Registered Nurse - Wound Care

Full Job Description

The Miami VA Medical Center is seeking two (2) dynamic, highly motivated Nurses (Wound Care), Responsible and accountable for all elements of the nursing process when providing and/or supervising the management of patients/residents with acute and chronic wounds across clinical practice settings.

Assumes 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.

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/12924006.

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: Minimum 2 years of wound care experience preferred.

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 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 environment's pace can vary. The incumbent must have the ability to priority patient care needs. Weight limitations vary depending on area of service and functional duties. Major Duties:

VA offers a comprehensive total rewards package: VA Nurse Total Rewards These Wound Care Nurse positions are located at the Nursing, Operations Section at the Miami VA Medical Center, the Nurse is responsible to the assigned rating and approving Nurse Manager or designee and is accountable to the Deputy Associate Director of Patient Care Services (ADPCS).

The Registered Nurse Wound Care will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation.

Analyzes resources available to staff and identifies risk areas, including quality metrics, supplies, equipment, availability of data and information to foster a safe and supportive environment for staff learning, educational and professional development.

Provides evaluation of the effectiveness of resources, equipment, supplies, and specialty advanced therapies currently in use and being considered for future use for wound assessment and management (and may include ostomy and continence care).

Evaluates practice in an ongoing process, based on best evidence. The Wound Care RN provides peers with informal constructive feedback for improvement.

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

Supports colleagues through wound care knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers.

Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain evidence-based-practice.

The Wound Care RN has experience with the situations in which they are ultimately expected to perform, integrating theoretical concepts, strong critical thinking skills, and exhibits a robust technically skilled wound care practice.

This position potentially requires flexibility in schedule and assignments.

The Wound Care Registered Nurse functions as a wound, ostomy, and continence consultant to collaborate with nurses, providers, and other disciplines within all areas.

Other duties include but are not limited to: Develops, implement, and evaluate the plans of care for Veterans regarding skin integrity, wounds, ostomy, and continence issues.

Provide education to Veterans, families, caregivers, and healthcare providers.

Utilizes evidenced-based practice regarding skin integrity, wounds, ostomies, and continence issues to promote clinical practice that will improve patient care outcomes.

Provides guidance and leadership at the bedside to support the Wound Care and Skin Integrity Program. Implements specialty wound clinics to meet the identified Veteran needs such as an ostomy clinic.

Initiates support groups, workshops and presentations on wound and ostomy care as required.

Based on the statistical data collected from the facility, identify the deficiencies, and collaborate with Quality Management to develop a plan of action.

Spearhead/actively participate in the Skin, Wound, Ostomy Team (SWOT) monthly meeting and IPIC (lnterprofessional Pressure Injury Committee) quarterly meeting and provide leadership with monthly updates of the status of the program.

Other Duties as Assigned Work Schedule: Full time, Tour Of Duty is 7:30 am - 06:00 pm, rotating weekends and holidays. Flexible to meet needs of organization. Telework: Not Available.

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

Licensure: 1 full and unrestricted license from any US State or territory.