Registered Nurse - Atlanta, United States - Veterans Health Administration

Description

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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:
• 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:
The population of male and female Veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over

• Atlanta VAMC is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients
• There is a large outpatient psychiatric population, with visits to the Emergence Department and admissions for medical co-morbidies
• 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
• The incumbent may be exposed to infected patients and contaminated materials and may be required to wear 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.

Duties

"Primary Roles:

Consults review, wound care, management of pressure injuries, incontinence associated dermatitis, friction/shear injuries, device-related injuries, arterial and venous ulcers, lymphedema management, select surgical wounds, education and treatment care plans.

Demonstrates the ability to be self-directed in clinical practice and in the management of a panel of patients with complex wound care issues using evidence-based standards of care and national wound care guidelines.

Provides timely patient follow-up through inpatient visits, outpatient clinic visits, e-Consults, telewound and CVT wound care consults.

Performs specialized procedures such as the removal of sutures and other procedures as per specialty training, referring complex cases to appropriate specialist as needed.

Recommend wound care dressing orders and supplies as well as medications needed.
Facilitate the admission, discharge, transfer and care with SCI and CLC patients with wounds.

Provide guidance and monitoring of patients with a SCI who are inpatient outside of the VA to facilitate education on SCI related care and secondary conditions including bowel, bladder, and circulation issues.

Recommends consults to other services (i.e.
Vascular, Podiatry, General Surgery, Plastics) as necessary.

Monitors and follows through on the outcome of any referrals by integrating treatment recommendations into the plan of care.

Provide comprehensive education to patients, their families and staff.

Assists staff in maintaining current knowledge and competence in skin and wound management through regularly scheduled in-service programs and review of policies and procedures according to national guidelines.

Analyzes stock items and recommends appropriate additions and deletions to assure quality and cost-effectiveness of products used for ostomy and wound care.

Provides guidance to staff to identify, control or eliminate etiologic factors for skin breakdown, including selection of appropriate support surface.

Provides follow-up for patients with ostomies and wound care.
Instructs and demonstrates to patient and/or significant other, correct procedures in wound/ostomy management and care.

Assumes a leadership role in the implementation of nursing practices that promote continuous quality improvement and desirable patient outcomes.

Develops standards of care and assists in the formulation and evaluation of procedures, protocols, and polices related to wound/ostomy patient care.

Provides comprehensive care and teaching to patients and their families regarding the evaluation, selection, and recommendation of supplies and equipment in order to provide optimal wound and ostomy care.

Initiates assessments plans, and provides care to patients with ostomies, draining wounds, fistulas, pressure ulcers, acute and/or chronic wounds with orders/referrals from Medical Providers.

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:
Telework: Not available Virtual: This is not a virtual position.

EDRP Authorized:
Former EDRP participants ineligible to apply for incentive.
Contact , the EDRP Coordinator for questions/assistance.
Learn more

Financial Disclosure Report:
Not required"