ADCES Connect
Summary
The Specialty Care Outpatient Staff Nurse (RN) position is located within the Specialty Clinics of the Nursing and Ambulatory Care Service at the Miami VA Healthcare System. The RN functions under the Associate Director for Patient Care Services and plays a key role in delivering high-quality outpatient specialty care to Veterans.
Qualifications
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/12840568
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: MSN preferred
1 year or greater Emergency Room - ICU or Telemetry Experience 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 dexterity
This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
Transferring patients and objects may be required
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
The environment's pace can vary
The incumbent must have the ability to priority patient care needs
Weigh limitations vary depending on area of service and functional duties.
Duties
VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse - Outpatient Administers medications and procedures per established policies and guidelines
Influences care outcomes by collaborating with members of the interdisciplinary team
Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs
Specialty Care Outpatient Staff Registered Nurse (RN) is responsible for providing proficient - evidence-based specialty care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the clinic setting
This nurse provides patient care - care coordination - health promotion - health education and coaching on wellness - disease prevention - and chronic care management
The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
Demonstrates leadership in delivering and improving holistic - specialty care through collaborative strategies with others
Evaluates practice in an ongoing process - based on best evidence
Provides peers with informal constructive feedback for improvement
Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
Contributes professional nursing perspective in discussions with the interdisciplinary team
Partners with others to effect change and produce optimal outcomes
Supports colleagues through knowledge sharing to provide safe - quality specialty nursing care
Shares educational findings - experiences - and ideas with peers
This position may require travel to various locations (e.g. - Broward outpatient center - CBOCs - conferences)
The Registered Nurse Specialty clinic works in multiple clinics and has specialized skills
Will be crossed trained in multiple specialty clinic and will functions as a charge nurse/team leader
Specialty Clinic
The Registered Nurse Specialty Clinic responsibilities include - but are not limited to: Ensure all instruments are stocked - set up clinic per specialized procedure - and educate the patient and family
Complete clinical reminders and encounter forms
Adhere to SOP for reusable equipment
Triages all patients (clinical reminders & encounter forms) Vital signs including 02 Saturation - Weight - and Height
Administer allergy shots
Monitor patients after injections are given
Complete vaccination and Antibiotics as per orders and assist provider with examination as indicated
Perform desensitization tests as ordered
Read test results with doctor
Treat reactions as ordered/medications kept in allergy fridge
Order allergens - update medications Reinforce - patient remains in clinic area 30 minutes after each allergy treatment
Questions clinical practices for the purpose of providing evidence-based care
Participates in activities and strategies to sustain an evidence-based-practice culture Knowledge of puncture biopsies - filling Nitrogen canisters - operation of the hyfrecator and dressing change
Scrub the list of scheduled patients for FBS and call the patients a day prior to provide instructions about NPO on the day of procedure
Administers Hepatitis series
Scrub the list - Assist to get medication from the pharmacy
Draw blood as per providers request for PRP
Work Schedule: Full Time - Monday through Friday from 08:00 am to 4:30 pm
potentially requires flexibility in schedule and assignments
Telework: Not available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
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
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Qualifications
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/12840568
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: MSN preferred
1 year or greater Emergency Room - ICU or Telemetry Experience 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 dexterity
This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
Transferring patients and objects may be required
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
The environment's pace can vary
The incumbent must have the ability to priority patient care needs
Weigh limitations vary depending on area of service and functional duties.
Duties
VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse - Outpatient Administers medications and procedures per established policies and guidelines
Influences care outcomes by collaborating with members of the interdisciplinary team
Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs
Specialty Care Outpatient Staff Registered Nurse (RN) is responsible for providing proficient - evidence-based specialty care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the clinic setting
This nurse provides patient care - care coordination - health promotion - health education and coaching on wellness - disease prevention - and chronic care management
The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
Demonstrates leadership in delivering and improving holistic - specialty care through collaborative strategies with others
Evaluates practice in an ongoing process - based on best evidence
Provides peers with informal constructive feedback for improvement
Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
Contributes professional nursing perspective in discussions with the interdisciplinary team
Partners with others to effect change and produce optimal outcomes
Supports colleagues through knowledge sharing to provide safe - quality specialty nursing care
Shares educational findings - experiences - and ideas with peers
This position may require travel to various locations (e.g. - Broward outpatient center - CBOCs - conferences)
The Registered Nurse Specialty clinic works in multiple clinics and has specialized skills
Will be crossed trained in multiple specialty clinic and will functions as a charge nurse/team leader
Specialty Clinic
The Registered Nurse Specialty Clinic responsibilities include - but are not limited to: Ensure all instruments are stocked - set up clinic per specialized procedure - and educate the patient and family
Complete clinical reminders and encounter forms
Adhere to SOP for reusable equipment
Triages all patients (clinical reminders & encounter forms) Vital signs including 02 Saturation - Weight - and Height
Administer allergy shots
Monitor patients after injections are given
Complete vaccination and Antibiotics as per orders and assist provider with examination as indicated
Perform desensitization tests as ordered
Read test results with doctor
Treat reactions as ordered/medications kept in allergy fridge
Order allergens - update medications Reinforce - patient remains in clinic area 30 minutes after each allergy treatment
Questions clinical practices for the purpose of providing evidence-based care
Participates in activities and strategies to sustain an evidence-based-practice culture Knowledge of puncture biopsies - filling Nitrogen canisters - operation of the hyfrecator and dressing change
Scrub the list of scheduled patients for FBS and call the patients a day prior to provide instructions about NPO on the day of procedure
Administers Hepatitis series
Scrub the list - Assist to get medication from the pharmacy
Draw blood as per providers request for PRP
Work Schedule: Full Time - Monday through Friday from 08:00 am to 4:30 pm
potentially requires flexibility in schedule and assignments
Telework: Not available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
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
#J-18808-Ljbffr