Registered Nurse (Patient Aligned Care Team)

Full Job Description

The Registered Nurse will assess, plan, implement and evaluate care based on age-specific components while assuming responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

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.

Preferred Experience: Experience in Primary Care with 2 years of experience as an RN.

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/12890970.

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: The position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning.

It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities.

Mechanical devices available and are required to be used for heavy or difficult to lift patients.

The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs.

The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.

This position requires visual acuity, good hearing, distinctive speech and manual dexterity.

The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients.

Major Duties:

Duties and responsibilities include, but are not limited to, the following: Responsible and accountable for individual nursing practice and will determine the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care.

Provide sex-specific direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department.

Manage assigned panel(s), utilize registries, and ensure appropriate evaluation and access is provided to patient panels.

Provide health promotion, health education and coaching on wellness, disease prevention, and chronic care management.

Focus on individual growth and development in outpatient PACT nursing practice with increased levels of self-direction. Ability to formulate a plan of care based on nursing assessments.

Seek guidance on how to improve care provided to patients and families. Delegate elements of care to the appropriate individual based upon assessed needs, condition, and safety of the patient.

Bring primary care principles and theory with limited application of critical thinking skills.

Provide a full range of nursing care to Veteran/Patients, including complex care needs using the nursing process.

Implement the PACT concept of right person, right place, right time that ensures access to care and supports staff functioning at the top of their scope.

Management of Veteran chronic disease conditions through ongoing assessment of conditions and recognizing changes in condition and responding with timely and correct interventions.

Establish plan of care and goals with Veteran Patient after assessing learning needs, learning preferences, readiness to learn and modify modalities of teaching when needed.

Initiate referrals to other disciplines and services as appropriate and allowed by current Nursing Protocols. Offer preventative health measures to Veterans to include Whole Health modalities.

Apply all modalities of care available to deliver best practice to panel. Ensure that documentation of care is complete, accurate, consistent, concise, and timely.

Encounters will coded appropriately and timely. Documentation will be alerted to other team members as needed. Recommend use of SOAP/SBAR models for documentation.

Implement appropriate notification processes for problematic events involving patient, family, and staff along with appropriate documentation as needed.

Utilize tools and reports to provide proactive management of Veterans with chronic disease or at high risk. Promote, advocate for, and strive to protect the health, safety and rights of the patient.

Demonstrate responsibility and accountability for own nursing judgements and actions. Collaborate with healthcare consumer and other key stakeholders in the conduct of nursing practice.

Develop and implement a plan to meet learning needs, instructing patients and families in basic health teaching.

Ensure application of institutional policy to protect information from unauthorized release, loss, alteration, or deletion. Maintain competency on PPE use/donning and doffing.

Comply with safety rules and regulations for safe job performance and fire protection.

Practice safe body mechanics, use mechanical devices, and/or request help when needed in moving, lifting, or turning patients to prevent injury to patient, self or others.

Promptly report all accidents t supervisor and notify supervisor promptly of unsafe or unhealthy environmental situations/conditions. Responsible for environment of care (EOC) issues when on duty.

Ensure, clean, safe environment. Label all medications.

Verify medication refrigerator and nutrition refrigerator temperatures are within acceptable range, and cleaning logs are checked and recorded per policy.

Participate in unit-based performance improvement activities to improve patient care. Collaborate with peers in completing unit workload efficiently.

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: Full-Time, 8:00am-4:30pm Compressed/Flexible: Not available Telework: This position is authorized for telework - situational (ad hoc) and has NOT been authorized as virtual or remote.

Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized https://youtu.be/LM35k1p_3Tc?si=6wdZw0Lag331XBMR