Registered Nurse - Ambulatory Care

Summary The Registered Nurse (RN) is responsible for providing competent evidence‑based gender‑specific care to Ambulatory Care patients and oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. This nurse provides direct Veteran care and care coordination to Veterans and their care within the Ambulatory Care Department. 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 than 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 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: See VA Directive and Handbook 5019 This position requires potentially long periods of continued walking – standing – and sitting – lifting – carrying – pushing – reaching above shoulder – use of fingers – both hands – both legs and repeated bending. Duties The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse – 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 The PACT Outpatient Staff RN is responsible for providing competent evidence‑based gender‑specific care to primary care patients and oversight of licensed vocational nurses/nursing assistants – as appropriate to the setting This nurse provides direct Veteran care and care coordination – as it pertains – to Veterans and their care within the Primary Care Department The PACT RN 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 enhance outcomes utilization This nurse integrates outpatient nursing knowledge – skills – abilities – and judgment and is self‑directed in goal setting for managing complex PACT situations Demonstrates leadership in delivering and improving holistic primary care through collaborative strategies with others Evaluates practice in an ongoing process – based on best evidence Provides peers with informal constructive feedback for improvement The PACT RN validates understanding of the rationale for care processes and decisions Questions clinical practices for the purpose of providing evidence‑based care The nurse will demonstrate the ability to cope with and manage competing priorities The nurse demonstrates competence in primary care practice and decision‑making – deliberate planning – and critical thinking skills Other duties as assigned Delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel Provides urgent care to patients with acute and/or chronic medical – surgical – and psychiatric conditions Ability to formulate a plan of care based on nursing assessments Seeks guidance in how to improve care provided to patients and families Assess the patient by collecting pertinent data or information – including the triage of patients based on the five‑level triage system to prioritize patients that require more immediate care Identify expected outcomes to develop a collaborative and individualized plan for each patient Implement that plan – including care coordination – health teaching – and health promotion Evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary 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: 7:30am – 4:00pm OR 8:00am – 4:30pm M‑F Possibility of 10 hour shifts Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized #J-18808-Ljbffr