Registered Nurse (Specialty Care) - EDRP Approved

Full Job Description

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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).

NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.

NOTE: If your school was accredited by The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); at the time of graduation but is no longer listed on the ACEN or CCNE websites, you must provide documentation of accreditation with your application packet.

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/12899352.

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: Moderate lifting, 15 - 44 lbs Light carrying, under 15 lbs Moderate carrying, 15 - 44 lbs Light carrying, under 15 lbs Straight pulling, 1 hr Pushing, 1 - 3 hrs Reaching above shoulder Use of fingers Both hands required Walking, 4 hrs Standing Kneeling, 2 hrs Repeated bending, 2 hrs Climbing, use of legs and arms Both legs required Ability for rapid mental and muscular coordination simultaneously Near vision correctable at 13' to 16" to Jaeger 1 to 4 Both eyes required Ability to distinguish basic colors Hearing (aid permitted) Sitting, 8 hours Simple grasping, 2 - 4 hrs Fine manipulation (including keyboarding), 4 - 6 hrs Twisting, 2 hrs Mental and emotional stability Major Duties:

The Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.

Assesses, plans, implements, and evaluates care based on age specific components.

Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Administers medications and procedures per established policies and guidelines. The Specialty Care Nurse care outcomes by collaborating with members of the interdisciplinary team.

The Specialty Care Nurse: executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.

executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex specialty care.

This nurse provides patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management.

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 specialty care outpatients. provides peers with formal or informal constructive feedback for improvement.

supports colleagues and other nurses through knowledge sharing to provide safe, quality specialty nursing care.

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

evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations. is responsible for the documented outcomes at the specialty care program or service level.

Specialty care program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.

demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting and evaluating care for the designated group of patients.

Education will be provided to patents regarding clinic procedures and what to expect before and after the procedure is performed.

provides assistance with clinical procedures and will monitor the patients for any adverse effects, document the findings, monitor the progress of the patient using clinical guidelines and/or pathway, analyzes variations, and initiates appropriate actions.

collaborates with the interdisciplinary team, patient, and caregivers, and will apply a collaborative team approach in identifying, analyzing, and resolving patient care problems, documents interventions, including observations, treatments, care provided, education and patient/caregiver understanding and ensures the provider is aware of the patient's progress, as well as any issues, and concerns.

maintains current knowledge of multidisciplinary resources, programs, and services.

refers patients for community resources as appropriate, reviews options with patients and families, including alternatives, risks/benefits, and services.

advocates fiscal responsibility in the management of patient care through effective utilization of resources, and screens patients for social service, home care, and other community care needs, promotes cost effective use of resources including non-face-to-face approaches such as telehealth, VA Video Connect, and telephone appointments when appropriate.

collaborates with the High-Risk Care Coordinators, Home Telehealth, social work, and/or dieticians for referrals and care management. Duties are continued in the Education Section.

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 EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact vhaedrpprogramsupport@va.gov , the EDRP Coordinator for questions/assistance. Learn more Work Schedule: Monday - Friday, 8 AM - 4:30 PM Telework: This is an onsite position.

Telework may be offered when deemed necessary by the department AD-HOC (Employees who telework on an occasional, episodic, or short-term basis, and have completed required telework training and telework agreement.) (Portion of day acceptable) Virtual: This is not a virtual position.

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