (FTRA) every 4 years. Documents and tracks which levels each PMDB Facility Trainer is certified to teach to ensure they teach enough classes in that level each year to maintain training skills. Ensures facility Master Trainers perform their minimum courses per year and recalibration every 2 years. Ensures employees assigned to provide training have sufficient methods, times, and opportunities to complete biennial skills assessment to determine if retraining is needed. Coordinates fiscal, space and human resources sufficient to conduct facility trainings at all levels. Completes all appropriate documentation for local conference approval and travel necessary to implement the PMDB program. Prepares reviews and submits national reports regarding assignment and completion of PMDB training. Responsible for program implementation at the main facility and the Community Based Outpatient Clinics (CBOCs). Provides and organizes Safety Briefings for the facility, to include collaboration with high-risk areas of the medical center as identified by the annual WBRA. Demonstrates performance that is broad enough to improve the care for a group of patients. Demonstrates the ability to cope with and manage competing priorities. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain an evidence-based-practice culture. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Variable; work schedule will be determined upon hire based on the needs of the facility Telework: Ad-Hoc may be authorized. Virtual: This is not a virtual position.”]
Connections working at Veterans Affairs, Veterans Health Administration
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