Career Center

Summary

The Outpatient Staff Registered Nurse (RN) is responsible for providing competent - evidence-based outpatient care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting. Assumes responsibility for the coordination of care focused on patient transition through the continuum of patient care - patient and family education - patient self-management after discharge - and supporting factors that impact customer satisfaction.

Qualifications

Basic 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/12756869
• 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
• Preferred Experience: Experience in Surgery Clinic - Mental Health - Critical Care - and Telecare
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Heavy lifting - 45 pounds and over - Moderate lifting - 15-44 pounds - Light lifting - under 15 pounds - Heavy carrying - 45 pounds and over - Moderate carrying - 15-44 pounds - Light carrying - under 15 pounds - Straight pulling (1-2 hours) - Pushing (1-2 hours) - Reaching above shoulder - Use of fingers - Both hands required - Walking (4-6 hours) - Standing (4-5 hours) - Kneeling (1-2 hours) - Repeated bending (1-2 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 - Both eyes required - Depth perception - Ability to distinguish basic colors - Ability to distinguish shades of colors - Hearing (aid may be permitted).

Duties

• Major Duties (To include but not limited to): Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks ensuring assigned delegated tasks are completed by team members
• Treats all patients - families and other caregivers with dignity and respect incorporating knowledge - values - and beliefs into nursing care delivery without judgement or discrimination
• Serves as a resource for patients - caregivers - and staff to address and resolve ethical issues in the immediate practice setting
• Demonstrates the ability to improve the effectiveness of communications and interactions with others - to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting
• Expands knowledge base and practice evaluation through mentoring - precepting - and/or teaching to improve outcomes in the immediate practice setting
• Leads patient care improvement through monitoring - analyzing - and evaluating care outcomes in the immediate practice setting
• Leads initiativesfor expanding best techniquesto identify and apply patient preferences to shared care delivery decisions in the immediate practice settings
• VA 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 with rotation - 8:00am-4:30pm with rated shift 9am to 530pm - subject to change based on the needs of the facility
• Telework: Not eligible Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized PCS Appraised Value Offer (AVO): Not Authorized