Registered Nurse – Outpatient PACT

Internal Number: 835281800

Summary

The Hampton VA Medical Center is a 1-C – teaching facility serving Eastern Virginia and Northeastern North Carolina. The main campus is located in Hampton – VA with 4 community-based outpatient clinics in Chesapeake – Portsmouth – and Virginia Beach – VA; and Elizabeth City – NC. Hampton VAMC provides comprehensive health care which includes primary care – acute inpatient – acute psychiatric – chronic spinal cord injury – an 169-bed domiciliary – and long term Community Living Center/hospice care unit.

Qualifications

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/12723107
• 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/
• Physical Requirements: This position requires visual acuity – keen hearing – clear distinctive speech – and manual dexterity
• This position requires potentially long periods of continued walking – standing – stooping – sitting – bending – pulling – and pushing
• Transferring patients and objects may be required
• Mechanical inpatient lifts are provided
• The Incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations – operative/invasive procedures – or home settings
• The Incumbent may occasionally be exposed to patients who are combative secondary to delirium – dementia – or psychiatric disorders
• The Incumbent must be a mature – flexible – and sensible individual capable of working effectively in stressful situations – able to shift priorities based on patient needs
• Must complete annual Employee Health requirements – such as annual TB screening or testing – as a condition of employment
• The Incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

Duties

• Duties include – but are not limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing competent – evidence-based gender-specific primary care to patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the clinic setting
• This nurse provides direct Veteran care and care coordination – as it pertains – to Veterans and their care within the Primary Care Department
• Manages assigned panel(s) – utilizes registries – and ensures appropriate evaluation and access is provided to patient panels
• This nurse provides health promotion – health education and coaching on wellness – disease prevention – and chronic care management
• The nurse will assist in directing the provision of nursing education – orientation – competencies and providing quality improvement and outcomes utilization
• Practice includes directing other providers
• Partners with the patient – family – and interdisciplinary team to promote effective and safe transitions across the health care continuum – including the Veteran’s goals of care
• This nurse has fundamental primary care experience with the situations in which they are ultimately expected to perform – integrating theoretical concepts – basic critical thinking skills – and technically skilled practice
• Specifically – the PACT RN assumes the role of Charge or Co-charge Nurse
• Demonstrates timely and effective communication
• Promotes seamless care coordination
• Ensures effective and timely management of CPRS alerts – Call Center Relay Messaging Queue (CMRQ) – and Secure Messaging by ensuring that patients’ requests are acknowledged within 72 hours of receipt
• Consistently complies with the Standard of Work (SOW) for ED and Inpatient 2 day post discharge calls
• Collaborates with patients and interdisciplinary teams
• Responsible for a robust chronic disease management program
• Monitors PACT metrics with particular emphasis on HEDIS measures
• Demonstrates proficiency in PACT reports including eQM (electronic quality management) – VSSC (VA Support Service Center) – SAIL and Primary Care Almanac – and PACT Compass
• Collaborates with the patients and care teams to develop meaningful goals for patients
• Contributes to Accreditation Readiness including Quick Sweeps – Environment of Care (EOC) rounds – and clinic daily logs
• Leads and/or participates in daily huddles
• Initiates and follows through with patient schedule scrubbing days to weeks in advance
• Conducts Outreach to patients prior to appointment time to complete reminders
• Triages walk-in patients and collaborate with providers to determine a plan of care
• Conducts nurse visits and provide patient education
• Rooms patients – performs treatments – administers medications – performs other patient care duties
• Follows up on Community Care Consults
• 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: Monday – Friday 0800 -1630

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