VA Nursing Practice provides Veteran healthcare across a continuum of services for acute and chronic conditions in hospital, ambulatory, and skilled nursing settings. To improve Veteran access to care, nurses help create new models of care like the Primary Care Patient Aligned Care Teams (VA's Patient Centered Medical Home), introduce new nursing roles like the Clinical Nurse Leader (CNL), and advance existing roles, like the use of RN Care Managers to coordinate care. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional and Mental Stability: 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. ["The Unit 4B staff nurse reports to the Unit 4B nurse manager. has a maximum capacity of thirty-six (36) beds, comprised of mixed Medicine, Cardiology, Renal, Endocrinology, Psychiatry, and Neurology Services. Comprehensive patient care services are offered Veterans admitted to Unit 4B Medicine Telemetry and Acute Medical Surgical Patients inclusive of but not limited to: Congestive Heart Failure Unstable Angina Cardiac Arrhythmia, Cardiomyopathy Status-Post Myocardial Infarction Milrinone and Dobutamine infusion maintenance Status-Post Cardiac Catherization (PCI) Electrophysiology (EP) Syncope Overdose In addition, patient care services are offered to patients with acute medical diagnosis that require continuous telemetry monitoring/evaluation, COPD, Pneumonia, PE, TB, Influenza, Hyperkalemia, Pre Heart Transplants, Liver Transplants, Seizures, Dementia, GI bleed, peritoneal dialysis and various multidrug resistant infections- VRE, MRSA and C-Diff. The average age of the patient population is 60-90 years old; the average BMI is 25 or greater. The complexity of patient care is patient-specific and directly related to high patient acuity. Other duties include but not limited to: Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans Performs triage, while considering both physical and psychosocial elements Manages basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology Records patients' current vital signs Works directly under physicians, assisting them during exams, diagnostic testing and treatments Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse Maintains proper supplies and appropriate medical equipment to care for patients Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment Displays professionalism while completing multiple urgent tasks in a timely manner Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms Work Schedule: Night shift- priority, day shift available, weekends and holidays required - to be discussed during interview. Varied shifts to choose from to be discussed during interview.\nCompressed/Flexible: Authorized\nTelework: Not Authorized\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.