Specialty Care Registered Nurse-North Santa Rosa

Summary The Specialty Care Registered Nurse provides comprehensive - evidence-based nursing care to Veterans in an outpatient clinical setting at the Santa Rosa VA Outpatient Clinic. The registered nurse is responsible for assessing patients' health needs - developing and implementing individualized nursing care plans - coordinating specialty care services - monitoring treatment outcomes - and providing patient and family education to promote health - wellness - and disease management. Qualifications Basic Requirements: English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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/13097971Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesPreferred Experience: 2 years of specialty care and outpatient experienceSalary 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 Reference: 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 dexterityThe position requires potentially - long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushingThe incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organizationThe incumbent may be required to travel occasionallyThis position potentially requires flexibility in schedule and assignmentsTelework is position dependent and appropriate approvals are requiredtelework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processesIf a position requires driving - incumbent is required to maintain compliance with all relevant policies and processes. Duties VA offers a comprehensive total rewards package: VA Nurse Total Rewards The nurse collaborates with physicians - advanced practice providers - licensed vocational nurses - medical support staff - and other members of the interdisciplinary healthcare team to ensure safe - timely - high-quality - and Veteran-centered careResponsibilities include clinical assessment - care coordination - medication management - patient triage - documentation - and follow-up of diagnostic testing and treatment plans in accordance with Department of Veterans Affairs policies - nursing standards - and applicable regulatory requirementsDuties and responsibilities include: Conduct comprehensive and focused nursing assessments - including medical history - medication reconciliation - vital signs - pain assessment - and evaluation of current symptomsIdentify changes in patients' health status and initiate appropriate nursing interventions - escalation - and referralsDevelop - implement - and evaluate individualized nursing care plans based on assessment findings - provider orders - and established clinical guidelinesProvide direct nursing care to Veterans with acute - chronic - and complex medical conditions in an outpatient settingAssist with specialty clinic visits - examinations - treatments - procedures - and other clinical interventions within the nurse's assigned scope of practice and demonstrated competenciesPrepare patients for diagnostic testing and specialty procedures - including providing pre-procedure instructions and completing required nursing assessmentsMonitor patients before - during - and after procedures or treatments as appropriate to the assigned clinicCoordinate referrals - consultations - and follow-up appointments to support continuity of careAssess incoming patient concerns by telephone - secure messaging - or in-person contact - using established triage protocols and clinical judgmentDetermine the urgency of patient needs and facilitate appropriate appointments - clinical evaluations - emergency interventions - or referralsCommunicate significant clinical findings and changes in patient condition to the appropriate healthcare providerCoordinate follow-up for abnormal diagnostic results - missed appointments - pending consultations - and unresolved patient care needsAdminister medications and treatments in accordance with provider orders - VA policies - and applicable nursing standardsMonitor patients for therapeutic responses - adverse reactions - and potential medication-related complicationsProvide education regarding prescribed medications - treatment plans - adherence - and potential side effectsSupport medication reconciliation and communicate identified discrepancies or concerns to the appropriate healthcare providerEducate Veterans and their caregivers regarding diagnoses - treatment plans - disease prevention - medication use - and self-management strategiesReinforce provider instructions and explain follow-up care - warning signs - and when to seek urgent medical attentionAssess patient understanding - health literacy - and barriers to care - adapting education to individual needsPromote preventive healthcare - wellness - and adherence to recommended treatment plansMaintain accurate - timely - and complete nursing documentation in the VA electronic health recordDocument assessments - interventions - patient education - telephone encounters - clinical communications - and follow-up activitiesReview patient records - laboratory results - diagnostic reports - and treatment plans to support safe and coordinated careFollow infection prevention and control practices - medication safety procedures - patient identification requirements - and established clinical protocolsRecognize and respond appropriately to medical emergencies and changes in patient conditionReport patient safety concerns - adverse events - and identified risks through established VA reporting processesSupport daily clinic operations by preparing examination rooms - verifying equipment readiness - maintaining supplies - and ensuring a safe clinical environmentAssist with patient flow - appointment preparation - and coordination of nursing services to promote timely access to carePay: 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: Full-time8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized