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. 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. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR 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. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. 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: 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 inpatient 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, operative/invasive procedures, or home settings. 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. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Recruitment Incentive Authorized for a highly qualified candidate. Duties include but are not limited to: Provides a full range of nursing care to residents with complex care needs utilizing the nursing process based on the ANA standards of Nursing Practice Performs a comprehensive initial assessment of the Veteran's disease process and/or co-morbidity factors, including medical history, medication and allergy history, Veteran's symptoms, pain rating and psychosocial assessment. Performs ongoing assessments of Veteran's disease process and updates the plan of care as necessary in consultation with the physician and other members of the Inter Disciplinary Team (IDT). Develops strategies/processes to address Nursing Quality Indicators such as patient safety, patient centeredness, falls, skin integrity, pain assessment, infections Develops teaching plans based on assessment of individual needs. Plans and directs nursing care of long term and hospice/palliative care patients admitted to the Community Living Center. Completes all documentation in accordance with regulations and Agency policy and procedure. o Assures resident's dignity is maintained, such as coverage of drainage bags, clean/shaven/nails clean and trimmed, incontinent pad are not visible on beds, Residents are always clean and neat in appearances, and privacy is provided during provision of care. Responsible for administering, monitoring, documenting, and evaluating therapeutic interventions and regiments specific to long term and hospice/palliative care residents. Collaborates with Community Living Center (CLC) IDT to promote resident-centered care and provide a home like environment for long term care and hospice/palliative care residents. Provides direct nursing care based on standards and clearly defined treatment protocols. Perform ongoing assessment of the impact of the terminal diagnoses on the Veterans physical, functional, psychosocial, and environmental needs and activities of daily living. Coordinates care with other healthcare providers, including spiritual counselor, medical social worker, bereavement services and rehab services as appropriate. Educates the Veteran/family regarding the disease process, self-care techniques, end of life issues and the process for resolution of care and complaint issues. Plans interventions which promote health, self-determination, and dignity at the end of life. Document's observations, assessments, and changes in Veteran's conditions, collaborating with health team members to facilitate positive patient outcomes. Pay: Competitive salary, regular salary increases, potential for performance awards\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: 3 shifts available:\nDay Shift 7:30am to 4:00pm including weekends and holidays.\nEvening Shift- 4:00pm to 12:00am including weekends and holidays.\nNight Shift- 12:00am to 0800am including weekends and holidays.\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May be Authorized\nEDRP: Authorized\nPermanent Change of Station (PCS): Not Authorized\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.