Registered Nurse - Primary Care

SummaryThe Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing competent - evidence-based gender-specific care to primary care patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting.QualificationsBasic Requirements:English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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/12933021Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesPreferred Experience: One year medical/surgical and ambulatory care experience preferredReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: This position potentially requires flexibility in schedule and assignmentsThis position requires visual acuity - keen hearing - clear - distinctive speech - and manual dexterityThis position requires long periods of continued walking - standing - stooping - sitting - kneeling - bending - pulling - and pushingTransferring patients and objects may be requiredThe incumbent may be exposed to infected patients and contaminated materials and must don protective clothing in isolation or during patient procedures and careThe incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disordersUse of fingers - both hands and near and far vision is requiredMust complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.DutiesPACT RN provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the Primary Care DepartmentManages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panelsThis nurse provides health promotion - health education and coaching on wellness - disease prevention - and chronic care managementMajor Duties Include But Not Limited To: Evaluates and documents patient response/progress towards attainment of goals/expected outcomes.2Consistently completes patient care assignments - including documentation - by the end of tour of dutyTakes a leadership role in initiating effective action in emergenciesDirects others as indicated to maintain a safe and therapeutic environmentExamples may include: life threatening emergencies - disturbed behavior management - internal or external disasterDemonstrates knowledge and documented use of internal and external resources related to outpatient care issues and resources to assist clients in resolution of healthcare needsDemonstrates competency in the ability to initiate and facilitate emergency transfers to appropriate levels of careDemonstrates knowledge and competency in the use of the Co-Managed Care policy and the processes that directly relate to internal processes within the urgent care/triage areaParticipates in the education and teaching of veterans during the process of completion of ambulatory care identified clinical remindersUtilizes approved Protocols and Guidelines to facilitate autonomy in providing careServes as a resource for patient and family rights - responsibilities - and decision-making information and processesApplies skills - such as health coaching to promote patient self-management toward patient-driven holistic care plan for lifeMaintains skills of accessioning lab orders - specimen collection and processing for testing both within our laboratory and those referred to other laboratories - in the absence of laboratory staffCoordinates care issues between outpatients and their primary care providersMaintains current knowledge of multidisciplinary resources - programs and services - referring patients for community resources as appropriateAssists with the navigation of health care systems and intervenes or refers as needed to facilitate the achievement of patient outcomesEnhances patient self-management by providing information regarding all options - choices - and resourcesVA 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: Monday - Friday: 7:45am - 4:30pm Telework: Not Available Virtual: This is not a virtual positionPermanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO):