Registered Nurse (Specialty Care-Float)

Internal Number: 835401000

Summary

The Specialty Care Outpatient Staff Registered Nurse provides patient care – care coordination – health promotion – health education and coaching on wellness – disease prevention – and chronic care management. The RN will perform a wide range of basic and skilled nursing care to a variety of patients as assigned in a medical or surgical ambulatory care setting.

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/12724100
• 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: Prefer 2 years acute care experience
• prefer Specialty Clinic experience
• prefer experience assisting outpatient procedures
• 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 more than 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.

Duties

• Major Duties: Uses the nursing process to assess – plan – implement and evaluate patients
• Demonstrates leadership in the education of the patient – family/significant other and the health care team members
• Documents coordination and care provided in CPRS and other appropriate resources in a timely manner
• Functions as an integral part of the service team – working in collaboration with the nurses – physicians/providers – social workers and other health care professionals to enhance the overall care of the patient
• Identifies potential emergency/crisis situations and provides appropriate interventions
• Participates in scheduling patients for outpatient clinic appointments – procedures – surgery – and necessary testing as applicable and as directed by service protocols and medical center policies and procedures
• Assists with completing clinic intake – maintaining clinic flow for various clinics within Specialty Care and administering treatments for assigned group of patients within scope of practice and according to facility policies and procedures
• Sets up for and assists with outpatient surgical procedures
• Competent and compliant with sterile technique Assists in team research or quality improvement projects and updating service-related policies and protocols
• Seeks out and participates on committees and task forces as needed/appropriate
• Participates in program and clinic specific activities and meetings
• Rotates Charge Nurse responsibilities as directed by Nurse Manager
• Other duties as assigned 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: 8:00am – 4:30pm Monday – Friday Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized

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