Registered Nurse - Long Term Care

Summary

The RN displays knowledge and ability in providing a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. The RN serves as a responsible member of the nursing team and interacts with patients - family members - professional and supportive personnel who provide patient care - and with members of other services.

Qualifications

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:
• 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
• Physical Requirements: A pre-employment physical and - or examination is required.

Duties

• DUTIES MAY INCLUDE HOWEVER ARE NOT LIMITED TO THE FOLLOWING: 1
• Delivers safe care to assigned patients - while developing technical competencies
• 1.1
• Safely and effectively uses patient care equipment
• 1.2
• Correctly and safely performs nursing procedures
• 1.3
• Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately
• 1.4
• Implements physician's/provider's orders in a timely and complete manner
• 1.5
• Implements nursing interventions/orders in a timely and complete manner
• 1.6
• Requests assistance from co-workers when needed
• knows when to ask for help
• 1.7 Identifies patients exhibiting disruptive - threatening & violent behavior or suicidal (DTV) behavior and initiates appropriate interventions
• 2
• Formulates a plan of care based on nursing assessments - using the nursing process - based on the ANA Standards of Nursing Practice
• 2.1
• Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed
• 2.2
• Includes the patient and family/significant other in developing the initial plan of care and establishing goals
• 2.3
• Updates plan of care with assistance as needed
• 2.4
• Assesses patient's learning needs - learning preference and readiness to learn
• 2.5
• Develops and implements a plan in conjunction with the patient/family to meet learning needs - and involvement in basic health teaching and discharge planning
• 3
• Documents the nursing process
• 3.1
• Documentation is consistent - accurate - concise - and timely
• 3.2
• Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes
• 3.3
• Revises plan of care according to evaluations of patient's responses and outcomes
• 3.4
• Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy
• 3.5 Completes all assigned clinical reminders in a timely manner
• 4
• Demonstrates grade-appropriate and consistent critical thinking skills
• 4.1
• The nurse can recognize the patient has a problem
• 4.2
• The nurse can manage the problem safely and effectively - recognizing his/her scope of practice
• 4.3
• The nurse has a relative sense of urgency
• 4.4
• The nurse takes the right action for the right reason (del Bueno)
• 4.5
• The nurse responds and intervenes appropriately to emergency situations 5
• Role-specific Competency Checklist is complete and is rated competent in all measured areas
• 6
• Progressively assuming responsibilities as assigned - seeking assistance as necessary - under the close supervision of the Nurse Manager or designee
• 7
• Adheres to established policies - standards of care and standards or practice
• 8
• Practices within \"Scope of Practice\" based upon state licensure.VA offers a comprehensive total rewards package: VA Nurse Total RewardsVA 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: Day/Evening/Night
• Multiple positions available Telework: Not Available Virtual: This is not a virtual position
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Permanent Change of Station (PCS): Not authorized PCS Appraised Value Offer (AVO): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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