Registered Nurse- Clinical Operations Support Team (COST)

Summary The Registered Nurse (RN) - Clinical Operations Support Team (COST) demonstrates proficiency in practice based on conscious and deliberate planning. Self‑directed in goal setting for managing complex client situations. 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 congruent with the area of assigned care. Qualifications 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.) Preferred Experience: Emergency Department (ED) - ICU - Urgent Care - and/or Military Medic 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 and 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: The population of male and female Veterans served ranges from the adult - aged 18 - to the older adult - aged 65 and over VALLHCS is an interdisciplinary facility serving medical - surgical - behavioral health - inpatient - outpatients - and residential treatment 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 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 The incumbent will be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on Veteran needs. Duties Duties include but not limited to: The Registered Nurse (RN) functions in all areas of care - in patient - out patient clinics - and community / field units The COST RN functions as a charge nurse - vaccinator - clinical overseer of lower level staff - monitors patients during procedures and scans - performs monitored transport activities - and other duties within scope of practice as needed The RN is responsible for providing competent - evidence-based care to assigned patients They delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization Provides routine - urgent and emergent care to patients with acute and/or chronic medical - surgical - and psychiatric conditions Nursing care ranges from basic nursing care to stabilization - resuscitation - and life-support measures 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 and or vaccines Developing basic leadership skills within the concept of the unit through seeking additional leadership experiences Questions clinical practices for the purpose of providing evidence-based care Demonstrates the ability to cope with and manage competing priorities The COST RN is responsible and accountable for all elements of the nursing process when providing care They 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 if certified to do so They use the assessment data to determine diagnoses - problems - or other concerns They will identify expected outcomes to develop a collaborative and individualized plan for each patient The RN will implement that plan - including care coordination - health teaching - and health promotion consistent with policy and procedures for area of assigned care They evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary utilizing team resources and established protocols The incumbent is responsible to the assigned rating and approving supervisors and is accountable to the Associate Director of Patient Care Services (ADPCS) 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: Full-Time - Mon-Sun (12hr shifts and one 8hr) 0600-1830 as needed Tour subject to change depending on the needs of facility Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr Direct Jobs