Registered Nurse - Primary Care Outpatient Clinic (Fredericksburg HCC)

Summary

The Registered Nurse - Primary Care Outpatient Clinic (Fredericksburg HCC) will be responsible for collaborating with other health team members to develop - implement and coordinate patient care delivery to achieve maximum quality - patient centered care - positive patient outcomes - and appropriate utilization of resources to a culturally diverse Veteran patient population.

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: https://apply.usastaffing.gov/ViewQuestionnaire/12956327
• 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

• At least three (3) years of RN experience in an ambulatory care environment (primary care - internal medicine - urgent care) or at least three years of experience in a medical surgical setting
• -Demonstrated ability to lead a frontline healthcare team in process improvement in order to meet organizational performance measures
• -Experience working with interdisciplinary teams
• Physical

Requirements

See VA Directive and Handbook 5019

• This position requires potentially long periods of continued walking - standing - and sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs and repeated bending
• Heavy lifting (45 lbs
• and over)
• Heavy Carrying (45 lbs
• and over)
• Straight Pulling (up to 4 hours)
• Pushing (up to 4 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 8 hours)
• Standing (up to 8 hours)
• Repeated bending (up to 8 hours)
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Specific visual requirement: Read typed Chapters
• Correctable vision :20/40 in one eye
• Ability to distinguish basic colors and shades of colors
• Hearing (aid permitted)
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Emotional and Mental Stability: 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.

Duties

• Duties include - but are not limited to: -Manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panels
• -Provides health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• -Focus is on individual growth and development in outpatient Patient Aligned Care Team (PACT) nursing practice with increased levels of self-direction
• -Ability to formulate a plan of care based on nursing assessments
• -Seeks guidance on how to improve care provided to patients and families
• Delegates elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patient
• -Brings primary care principles and theory with limited application of critical thinking skills
• -Assumes the role of Charge or Co-charge Nurse
• Demonstrates timely and effective communication
• -Promotes seamless care coordination
• -Collaborates with patients and interdisciplinary teams
• -Responsible for a robust chronic disease management program
• -Monitors PACT metrics with particular emphasis on Healthcare Effectiveness Data and Information Set (HEDIS) measures
• -Demonstrates proficiency in PACT reports including eQM (electronic quality management) - VSSC (VA Support Service Center) - SAIL (Strategic Analytics for Improvement and Learning Value Model) and Primary Care
• -Almanac - and PACT Compass
• Collaborate with the patients and care teams to develop meaningful goals for patients
• 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 through Friday - 8:00am-4:30pm

• Subject to change based on needs of the clinic
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives/Expenses: Not Authorized Permanent Change of Station (PCS): Not Authorized