Registered Nurse (Assistant Nurse Manager) - PACT

The Assistant Nurse Manager supports the Nurse Manager in overseeing operations of the Ambulatory Care Service as well as foster team development, ensure compliance with standards of clinical practice, and serve as a key liaison between staff and leadership. The Assistant Nurse Manager will function as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or overseeing direct patient care.

https://www.youtube.com/watch?v=NpaTtyybXFQ Major

Duties

Duties and responsibilities include, but are not limited to, the following: The Assistant Nurse Manager is typically responsible for assisting the Nurse Manager but is not responsible for independently carrying out the expectations of a Nurse Manager on a routine basis. The Assistant Nurse Manager will exercise the authority to direct work, assign duties, evaluate performance, recommend employee awards, deny leave, recall employees to duty, propose discipline, and to adjust their grievances, or to effectively recommend such proposed discipline or grievance adjustments for employees under their direct supervision, Some common examples include but are not limited to the following examples: Serve as a first line supervisor of nursing personnel in the patient care area ensuring the Head Nurse/Nurse Manager retains VA Handbook 5007 requirements (examples may include but not limited to supervising the nursing assistants and/or licensed practical/vocational nurses (LPNs/LVNs) in the patient care area or supervising the nursing personnel on evening and/or night shift). Approve schedules and leave for employees under their direct supervision Appraise performance, recommend performance standards, and recommend performance awards for employees under their direct supervision.

Serve as a hiring official during the recruitment process for employees under their direct supervision. Recommend proposed discipline or grievance adjustments for employees under their direct supervision. In addition, the Assistant Nurse Manager is responsible for assisting the Nurse Manager with personnel on the unit who they do not directly supervise; expectations may include but are not limited to: Draft schedules and leave for final approval by the Nurse Manager Provide input into the performance of employees with the final evaluation completed by the Nurse Manager Assist with making recommendations for selection of candidates for employment Apply clinical knowledge/judgement to lead staff involvement in planning, decision-making, and evaluating outcomes; Provide feedback to the Nurse Manager who ultimately ensures nursing personnel provide timely nursing care that complies with generally accepted standards of practice.

Oversee work assignments and provide reports of contact or assist with fact findings as needed to provide the Nurse Manager with the information necessary to make recommendations for counseling and/or disciplinary actions. 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; 7:30 AM-3:30 PM Telework: Available (Ad-Hoc) (NOTE: The Veterans Health Administration, including the Montana VA Health Care System, will comply fully with the intention and instructions contained in the "Return to Office" Executive Order. It is likely this position will be able 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

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/13065805. 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

2-3 Years PACT experience; Experience with laboratory operations; Experience with environment of care rounds, daily staffing assignments in PACT and charge nurse/house supervisor responsibilities Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical

Requirements

The Registered Nurse (RN) 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 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 RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures. The RN may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

The RN must be mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities, based on patient needs.

U. S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected…