The RN displays knowledge and ability in providing a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. The RN serves as a responsible member of the nursing team and interacts with patients, family members, professional and supportive personnel who provide patient care, and with members of other services. Preferred Experience: Long Term Care Basic Requirements: (1) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (2) Graduation from School of Nursing (a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. [NOTE: See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program.] 1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or 2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site. (b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded. (c)] In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing. NOTE: Most individuals admitted as permanent residents or adjusting to permanent resident status as registered nurses on or after December 14, 1998, for the purpose of working as a registered nurse, must meet the certification requirements in Section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act (Pub. L. 104-208, September 30, 1996). This certification involves a review of the alien's education, training, license(s), and experience, verification that the alien possess an acceptable level of competence in written and oral English, and a requirement that the individual has passed either the Commission on Graduates of Foreign Nursing Schools (CGFNS) Qualifying Examination or the National Council of State Boards of Nursing, Inc. examination, the NCLEX-RN. For additional information see Pub. L. 104-208, 63 Federal Register 55007-55012, dated October 14, 1998, and the CGFNS web site. (3) Registration (a) Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. (b) Impaired Registration. An impaired registration is any registration(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status. A registered nurse who has or ever had any such impairment to their registration as listed above may be appointed only in accordance with the provisions of chapter 3, section B, paragraph 15 of this part. (4) Physical Standards. See VA Directive and Handbook 5019. A pre-employment physical examination will be required. 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 patient 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 or operative/invasive procedures. 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. (5) English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). ["This is an open continuous announcement.\nApplications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. DUTIES May INCLUDE HOWEVER ARE NOT LIMITED TO THE FOLLOWING:\n1. Delivers safe care to assigned patients, while developing technical competencies.\n1.1. Safely and effectively uses patient care equipment.\n1.2. Correctly and safely performs nursing procedures.\n1.3. Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately.\n1.4. Implements physician's/provider's orders in a timely and complete manner.\n1.5. Implements nursing interventions/orders in a timely and complete manner.\n1.6. Requests assistance from co-workers when needed; knows when to ask for help.\n1.7 Identifies patients exhibiting disruptive, threatening & violent behavior or suicidal (DTV) behavior and initiates appropriate interventions. 2. Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing Practice.\n2.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed.\n2.2. Includes the patient and family/significant other in developing the initial plan of care and establishing goals.\n2.3. Updates plan of care with assistance as needed.\n2.4. Assesses patient's learning needs, learning preference and readiness to learn.\n2.5. Develops and implements a plan in conjunction with the patient/family to meet learning needs, and involvement in basic health teaching and discharge planning. 3. Documents the nursing process.\n3.1. Documentation is consistent, accurate, concise, and timely.\n3.2. Evaluates and documents patient response to interventions and progress towards attainmentof goals and expected outcomes.\n3.3. Revises plan of care according to evaluations of patient's responses and outcomes.\n3.4. Uses the Computerized Patient Record System (CPRS) and the Bar Coded MedicationAdministration (BCMA) software per policy.\n3.5 Completes all assigned clinical reminders in a timely manner. 4. Demonstrates grade-appropriate and consistent critical thinking skills.\n4.1. The nurse can recognize the patient has a problem.\n4.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.\n4.3. The nurse has a relative sense of urgency.\n4.4. The nurse takes the right action for the right reason (del Bueno).\n4.5. The nurse responds and intervenes appropriately to emergency situations 5. Role-specific Competency Checklist is complete and is rated competent in all measured areas. 6. Progressively assuming responsibilities as assigned, seeking assistance as necessary, under the close supervision of the Nurse Manager or designee. 7. Adheres to established policies, standards of care and standards or practice. 8. Practices within \"Scope of Practice\" based upon state licensure. Work Schedule: Many. To be discussed at interview.\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.