Registered Nurse - Progressive Care

Summary The position is located on the Progressive Care/Step Down Unit - Nursing Service - at the John D. Dingell VAMC - Detroit MI. 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) 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 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: Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies 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 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 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 and 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 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 Foreign education programs/degrees are not creditable as related degrees Reference: For more information on this qualification standard - please visit Physical Requirements: Heavy lifting and carrying (45+ lbs); Heavy carrying (45+ lbs); straight pulling (four hours); pushing (four hours); use of fingers; reaching above shoulder; both hands required; walking (8-12 hours); standing (8-12 hours); repeated bending (eight hours); both legs required; visual acuity - keen hearing - clear distinctive speech - and manual dexterity; potential long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing; transferring patients and objects may be required; exposure to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures; exposure to patients who are combative secondary to delirium - dementia - or psychiatric disorders; ability to work effectively in stressful situations; must complete annual Employee Health requirements such as annual TB screening or testing. Duties VA offers a comprehensive total rewards package: VA Nurse Total Rewards. The Nurse I - Level 1 Progressive Care Registered Nurse (RN) is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care. The focus is on individual growth and development in practice with increased levels of self-direction. Ability to formulate a plan of care based on nursing assessments. Seeks guidance in how to improve care provided to patients and families. Delegates elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patient. The Nurse I - Level 2 Progressive Care Registered Nurse (RN) is responsible for providing competent evidence-based care to assigned patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. 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. Provides direct care for acutely ill patients who are moderately stable with an elevated risk for instability. The Nurse I - Level 3 Progressive Care Registered Nurse (RN) is responsible for providing competent evidence-based care to patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization. Provides direct care for acutely ill patients who are moderately stable with an elevated risk for instability. Provides high intensity care and vigilance. This nurse integrates knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex situations. Validates understanding of the rationale for care processes and decisions. Demonstrates expanded knowledge base of the nursing process in the care of assigned patients. Developing basic leadership skills within the concept of the unit through seeking additional leadership experiences. The Nurse II Progressive Care Registered Nurse (RN) is responsible for providing competent evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting. The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Provides direct care for acutely ill patients who are moderately stable with an elevated risk for instability. Provides high intensity care and vigilance. Evaluates practice in an ongoing process - based on best evidence. Provides peers with informal constructive feedback for improvement. 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. The Nurse III Progressive Care Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex patient care. Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines. Demonstrates performance and leadership that is broad enough to improve the care for acutely ill patients who are moderately stable with an elevated risk for instability. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe - quality nursing care. 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: 7:00 pm to 7:30 am with rotating weekends and holidays. Telework: Not Available. Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized. #J-18808-Ljbffr U.S. Department of Veterans Affairs