Registered Nurse - Outpatient Primary Care PACT (Intermittent)

Veterans Health Administration, Department of Veterans Affairs; Portland (ME); On-site; USD 55,000 - 76,000; Full time

Job summary

The Portland VA Clinic in Maine is seeking Registered Nurse - Outpatient Primary Care PACT (Intermittent) positions with variable hours per week. In this role you will provide direct and indirect patient care, conduct assessments, and collaborate with the healthcare team to develop and implement care plans.

Responsibilities include medication administration, patient education, and thorough documentation in the electronic health record.

Qualifications

• English language proficiency required for direct patient care.
• Graduate nursing education from an ACEN/CCNE-accredited program.
• State nursing license required upon appointment; temporary appointment possible during bridge program.

Responsibilities

• Deliver direct and indirect patient care per nursing standards.
• Conduct comprehensive nursing assessments and develop care plans with the team.
• Administer medications and treatments, monitor responses, and intervene as needed.
• Educate Veterans and families about conditions, meds, and self-care.
• Maintain accurate EHR documentation and participate in quality improvement.

Skills

English proficiency

Education

Nursing degree (ADN/ Diploma) or BSN

State license in nursing

ACEN/CCNE accreditation for program

Job description

Summary

These Registered Nurse - Outpatient Primary Care PACT (Intermittent) positions are located at the VA Clinic in Portland - ME. These positions are intermittent with varying hours per week.

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/13098741
• 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: All applicants must be physically able to satisfactorily perform the duties of the position
• A pre-placement physical examination shall be completed prior to appointment.

Duties

• Provide direct and indirect patient care - ensuring adherence to established nursing standards - policies - and procedures
• Conduct comprehensive nursing assessments - identify patient needs - and develop individualized care plans in collaboration with the healthcare team - Veterans - and their families
• Administer medications and treatments as prescribed - monitor patient responses - and take appropriate action in accordance with VA guidelines
• Educate Veterans and their families on health conditions - medications - treatment plans - and self-care strategies to promote optimal health outcomes
• Maintain accurate - timely - and thorough electronic health records (EHR) documentation
• Utilize critical thinking skills to anticipate and respond to changes in patient conditions - initiating appropriate interventions and escalating concerns as necessary
• Participate in interdisciplinary team meetings to ensure coordinated and holistic patient care
• Adhere to all safety protocols and infection control practices
• Serve as a patient advocate - ensuring ethical considerations and Veterans' rights are respected
• Engage in continuous professional development and participate in quality improvement initiatives
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Licensure: 1 full and unrestricted license from any US State or territory Notifications: This position is an AFGE Bargaining Unit position
• This position is in the Excepted Service Veterans' preference does not apply for internal or other current permanent Federal agency employees
• Current and former Federal employees must submit copies of their most recent SF-50 - (Notice of Personnel Action)
• The SF-50 must identify the position title - series - grade - step - tenure and type of service (Competitive or Excepted)
• In some cases - more than one SF-50 may be required to show a higher grade previously held
• Work Schedule: Intermittent - Monday - Friday - Variable hours Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized