Summary
Delivers fundamental knowledge-based care to assigned patients while developing technical skills and competencies. 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.
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: https://apply.usastaffing.gov/ViewQuestionnaire/12743654
- 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/
- Preferred Experience: 1 year Long Term Care experience Physical Requirements: Position is subject to a pre-employment physical and medical examination
- This position requires: lifting - carrying
- reaching above shoulder
- use of fingers
- walking (8 hours)
- standing (8 hours)
- repeated bending
- working alone
- protracted or irregular hours of work and occasional emotional strain.
Duties
- Major Duties: Determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care
- Formulates - implement - and evaluate a plan of care based on nursing assessments and age-specific components
- Assumes responsibility for the coordination of care focused on patient transition through the continuum of care - patient and family education - patient self management after discharge - and supporting factors that impact customer satisfaction
- Considers all characteristics of the individual - including - age and life stages - state of health - race and culture - values - and previous experiences
- Administers medications and procedures per established polices and guidelines
- Seeks guidance in how to improve care provided to residents and families
- Seeks documentation guidance from the Minimum Data Set (MDS) Coordinator to ensure accuracy of the Resource Utilization Group (RUG) score
- Responsible for providing competent - evidence-based care to assigned residents and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting
- Directs the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation
- Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
- Provides peers with informal constructive feedback for improvement
- Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
- Contributes professional nursing perspective in discussions with the interdisciplinary team
- Partners with others to effect change and produce optimal outcomes
- Supports colleagues through 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 an evidence-based-practice culture
- Ensure documentation is accurate and reflective of the Resource Utilization Group (RUG) score
- 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 a group of residents
- Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations
- Responsible for the documented outcomes at the program or service level
- Collaborates with the Minimum Data Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score
- 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: Day Shift(7:00a.m-7:30p.m) & Night Shift (7:00pm-7:30am) Telework: Not Available Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized