Registered Nurse - Loma Linda, United States - VETERANS HEALTH ADMINISTRATION

Description

Summary

The Nurse Officer of the Day provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being.

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

Preferred Experiences:
>House supervisor experience >Charge Nurse Experience > 2 years >Utilization Management experience (1-2 years) >Case Management/Discharge planning experience (2-3 Years) >Transfer Center experience (1-2 Years) > Acute/
Critical Care Experience: 3 years or greater >Recent Bedside acute care (within 1 year of application) >Knowledge of EMTALA, ICEMA and Emergency transport procedures

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:
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:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard
This can be found in the local Human Resources Office

Physical Requirements:
Heavy lifting (45 lbs
and over); Moderate Carrying pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at

Duties

"


PRACTICE:
Applies the nursing process to systems or processes at the unit/team/work group level to improve care.
Demonstrates leadership by involving others in improving care.
Performance Standards 1.

Provides a full range of nursing care to patient/residents with complex care needs utilizing the nursing process based on the ANA Standards of Nursing Practice.

1.1.
Demonstrates consistent clinical competence in providing nursing care.
1.1.1.
Uses equipment correctly and accurately interprets data.
1.1.2.
Recognizes subtle changes in patient/resident's condition and responds timely, choosing the correct interventions.
1.1.3.
Demonstrates evidence of critical thinking skills in identifying, analyzing, and resolving patient/resident care problems on the unit.
1.1.4.
Facilitates safe patient centered flow, both in and out of VALL.
1.2.
Initiates and implements an interdisciplinary plan of care based on assessments.
1.2.1.
Performs ongoing assessment of patient/resident condition and response to treatment.
1.2.2.
Provides leadership in establishing goals, evaluating the plan of care, and in discharge planning.
1.2.3.
Initiates referrals to other disciplines and/or services as appropriate.
1.2.4.
Assesses the patient/resident/resident's learning needs, learning preference, and readiness to learn.
Modifies teaching approach based on knowledge of human behavior, motivations, and reactions to situations.
2.
Accurately documents in the medical record patient/resident/resident findings, assessments, and care provided.
2.1.
Documentation is technically informative, complete, accurate, consistent, concise, and timely.
2.2.
Evaluates and documents patient/resident/resident response to interventions and progress towards attainment of goals and expected outcomes.
2.3.
Revises interdisciplinary plan of care based upon on-going patient/resident/resident assessment and evaluation.
2.4.

Uses the Computerized Patient/resident Record System (CPRS), pyxis and/or the Bar Coded Medication Administration (BCMA) software if applicable per policy.

3.

Effectively functions as the off-tour supervisor, charge nurse, team leader, or in other leadership role that guides and directs others who provide patient/resident care.

3.1.
Makes assignments and directs activities of other unit staff, (RNs, LVNs, students, PSAs, other team members).
3.2.
Assigns patient/resident care responsibilities based upon patient/resident needs and competencies of staff.
3.3.
Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary.
3.4.
Provides direction to staff for unit activities in meeting patient/resident care needs.
3.5.
Ensures that delegated tasks as assigned are completed by other staff.
3.6.

Ensures the physician and/or the nurse manager/ immediate supervisor/coordinator are notified of untoward events involving patient/residents and staff, either by assigned RN or by self.

4.
Uses a team approach to identify, analyze, and resolve patient/resident care problems that result in improved patient/resident outcomes.
5.
Demonstrates grade-appropriate and consistent critical thinking skills.
5.1.
The nurse can recognize the patient/resident has a problem.
5.2.
The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
5.3.
The nurse has a relative sense of urgency.
5.4.
The nurse takes the right action for the right reason (del Bueno).
6.

Provides age-specific care for adult and geriatric (65 and older) patients/residents/groups including the following elements: promotes independence; encourages self-care; involves family or designated caregiver with care planning, provides necessary safety measures and access to privacy; assists patient/resident to cope with changes affecting mobility, balance, cognition, psychosocial function, and physical/sensory changes.

7.
Role-specific Competency Checklist is complete and is rated competent in all measured areas (see attachment).
and many more not listed above

Work Schedule:

Open Financial Disclosure Report:
Not required"