Summary
The Inpatient Community Living Center (CLC) 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. Follows 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/12746928
- 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: 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.
Duties
- The RN for the Inpatient Community Living Center are responsible for coordination of health care for a defined resident population identified as at high risk for functional decline
- Residents receive goal-oriented - coordinated care addressing holistic needs with the aim of promoting the residents' ability to attain maximum level of functioning - maintain current level of function - and/or prevent decline and promote improvement in quality of life
- Demonstrates a high level of clinical practice and leadership skills and is competent in conducting and reporting performance improvement indicators
- Demonstrates knowledge of current Long-Term Care Institute standards and application of the comprehensive MOS assessment process
- Demonstrates knowledge and skills necessary to provide care appropriate to the age-related needs of residents served
- This knowledge includes understanding changes associated with aging and principles of growth and development relevant to the adult and geriatric population
- Coordinates educational activities and uses appropriate resources to develop and implement individualized care planning with Veterans and their families
- Provides direction to nursing staff - demonstrates professional judgement - uses problem solving techniques - and time-management principles - and delegates appropriately
- Coordinates nursing care activities in collaboration with other members of the interdisciplinary rehabilitation team to facilitate achievement of overall goals
- Demonstrate effective oral and written communication skills to develop a rapport with Veterans - their families - and health team members and to ensure the fulfillment of requirements for documentation and reimbursement
- Acts as a resource and role model for nursing staff and students and participates in activities such as nursing committees and professional rehabilitation nursing
- Shares information about the disease processes - underlying disabilities and teaches nursing techniques to help Veterans and their families develop the self-care skills necessary to move toward wellness on the illness-wellness continuum
- Provide Veterans and their families for future self-management and decision-making responsibility by fostering Veterans' independence and goal achievement
- Reinforces the teaching done by specialists in rehabilitation and other healthcare disciplines and provides resource materials for Veterans changing needs
- Assesses the physical - psychological - socio-cultural - and spiritual dimensions of Veterans and their families - as well as their educational and discharge needs in order to formulate the restorative nursing care plan Implements a plan of care by providing nursing care and education directly or through nursing staff - as needed - to maintain and restore function and prevent complications and further loss
- Evaluates the nursing care that is being provided and modifies the plan - as needed - to achieve measurable goals and objectives
- Participates in the interdisciplinary team meetings/processes offering input into team decision making
- Collaborates with IDT members and other healthcare professionals to ensure that the optimal opportunity for recovery is made available to the residents
- Collaborates with team members to achieve cost-effective care by utilizing appropriate clinical measures to meet emergent physical - psychosocial - and spiritual situations
- Actively participates in Long-Term Care Institute (LTCI) readiness and CLC Compare performance improvement activities Actively listens - reflects - and guides Veterans and their families through the stages of the grieving process to mourn the loss of abilities and roles
- Contributes to a safe and therapeutic environment and supports activities that promote the Veterans' return of function and prevent complication or chronic illness
- Preferred Experience: 2 Years Long Term Care Experience Work Schedule: Part-Time- Schedule to be determined
- 40 hours every 2 weeks
- Shifts are subject to change to meet the needs of the Agency
- Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required 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