Summary

Delivers fundamental knowledge-based care to assigned clients while developing technical skills. 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. Administers medications and 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
• Preferred Experience: Geriatric and Long Term Care - Acute Care Rehabilitation - Behavioral Health Nursing 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/12707198
• 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: A physical examination will be required if selected for this position.

Duties

• DUTIES MAY INCLUDE HOWEVER ARE NOT LIMITED TO THE FOLLOWING: Ability to formulate a plan of care based on nursing assessments
• Seeks guidance in how to improve care provided to residents and families
• Brings principles and theory with limited application of critical thinking skills
• Seeks documentation guidance from the Minimum Data Set (MDS) Coordinator to ensure accuracy of the Resource Utilization Group (RUG) score
• Assessment - diagnosis - outcome identification - planning - implementation - and evaluation) with close supervision
• Completes orientation according to expected standards
• Works with close supervision - is responsible and accountable for individual nursing practice and seeks direction from others as needed
• Manages workload as assigned - organizes - and completes own assignments in an efficient and appropriate manner
• Participates in the development - implementation - and evaluation of interdisciplinary care
• Knowledge of Veteran/patient driven care - patient experience - satisfaction - and safety
• Establishes a therapeutic relationship - allowing the patient to attain - maintain or regain optimal function through assessment and treatment
• Engages patients - families - and other caregivers to incorporate knowledge - values - and beliefs into care planning without judgement or discrimination
• Knowledgeable of ethical issues related to professional nursing practice and follows established policies of the practice setting - VA - and ANA Code of Ethics for Nurses
• Aware of high reliability principles to deliver consistent care and improve patient outcomes
• Communicates - collaborates - and utilizes leadership principles to perform as an effective member of the inter-professional team
• Demonstrates positive - effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers
• Incorporates educational resources/opportunities and self-evaluation for professional growth
• Participates in unit based educational activities and continuing education requirements
• Responsible for maintaining competency to continue personal and professional growth
• Awareness of evidence-based practice/research to improve quality of care and resource utilization
• Applies evidence-based practice/research to patient care
• Participates in unit-based activities to improve and deliver cost effective patient care
• Demonstrates knowledge of specific unit level performance improvement activities
• Consistently communicates and treats the Veteran and as appropriate the Veteran's family - caregiver and/or significant other - the Veteran representatives - visitors to VA facilities - all VA staff - and other customers in a courteous - tactful - and respectful manner
• Provides the Veteran's family - caregiver and/or significant other - the Veteran's representative - visitors to facilities - all VA staff - and other customers with consistent information according to establish policies and procedures
• Handles conflict and problems in dealing with any consumer group appropriately and in a constructive manner
• Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws - Federal regulations - VA statutes and policy - and VHA policy
• Protects the data from unauthorized release or from loss - alteration - or unauthorized deletion
• Follows applicable regulations and instructions regarding access to computerized files - release of access codes - etc. - as set out in the computer access agreement that the incumbent signs
• 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: Schedule to be discussed with hiring manager - multiple shifts available
• Telework: This is not a telework position
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: May be authorized for highly qualified applicants.