Registered Nurse (RN) - Outpatient Home Based Primary Care

Full Job Description

This position is located at the Richard L. Roudebush VAMC Indianapolis, IN within the Geriatrics and Extended Care service.

The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex HBPC 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.

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/12918822.

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. Preferred Experience: Experience with Home Care.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: 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 wear protective clothing in isolation situations or operative/invasive procedures.

The incumbent may occasionally 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 patient needs.

The incumbent is an incidental operator who is required to operate a government owned or leased motor vehicle to properly carry out his or her assigned duties.

Incumbent may potentially have long periods of continued driving, walking, standing, stooping, sitting, bending, pulling, and climbing steps.

An ability to lift object such as laptop cases, nurse bag and other home care nurse supplies in and out of vehicles and into homes is necessary.

In an unpredictable environment, incumbent could be exposed to inclement weather such as tornados, rain storms, snow storms, ice storms and various other weather related elements is possible.

There is potential for exposure to animals, both as family pets and non-family pets.

Position may also include care for Veterans with infections, possible exposure to contaminated materials that would require the donning of protective clothing in isolation situations or procedures and care for Veteran or other occupants in the home who are combative secondary to delirium, dementia, or psychiatric disorders.

Major Duties:

Functions or Scope of Assigned Duties: This role provides direct Veteran care and care coordination within the Home-Based Primary Care (HBPC) Program.

This includes case management, assessments, triage, Veteran education, resource coordination, and medication and treatment coordination.

The nurse is responsible for planning and delivering technically competent care in the homes of Veterans with complex needs, encompassing health promotion, prevention, geriatric care, primary care, and palliative care.

The nurse utilizes interventions that optimize health capabilities and minimize unnecessary urgent care and emergency room visits, aligning with the Veterans' goals of care.

As part of their responsibilities, the nurse makes home visits to Veterans enrolled in the program.

Additionally, the nurse collaborates in the development, implementation, evaluation, and revision of policies, procedures, and guidelines.

They exhibit performance and leadership that enhance the care provided by the HBPC Program and facility.

Providing both formal and informal constructive feedback to peers, the nurse fosters a safe, supportive environment conducive to the professional development of healthcare professionals.

The nurse evaluates outpatient outcomes based on evidence-based decisions and practice changes for individuals, groups, and populations within the HBPC Program.

The nurse is also accountable for documenting HBPC outcomes at the program or service level, which must be broad and complex, demonstrating impact at any organizational level within the facility.

Additionally, the nurse is required to participate in Interdisciplinary Team meetings.

The nurse must possess the ability to recognize and address safety concerns in the home environment, including environmental, physical, emotional, and spiritual aspects.

The nurse must be a mature, flexible, and sensible individual capable of working effectively in stressful situations and able to adapt priorities based on the needs of the Veteran, the environment, and the program.

Responsible for case management, assessment, triage, Veteran and caregiver education, resource coordination, medication and treatment coordination, and care planning.

Plans and delivers technically competent care in the home of Veterans with complex needs, including health promotion, health prevention, geriatric care, primary care, and palliative care.

Utilizes interventions, which maximize health capabilities and reduces unnecessary urgent care and emergency room visits, per Veteran's goals of care. Makes home visits to Veterans in the program.

Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.

Demonstrates performance and leadership that is broad enough to improve the care for the HBPC Program and facility goals. Provides peers with formal or informal constructive feedback for improvement.

Supports colleagues and other nurses through HBPC knowledge sharing to provide safe, quality nursing care.

Fosters a safe and supportive environment conducive to the professional development of health care professionals.

Evaluates outpatient outcomes of evidence-based decisions and practice changes for HBPC individuals, groups, and populations.

Responsible for the documented HBPC outcomes at the program or service level.

Must be capable of working effectively in stressful situations and demonstrate ability to shift priorities based on Veteran, environmental and program needs.

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: 7:00am - 3:30pm - Mon - Fri Compressed/Flexible: May be authorized at the discretion of the supervisor.

Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized