SummaryThe Community Living Center (CLC) 3A Registered Nurse (RN) is responsible for providing competent - evidence-based care to residents with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization.
QualificationsBasic 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/13099500
- 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: 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 - 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
- The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
- 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 incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.
Duties
- Major Duties include but are not limited to: Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex resident care
- Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
- Demonstrates performance and leadership that is broad enough to improve the care for a group of residents
- Provides peers with formal or informal constructive feedback for improvement
- Supports colleagues and other nurses through knowledge sharing to provide safe - quality nursing care
- Fosters a safe and supportive environment conducive to the professional development of health care professionals
- Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations
- Responsible for the documented outcomes at the program or service level
- The CLC RN collaborates with the Minimum Data Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score
- Maintaining consistent assignment - ensuring continuity of care to as much as possible
- Completes and accuracy documents physical assessments on admission - to include/but not limited to: all body systems and assigned assessments designated in the CLC
- Accurately assesses changes in the Resident's abilities (age related - other injuries - cognition etc.)and medical situations (new colostomies - enteral feedings - prosthesis etc.) and acts appropriately to teach and implement new skills to promote Resident independence - safety and social interactions
- Communicates and interacts appropriately and courteously with all internal and external customers
- Maintains confidentiality of electronic - written - and/or verbal Resident/employee information
- Assures that Restorative Care measures are implemented by Team Members
- Actively collaborates with Interdisciplinary Team (IDT) in establishing - maintaining and updating an individual written plan of care for each Community Living Center Resident
- Provides skilled Nursing care to Community Living Center Residents and families within the scope of accepted nursing standards of practice
- Performs a comprehensive initial assessment of the Veteran's disease process and/or co-morbidity factors - including medical history - medication and allergy history - Veteran's symptoms - pain rating and psychosocial assessment
- Completes all documentation in accordance with regulations and Agency policy and procedure
- Performs ongoing assessments of Veteran's disease process and updates the plan of care as necessary in consultation with the physician and other members of the IDT
- Perform ongoing assessment of the impact of the terminal diagnoses on the Veterans physical - functional - psychosocial and environmental needs and activities of daily living
- Coordinates care with other healthcare providers - including spiritual counselor
- Medical social worker - bereavement services and rehab services as appropriate
- Educates the Veteran/family regarding the disease process - self-care techniques - end of life issues and the process for resolution of care and complaint issues
- Collaborates with staff member's regarding Veterans' needs a necessary
- Assist in the development of plans of correction and integrate recommendations into staff's daily function
- Actively participates in Long-Term Care Institute (LTCI) readiness and CLC Compare performance improvement activities Other Duties as Assigned
- VA offers a comprehensive total rewards package: VA Nurse Total Rewards Preferred Experience: One year of long term care - hospice or rehab experience
- 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: 7:45pm-8:15am or 7:45am-8:15pm
- 12 hour shifts - alternating weekend to equal 80 hours bi-weekly
- Telework: Not Available Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
