Registered Nurse, Special Procedure/Infusion Assistant Nurse Manager

Full Job Description

The Special Procedures and Infusion Services Assistant Nurse Manager is a professional RN who is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.

The ANM is accountable for adhering to established policies, standards of care and practice.

The ANM assists and supports the NM in leading the department strategic planning and contributes to its success by effectively communicating goals and expectations to staff.

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/12870434.

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 experiences; Current BLS required; ACLS optional MSN Minimum 2 years as a Nurse Manager or Assistant Nurse Manager Preferred experience as a charge nurse or clinical coordinator Preferred experience in procedural areas: GI Endoscopy, IR, Cardiac/EP Lab.

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

Physical Requirements: In accordance with VA Directive and Handbook 5019Physical Requirements: Heavy Lifting and Carrying (45 lbs.

and over); Straight Pulling, Pushing, Walking, Standing, Kneeling, Repeated bending, Keyboarding, Viewing computer screen (8 - 12 hours); Reaching above shoulder; Use of fingers; Both hands and legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and 20/40 in the other; Depth perception; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted); and Emotional/Mental stability.

Major Duties:

The Special Procedures and Infusion Services Assistant Nurse Manager assumes the following major duties and responsibilities: Assists the NM in ensuring 24/7 accountability in planning, managing, and providing high-quality patient care.

Functions as a Charge Nurse, front-line staff member, and resource staff when department needs require it.

Serves as a clinical expert resource for personnel in procedural and infusion practices practice using advanced knowledge, evidence, and prevailing clinical recommendations to guide the development of standards for optimal patient care.

Utilizes a variety of performance improvement tools and procedural/infusion scheduling programs to assist the NM in analyzing data to improve efficiency and safety.

Helps analyze data (procedural and infusion metrics, overtime use reports, etc.) and supports the creation and implementation of performance improvement plans.

Directs the flow of procedural cases and infusion cases, ensuring effective use of system resources and provides functional expertise essential to staff and leadership.

Acts as a liaison between supervisors, physicians, nursing personnel, patients/families, and other departments to ensure smooth transitions of patient care activities.

Ensures unit staff competency for procedural and infusion patient care and assists in creating staffing plans that reflect patient care needs.

Responsible for creating the staff schedule, managing staffing request changes, and maintaining adequate staffing levels.

Assists the Unit Based Practice Council (UBPC) and the NM in developing, maintaining, and implementing the five-star board, daily management huddle, and addressing processes related to feedback from the All-Employee Survey (AES).

Actively participates in and supports Shared Governance and Relationship Based Care and related activities at the department level.

Assists the NM in assessing staff educational needs, ensure completion of mandatory training, & recruitment activities. Facilitates communication between departmental staff.

Meets regularly with medical staff to share information and problem solve. Maintains knowledge of The Joint Commission requirements and ensures compliance with VA, TJC, and OSHA standards.

Adheres to guidelines from the Society of Gastroenterology Nurses Associates (SGNA), American Society of Clinical Oncology/Oncology Nursing Society (ASCO/ONS), and Infusion Therapy Standards of Practice.

Maintains knowledge of specific performance results and metrics such as Strategic Analytics for Improvement Learning (SAIL), Nurse Sensitive Indicators (NDNQI), Veterans Affairs Surgical Quality Improvement Program (VASQIP).

Collaborates with front-line staff/Unit Practice Councils (UPCs) to implement changes in unit processes related to feedback from the All-Employee Survey (AES).

Participates in recruitment and retention functions and assists Human Resources with hiring needs, updating organizational charts, reviewing candidate certificates, interviewing candidates, performing reference checks, and completing staffing methodology.

Supports NM in managing nursing unit functions such as timekeeping, labor maps, emergency disaster cascade, changes of work schedules, overseeing Reusable Medical Equipment (RME), conducting staff meetings, overseeing monthly audits, Mock Tracers, TMS compliance, Environment of Care Rounds, inspections, workload activity reports, enforcement of regulations and directives, Patient Event Reports, centralized temperature monitoring, procedural and infusion scheduling.

Represents the department in meetings in the absence of the Special Procedures/Infusion Services Nurse Manager. Participates in completion of initial and ongoing staff competencies.

Educates staff on regulatory standards of practice.

Ensures occurrence reports (JPSR), sentinel events, and other problem-prone areas are analyzed and systems are designed or re-designed and implemented when appropriate.

Demonstrate leadership in identifying, analyzing, and addressing ethical issues that impact patients.

Collaborates with peers and leaders to evaluate various outcomes based on strategic priorities such as patient care, staff education and development, and VA Performance Measures.

Performs other duties as assigned.

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 Compressed/Flexible: N/A Virtual: This is not a virtual position.