Registered Nurse-Community Living Center

Veterans Health Administration, Department of Veterans Affairs; Fayetteville (NC); On-site; USD 72,000 - 110,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs, is seeking a Community Living Center RN to provide evidence-based nursing care to residents and supervise nursing staff. The role includes directing education, orientation, and competency activities, and participating in quality improvement to improve resident outcomes.

The ideal candidate will hold an accredited nursing degree, possess an active RN license, and demonstrate strong leadership, communication, and collaboration within

Qualifications

• Proficiency in basic written and spoken English.
• Graduate of an approved nursing program with licensure.
• LICENSURE: current state RN license upon appointment or in process.

Responsibilities

• Provide competent, evidence-based care to residents.
• Supervise LVNs and CNAs as appropriate.
• Direct nursing education, orientation, and competency programs.
• Collaborate with the IDT to implement plans of care and improve outcomes.
• Maintain documentation and ensure compliance with VA policies.

Skills

Nursing leadership

Patient care

Documentation

Interdisciplinary teamwork

Education

ADN or Diploma in Nursing

BSN

MSN

Job description

Summary

The Community Living Center (CLC) 3A Registered Nurse (RN) is responsible for providing competent - evidence-based care to residents with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization.

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/13099500
• 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 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: 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
• Mechanical inpatient lifts are provided
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• 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
• Must complete- annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment
• The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

Duties

• Major Duties include but are not limited to: Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex resident care
• 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
• Provides peers with formal or informal constructive feedback for improvement
• Supports colleagues and other nurses through knowledge sharing to provide safe - quality 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
• Responsible for the documented outcomes at the program or service level
• The CLC RN collaborates with the Minimum Data Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score
• Maintaining consistent assignment - ensuring continuity of care to as much as possible
• Completes and accuracy documents physical assessments on admission - to include/but not limited to: all body systems and assigned assessments designated in the CLC
• Accurately assesses changes in the Resident's abilities (age related - other injuries - cognition etc.)and medical situations (new colostomies - enteral feedings - prosthesis etc.) and acts appropriately to teach and implement new skills to promote Resident independence - safety and social interactions
• Communicates and interacts appropriately and courteously with all internal and external customers
• Maintains confidentiality of electronic - written - and/or verbal Resident/employee information
• Assures that Restorative Care measures are implemented by Team Members
• Actively collaborates with Interdisciplinary Team (IDT) in establishing - maintaining and updating an individual written plan of care for each Community Living Center Resident
• Provides skilled Nursing care to Community Living Center Residents and families within the scope of accepted nursing standards of practice
• Performs a comprehensive initial assessment of the Veteran's disease process and/or co-morbidity factors - including medical history - medication and allergy history - Veteran's symptoms - pain rating and psychosocial assessment
• Completes all documentation in accordance with regulations and Agency policy and procedure
• Performs ongoing assessments of Veteran's disease process and updates the plan of care as necessary in consultation with the physician and other members of the IDT
• Perform ongoing assessment of the impact of the terminal diagnoses on the Veterans physical - functional - psychosocial and environmental needs and activities of daily living
• Coordinates care with other healthcare providers - including spiritual counselor
• Medical social worker - bereavement services and rehab services as appropriate
• Educates the Veteran/family regarding the disease process - self-care techniques - end of life issues and the process for resolution of care and complaint issues
• Collaborates with staff member's regarding Veterans' needs a necessary
• Assist in the development of plans of correction and integrate recommendations into staff's daily function
• Actively participates in Long-Term Care Institute (LTCI) readiness and CLC Compare performance improvement activities Other Duties as Assigned
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Preferred Experience: One year of long term care - hospice or rehab experience
• 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: 7:45pm-8:15am or 7:45am-8:15pm
• 12 hour shifts - alternating weekend to equal 80 hours bi-weekly
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized