Nurse Specialty Care

Summary

The Specialty Care Outpatient Nurse Specifically - will be responsible for screening/triaging - assisting with procedures and/or administering infusions to include blood - hydration and biologics. RNs assigned to the Oncology or Infusion clinic will be required to maintain a current ONS (Oncology Nursing Society) Chemotherapy/Biotherapy certification card and administer chemotherapy and/or biologics.

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:
• 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
• 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.

Duties

• Duties: Delivers fundamental knowledge-based care to assigned clients while developing technical skills
• Assesses - plans - implements - and evaluates care based on age-specific components
• Assumes responsibility for the coordination of care focused on patient education - self management - and customer satisfaction throughout the continuum of care
• Administers medications and procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• The Hampton VA Health Care System Center is a 1-C - teaching facility serving Eastern Virginia and Northeastern North Carolina
• The main campus is in Hampton - Virginia with 4 community-based outpatient clinics in Chesapeake - Portsmouth and Virginia Beach - Virginia and Elizabeth City - North Carolina
• There is one new Health Care Center in Chesapeake VA
• Hampton VAMC provides comprehensive health care which includes Primary Care - Acute Inpatient - Acute Psychiatric - Chronic Spinal Cord Injury - a 169-bed Domiciliary - and long-term Community Living Center/Hospice Care Unit
• 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 in advance
• 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
• Prevention and Management of Disruptive Behavior (PMDB) The Outpatient RN is fully competent in the application of Prevention and Management of Disruptive Behavior (PMDB) to Level 3
• They are directly responsible to the Nurse Manager - Chief Nurse of Ambulatory Care and Associate Director of Patient Care Services
• Outpatient nurses provide service to outpatient care settings and specialize in the whole health of the Veteran
• The Outpatient RN demonstrates technical and operational knowledge and can apply PMDB skills in the outpatient setting
• Supervisory Controls: The incumbent is responsible to the assigned rating and approving supervisors and is accountable to the Associate Director of Patient Care Services (ADPCS)
• VETERAN/PATIENT DRIVEN CARE: Knowledge of Veteran/patient driven care - patient experience - satisfaction - and safety
• Expectations: 1
• Establishes a therapeutic relationship - allowing the patient to attain - maintain or regain optimal function through assessment and treatment
• 2
• Engages patients - families - and other caregivers to incorporate knowledge - values - and beliefs into care planning without judgement or discrimination
• 3
• Knowledgeable of ethical issues related to professional nursing practice and follows established policies of the practice setting - VA - and ANA Code of Ethics for Nurses
• 4
• Aware of high reliability principles to deliver consistent care and improve patient outcomes
• LEADERSHIP: Communicates - collaborates - and utilizes leadership principles to perform as an effective member of the interprofessional team
• Expectations: 1
• Demonstrates positive - effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers
• PROFESSIONAL DEVELOPMENT: Incorporates educational resources/opportunities and self evaluation for professional growth
• Expectations: 1
• Participates in unit based educational activities and continuing education requirements
• 2
• Responsible for maintaining competency to continue personal and professional growth
• EVIDENCE-BASED PRACTICE/RESEARCH: Awareness of evidence-based practice/research to improve quality of care and resource utilization
• Expectations: 1
• Applies evidence-based practice/research to patient care
• 2
• Participates in unit-based activities to improve and deliver cost effective patient care
• 3
• Demonstrates knowledge of specific unit level performance improvement activities
• 4
• Incorporates patient preferences into shared care delivery decisions
• 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: 0730-1630
• Tour may vary for needs of the service
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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