The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse 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. The Registered Nurse will provide direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department.
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/12776295. 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/. Preferred Experience: Minimum of 2 years nursing experience; Primary Care experience preferred. Physical Requirements: The Registered Nurse must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients.
The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse 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. MAJOR DUTIES: Provide a full range of nursing care to Veteran/Patients, including complex care needs using the nursing process. Implement the PACT concept of right person, right place, right time that ensure access to care and support staff functioning at the top of their scope. Management of Veteran chronic disease conditions through ongoing assessment of conditions and recognize changes in condition and respond with timely and correct interventions. Establish plan of care and goals with Veteran Patient after assessing learning needs, learning preferences, readiness to learn and modify modalities of teaching when needed. Initiate referrals to other disciplines and services as appropriate and allowed by current Nursing Protocols. Offer preventative health measures to Veterans to include Whole Health modalities. Apply all modalities of care available to deliver best practice to panel. Ensure documentation of care is complete, accurate, consistent, concise, and timely. Encounter will be coded appropriately and timely. Documentation will be alerted to other team members as needed. Recommend use of SOAP/SBAR models for documentation. Implement appropriate notification processes for problematic events involving patient, family, and staff along with appropriate documentation as needed. Utilize tools and reports to provide proactive management of Veterans with chronic disease or at high risk. Promote, advocate for, and strive to protect the health, safety and rights of the patient. Demonstrate responsibility and accountability for own nursing judgements and actions. Collaborate with healthcare consumer and other key stakeholders in the conduct of nursing practice. Develop and implement a plan to meet learning needs, instruct patients and families in basic health teaching. Ensure application of institutional policy to protect information from unauthorized release, loss, alteration, or deletion. Maintain competency on PPE use/donning and doffing. Comply with safety rules and regulations for safe job performance and job protection. Practice safe body mechanics, use mechanical devices, and/or request help when needed in moving, lifting, or turning patients to prevent injury to patient, self, or others. Promptly report all accidents to supervisor and notify supervisor promptly of unsafe of unhealthy environmental situations/conditions. Correct safety hazards promptly. Put broken equipment out of service immediately, tag it as such and follow through for appropriate disposition of the broken equipment. Contribute to an environment of a High Reliability Organization with a culture of safety founded on a systems approach to developing health care solutions based on prevention, not punishment, with collective mindfulness. Responsible for environment of care (EOC) issues when on duty. Ensure a clean and safe environment. Label all medications. Verify medication refrigerator and nutrition refrigerator temperatures are within acceptable range, and cleaning logs are checked and recorded per policy. Confirm emergency equipment is checked daily per policy and the log completed. Ensure other EOC issues, such as items on the PSC EOC Checklist are enforced. Complete orientation, unit-based in-services, and mandatory educational activities in a self-directed manner. Participate in unit based educational activities and VA continuing education requirements to increase clinical and professional knowledge. 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: 7:30 AM - 5:00 PM Telework: Ad-Hoc Available (NOTE: The Veterans Health Administration, including VISN 19 and VA Salt Lake City Health Care System, will comply fully with the intention and instructions contained in the "Return to Office" Executive Order. This position will likely be eligible to telework on a limited Ad-Hoc basis only). Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized