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Registered Nurse ( VA Outpatient Clinic-Lubbock)

Direct Jobs, Lubbock, Texas, us, 79430

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Summary The Amarillo VA Health Care System is seeking a full-time Oncology/Infusion Registered Nurse for the VA Clinic in Lubbock - Texas. The Outpatient Staff Registered Nurse will deliver knowledge based care to assigned clients per VA policies and guidelines.

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/12858159

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 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: BSN preferred

Minimum of 1 year experience required in Chemo-

Must be ACLS certified

Must be OCN or ONS/ONCC Chemo certified

Experience providing high risk IV infusions such as chemotherapy - blood and blood products - and other non-chem infusions

Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

Physical Requirements: This position may require potentially long periods of continued Moderate lifting of 15-44 pounds - Moderate carrying of 15-44 pounds - Moderate carrying of 15-44 pounds - Straight pulling for 1 hour - Pushing for 1 hour - Reaching above shoulder - Use of fingers - Both hands required - Walking for 6 hours - Standing for 3 hours - Kneeling for .5 hours - Kneeling for .5 hours - Repeated bending for 1 hours - Depth perception - Ability to distinguish basic colors - Hearing (aid may be permitted).

Duties

The Registered Nurse demonstrates integration of biopsychosocial concepts - cognitive skills - and technically competent practice while providing care to clients - Assesses - plans - implements - and evaluates care based on age-specific components

Assumes responsibility for the coordination of care focused on patient education - self-manage - and customer satisfaction through the continuum of care

Administers medications and procedures per established policies and guidelines

Influences care outcomes by collaborating with members of the interdisciplinary team

Duties include the following but not limited to: The RN works with interdisciplinary team members - providing patient driven care to Veterans served by the Hematology/Oncology team and other specialty services as needed

Be chemotherapy certified and maintain certification while working in Chemo clinic

Has the ability to recognize abnormal vital signs - notifies provider and documents accordingly - to policy and procedure guidelines

Assist the provider gathering data - chart reviews and documents appropriately

Assist the Hematology/Oncology provider with the Veteran physical exam or procedure as needed

Effectively sets up for CVT clinics as needed (ensuring connectivity and Meeting Number and the Host number are accurate)

If required ensures a consent is present in the chart before proceeding with infusion

Adhere to Chemotherapy/infusion administration directives and responsibilities thereof and able to locate unit specific procedures

Communicates with patients completing their needs via secure messaging and completing pending patients on the Message Manager software within required timeframe

Communicates with outside facilities to acquire treatment related information as need

Manage required screenings and complete required clinical reminders - scheduling - and address opening and closing the encounters

Provide Veteran education - documentation and assistance with workload capture required for completion of the visit - per scope of practice

Ensures a safe environment - identifies health/safety risk - and takes appropriate and immediate steps to alleviate the risk

Ability to locate and abide by the MCPCM's - policies and standard of processes to foster a High Reliability Organization

Attends National - VISN - or local meetings/training as required

Actively communicates with others about how planned changes may affect their work - patients - and their team

Participates in daily unit team huddles

Maintains flexibility when managing multiple projects - roles - and responsibilities simultaneously - prioritizing as needed

Repects and deals effectively with change in the workplace and clinic assignments

Fosters flexibility through cross-training and developmental work assignments

Adapts to different specialty clinics and individual needs while providing care to patients

Encourages an environment of positivity - does not engage in negative comments - and does promote negative attitudes in the workspace

Invites contact and is easy to approach

Encourages shared decision-making

Must be competent in accessing and maintaining port-a-caths and peripherally inserted central catheters (PICC lines) and place and maintaining IVs

Experience with patient and family education in relation to patient's diagnosis and expected side effects of treatment

Experience triaging patient phone calls

Work Schedule: Monday - Friday (8:00 a.m- 4:30 p.m.) 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

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