Registered Nurse - Home Based Primary Care
SummaryThe Registered Nurse - Home Based Primary Care (HBPC) delivers fundamental knowledge-based care to assigned clients while developing technical skills. 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. Influences care outcomes by collaborating with members of the interdisciplinary team.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/12943888Grade/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: At least two (2 years clinical experience as an RNHome Health - Primary Care - Long Term Care - or Outpatient nursing experience highly desiredAbility to practice cooperative - respectful and tactful interpersonal communications with co-workers - patients - patient family members and /or caregivers - internal and external customersReceptive to constructive response to supervisionAbility to collect and record patient data in a computer based electronic medical record system timelyAbility to interface and communicate with internal and external customers using telephone - person to person and electronically using communication skills effectivelyAbility to demonstrate positive team leader and team member skills effectivelyPossess critical thinking skillsAbility to collaborate with interdisciplinary teams and internal and external customersCurrent and unrestricted driver's license requiredComputer skills and ability to navigate healthSelf-direction and dependability is requiredReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: Heavy lifting (45 pounds and over) - heavy carrying (45 pounds and over) - straight pulling (1 hour) - pushing (1 hour) - reaching above shoulder - use of fingers - both hands required - walking (7 hours) - standing (7 hours) - kneeling (0.5 hours) - repeated bending (7 hours) - both legs required - ability for rapid mental and muscular coordination simultaneously - near vision correctable at 13"" to 16"" to Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other - ability to distinguish basic colors - ability to distinguish shades of colors - hearing without aid - mental and emotional stability - working with detergents and antiseptic solutionsEnvironmental Factors include: outside and inside - dust - working around machinery with moving parts - working with hands in water - working closely with others - and protracted or irregular hours of work.DutiesMajor Duties Provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC ProgramResponsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planningUtilizes interventions - which maximize health capabilities and reduces unnecessary urgent care and emergency room visits - per Veteran's goals of careMakes home visits to Veterans in the programPlans and delivers technically competent care in the home of Veterans with complex needs - including health promotion - health prevention - geriatric care - primary care - and palliative careDelegates elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patientEvaluates practice in an ongoing process - based on best evidenceProvides peers with informal constructive feedback for improvementFosters a safe and supportive environment conducive to the professional development of healthcare professionalsContributes professional outpatient nursing perspective in discussions with the interdisciplinary teamVA 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: Full-time - Monday - Friday - 8:00am - 4:30pmSubject to change based on needs of the facilityTelework: Not available Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized