RN Staff - Outpatient
Veterans Affairs, Veterans Health Administration
Summary
The RN Staff - Outpatient position is within the Nursing - Perioperative Service at the VA White River Junction Healthcare System located in White River Junction - Vermont. This position is being posted as interdisciplinary for a Practical Nurse or Registered Nurse. If you are interested in applying as a Licensed Practical Nurse - apply to Job Announcement Number: CBTD-12973283-26-JES at
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: All applicants must be physically able to satisfactorily perform the duties of the position
- A pre-placement physical examination shall be completed prior to appointment.
Duties
- The RN Staff - Outpatient- position is located in the Nursing - Perioperative Service at the WRJ location
- This position is full-time at 40 hours per week
- Included but are not limited to: 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 specialty care
- The focus is on individual growth and development in practice with increased levels of self-direction
- This nurse provides patient care - care coordination - health promotion - health education and coaching on wellness - disease prevention - and chronic care management
- Ability to formulate a plan of care based on nursing assessments and Veteran goals of care
- Seeks guidance on 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 brings principles and theory with limited application of critical thinking skills
- Providing competent - evidence-based specialty care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the clinic setting
- This nurse provides patient care - care coordination - 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 outcomes utilization
- Demonstrates leadership in delivering and improving holistic - specialty care through collaborative strategies with others
- 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
- Supports colleagues through knowledge sharing to provide safe - quality specialty nursing care
- Shares educational findings - experiences - and ideas with peers
- Participates in activities and strategies to sustain an evidence-based-practice culture
- Work Schedule: Monday - Friday (Days) Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Notifications: This position is in the Excepted Service Current and former Federal employees must submit copies of their most recent SF-50 - (Notice of Personnel Action)
- The SF-50 must identify the position title - series - grade - step - tenure and type of service (Competitive or Excepted)
- In some cases - more than one SF-50 may be required to show a higher grade previously held
- This position is covered by a special rate
- 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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards
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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