Registered Nurse (Specialty Care)

US-Department-of-Veterans-Affair; Garner (NC); On-site; USD 78,000 - 110,000; Full time

Job summary

The U.S. Department of Veterans Affairs is seeking a Registered Nurse to support the Podiatry Clinic at the Garner Community Based Outpatient Clinic. The RN will work in collaboration with podiatrists to deliver ambulatory podiatry care and ensure quality patient outcomes.

Candidates must meet basic nursing education requirements, be licensed, and demonstrate strong English proficiency. Experience in ambulatory care and wound care is preferred, with a focus on teamwork and patient-centered care.

Qualifications

• English proficiency required for direct patient care.
• Must be a graduate of a nursing program approved by accrediting bodies.
• Licensure as a registered professional nurse in the United States.

Responsibilities

• Provide fundamental and specialized nursing care in the Podiatry Clinic.
• Support Podiatrists in outpatient podiatry care at Garner VA Clinic.
• Maintain clinical documentation and ensure patient safety in ambulatory care.
• Comply with VA handbooks and sterile/ethical standards.

Skills

English proficiency

Education

ADN / Diploma in Nursing

BSN

MSN

Nursing licensure

Foreign education equivalency

Job description

The Registered Nurse working in the Podiatry Clinic located in the Community Based Outpatient Clinic (CBOC) at Garner VA Clinic. will function as a nurse in support of the Podiatrists.

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/13073537

Nurse I, Level I

Scope: Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.

Education: An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.

Nurse I, Level II

Scope: Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.

Education: 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

Scope: Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.

Education: 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

Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.

Education: 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

Scope: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.

Education: 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.

Preferred Qualifications

• Minimum of three years of successful clinical practice.
• Previous experience wound and ostomy care.
• Previous podiatry and/or diabetic experience.
• Prior recent experience in ambulatory care/primary care nursing, including care of patients with mental health and health education needs.
• Previous experience in the care manager role and coordinating care/care delivery.
• Previous experience with telephone advice nursing.
• Demonstrated proficiency in using the nursing process in providing care for clients with complex care needs.
• Previous knowledge/experience with the patient centered medical home practice model.
• Demonstrated ability in the areas of interpersonal relationships, problem solving/critical thinking skills and conflict resolution.
• Demonstrated outcomes in working effectively with interdisciplinary team in the outpatient setting.
• Demonstrated ability to function independently, use good communication skills and to be flexible.
• Computer skills and typing proficiency sufficient to permit real-time documentation of patient encounters enter and retrieve data.
• Prior experience with determining patient assignments, unit management and charge nurse responsibilities. Ability to work with minimum supervision.

Preferred Level of Education

BSN

Preferred Certification(s)

• CFCS/CFCN Certified Foot Care Nurse
• DWC Diabetic Wound Certification

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, lifting 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.