Community Living Center (CLC) Registered Nurse

About the role

The Community Living Center (CLC) Registered Nurse (RN) is responsible for providing competent - evidence-based care to assigned residents and overseeing licensed vocational nurses/nursing assistants at the San Francisco VA Medical Center Community Living Center.

Responsibilities

• Coordinates and provides resident care in a culturally and ethnically sensitive manner
• Performs nursing assessment using the nursing process and evaluates effectiveness of medications and/or treatment regimens
• Demonstrates knowledge of and utilizes MDS process including Care Plan - updates and maintains 802 - timely documentation and various MDS documentation system reports
• Utilizes Truth Point data to improve resident outcome on the neighborhood by reviewing resident satisfaction results in the unit base council (UBC)
• Promotes resident self-determination utilizing the least restrictive methods possible to deliver resident-centered care
• Accurately documents change in condition and monthly summaries
• Conducts assessments per nursing service protocol such as: Braden Scale - Weekly Skin Assessment - Pain Assessment and Reassessment - Admission/Annual Assessment - and Morse Scale to name a few
• Initiates resident care plan on admission - and updates care plans with each change in condition
• Maintains completeness and accuracy of medical record entries
• Manages worktime effectively - efficiently - safely and productively
• Edits residents and families how to achieve/maintain wellness - meet continuing care needs and manage end stage of illness
• Captures - analyzes - and interprets data in a systematic - ongoing manner - utilizing the MDS assessment and Interdisciplinary team input
• Utilizes available resources (prosthetics and other services) to improve resident care and enhance quality of life
• Implements facility fall prevention guidelines
• Supports and participates in Quality Improvement activities such as: Hospital Acquired Pressure Injuries (HAPI) - Falls - Minimum Data Set (MDS) - Quality Indicators - Consistent Assignment - Pain Management - Hand Washing - Catheter Acquired Urinary Tract Infection (CAUTI) - and Artifacts of Culture Change related to home environment
• Uses a body of research to validate and/or uses the results of quality improvement activities to initiate changes in nursing practice and in the health care delivery system
• Presents evidence-based articles and participates in neighborhood and/or hospital Journal Club
• Incorporates new knowledge to initiate changes in nursing practice if desired outcomes are not achieved
• Conducts rounds during the shift - observing safety of the environment and cleanliness - removes safety hazards - enters work orders to correct deficiencies and/or problems - and follows fire and safety protocol
• Sets duties to LVN and CNA staff according to their scope of practice - utilizing consistent assignment model
• Completes the 24-hour Nursing report and other required event reporting documentation
• Adheres to neighborhood HPPD when assessing shift staffing

Requirements

Basic Requirements: English Language Proficiency - 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

Qualifications

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/13002082

Skills

Community Living Center experience highly desired

Benefits

Salary for this position ranges dependent upon applicant qualifications Grade 1 - Levels 1-3: $153 -887-$204 -663 annually Grade 2: $176 -969-$228 -000 annually Grade 3: $194 -665-$228 -000 annually

Pay

For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity The position requires potentially - long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushing The incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organization The incumbent may be required to travel occasionally This position potentially requires flexibility in schedule and assignments Telework is position dependent and appropriate approvals are required telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processes If a position requires driving - incumbent is required to maintain compliance with all relevant policies and processes.

Schedule

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 EDRP Authorized: Former EDRP participants ineligible to apply for incentive Contact V21CCOEEDRP@va.gov for questions/assistance Learn more