Registered Nurse - Nursing Officer of the Day

Veterans Health Administration, Department of Veterans Affairs; Fort William Henry Harrison (MT); On-site; USD 70,000 - 100,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs seeks a Registered Nurse to deliver and coordinate safe, efficient patient care across the facility. The role includes administering medications and treatments prescribed by licensed providers and coordinating with a multidisciplinary team to ensure continuity of care.

The ideal candidate will be a graduate of an approved nursing program with an active RN license in the United States, with 2 years of ER or Critical Care experience

Qualifications

• Proficient in basic written and spoken English for direct patient care.
• Graduate of a school of professional nursing and licensed or eligible for state licensure.
• Foreign education may require degree equivalency validation.
• Current full, active, and unrestricted RN registration in the United States or DC.
• Two years ER and/or Critical Care experience preferred.

Responsibilities

• Provide and coordinate patient care across all facility areas.
• Administer medications and treatments prescribed by licensed providers.
• Participate in discharge planning and continuity of care.
• Collaborate with interprofessional team to ensure evidence-based practice.
• Lead and delegate nursing care while ensuring patient safety.

Skills

English proficiency

Nursing knowledge

Critical care experience

Education

ADN or Diploma in Nursing

BSN (preferred)

State nursing license

Foreign education equivalency

Job description

Summary

The Registered Nurse will deliver and coordinate safe - efficient - and effective patient care throughout all areas of the facility; while executing medical regimens including administering medications and treatments prescribes by a licensed or otherwise authorized provider.

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
• Preferred Experience: 2 years ER and/or Critical Care experience preferred
• 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/13098131
• 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 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: The position involves considerable standing - walking - stooping - bending - reaching - lifting - and turning
• It requires restraining confused patients - repositioning patients - assisting with transferring patients to Wheelchairs/stretchers/cars - and transporting them to other departments or facilities
• Mechanical devices available and are required to be used for heavy or difficult to lift patients
• The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs
• The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
• This position requires visual acuity - good hearing - distinctive speech and manual dexterity
• The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients.

Duties

• https://www.youtube.com/watch?v=NpaTtyybXFQ Duties and responsibilities include - but are not limited to - the following: Incorporate position responsibilities and creative approaches to the management of patient care
• Communicate the ability to organize the delivery of care to assure continuity of care for practice - including access to care and discharge planning
• Communicate clinical knowledge and judgement to promote self-involvement in planning - decision-making - and evaluating outcomes
• Possess knowledge of basic clinical practice to the assigned roles and responsibilities
• Aware of evidence-based practices to improve outcomes for patients and/or departmental processes
• Collaborate with staff as a team member to incorporate professional standards of care - scientific evidence - and practice to evaluate programs and/or service activities
• Seek knowledge in leadership at the unit level that is sustainable - experience - and creative approaches to management of complex situations
• Assume authority - responsibility - and accountability for managing and directing employees - staffing units - and allocating resources as necessary during weekends - holidays - after-hours tours during the absence of nursing management/leadership
• Responsible for rounding and is a consultant to providers
• Collaborate with the Administrative Officer of the Day (AOD) and other members of the interdisciplinary team as needed for decisions related to on-going patient care and actions taken in emergency situations and disasters
• Provide programmatic outcomes to nursing leadership to assist with improving organizational processes and the delivery of patient care
• Responsible for providing competent - evidence-based care to assigned patients
• Delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel
• Assist in directing the provision of nursing education - orientation - competencies and provide quality improvement and outcomes utilization
• Provide urgent and emergent care to patients with acute and/or chronic medical - surgical - and psychiatric conditions
• Evaluate practice in and ongoing process - based on best evidence
• Provide peers with informal constructive feedback for improvement
• Foster a safe and supportive environment conducive to the professional development of healthcare professionals
• Contribute professional nursing perspective in discussions with the interdisciplinary team
• Partner with others to effect change and produce optimal outcomes
• Support colleagues through knowledge sharing to provide safe - quality nursing care
• Share educational findings - experiences - and ideas with peers
• Question clinical practices for the purpose of providing evidence-based care
• Participate in activities and strategies to sustain an evidence-based culture
• Responsible and accountable for all elements of the nursing process when providing care
• Collect pertinent date or information - including triage of patients based on the five-level triage system to prioritize patients that require more immediate care
• Use the assessment data to determine diagnoses - problems - or other concerns
• Identify expected outcomes to develop a collaborative and individualized plan for each patient
• 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: Full-Time (Nights - Weekends - and Holidays) 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