Registered Nurse - Cardiopulmonary Rehabilitation

Full Job Description

The cardiopulmonary rehabilitation nurse specializes in helping patients recover from heart or lung conditions by guiding them in lifestyle changes, supervised exercise, education (diet, meds, smoking cessation), and emotional support, working as part of a multidisciplinary team to reduce future risks and improve quality of life.

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: https://apply.usastaffing.gov/ViewQuestionnaire/12871357.

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 https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling.

Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients and utilization of safe patient handling and mobility protocols. Major Duties:

The cardiopulmonary rehabilitation nurse is a registered nurse specializing in helping patients recover from heart or lung conditions by guiding them in lifestyle changes, supervised exercise, education (diet, meds, smoking cessation), and emotional support, working as part of a multidisciplinary team to reduce future risks and improve quality of life.

They provide direct patient care, monitor vitals during activity, manage care plans, and connect patients with resources for long-term recovery.

Teaching about heart-healthy diets, medication management, stress reduction, and smoking cessation. Nursing care in supervised exercise programs and monitoring patients' responses (telemetry).

Offering counseling and support for anxiety and depression related to chronic illnesses. Optimizing control of cardiovascular risk factors like blood pressure, cholesterol, and diabetes.

Duties include but are not limited to: Provided competent, evidence-based outpatient care to patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting.

Responsible for the coordination of care focused on patient transition through the continuum of patient care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.

Assists in directing the provision of nursing education, orientation, competencies and providing quality improvement and enhance outcomes utilization.

Integrates outpatient knowledge, skills, abilities, and judgment and is self-directed in goal setting for managing complex situations.

Demonstrates competence in outpatient practice and decision making, deliberate planning, and critical thinking skills.

Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients.

Models' high reliability principles and ICARE values to improve patient outcomes.

Demonstrates knowledge over a wide range of job responsibilities, effectively communicating with individuals and groups to build a strong sense of teamwork and purpose.

Promotes collaborative behavior and team efforts. Is confident of abilities, effectively initiates solutions and, is alert to new opportunities, techniques, and approaches.

Shares knowledge and learning opportunities that enhance current nursing practice for self and others. Preferred Experience: 3-5 years of medical/surgical nursing care.

Cardiology and pulmonary nursing experience, certification in rehabilitation nursing or cardiopulmonary nursing, and outpatient clinic nursing experience is highly preferred.

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: 8-10 hour day shifts (subject to change based on the needs of the facility) Telework: Not available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized