Registered Nurse - Home Based Primary Care

Summary The Home Based Primary Care (HBPC) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex HBPC care. This nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program.

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/12855648

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: 1

Demonstrated expertise in home health or community nursing - with experience in managing chronic and complex medical conditions

2

Proficiency in conducting comprehensive patient assessments and developing individualized care plans in a home setting

3

Strong skills in patient and caregiver education - with an emphasis on promoting self-care and disease management at home

4

Ability to work autonomously and collaborate with an interdisciplinary team to ensure continuity of care

5

Experience in documenting and managing patient records through electronic health systems

6

Excellent Time management abilities to handle multiple cases effectively and prioritize patients needs Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

Physical Requirements: Heavy lifting (45 lbs and over)

Heavy carrying (45 lbs and over)

Straight pulling and pushing

reaching above shoulder

use of fingers

both hands required

walking and standing up to 8 hours

repeated bending

Ability for rapid mental and muscular coordination simultaneously

hearing aid permitted.

Duties

The Home Based Primary Care (HBPC) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex HBPC care

This nurse provides direct Veteran care and care coordination - as it pertinently - to Veterans and their care within the HBPC Program

Responsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning

This nurse plans and delivers technically competent care in the home of Veterans with complex needs - including health promotion - health prevention - geriatric care - primary care - and palliative care

Utilizes interventions - which maximize health capabilities and reduces unnecessary urgent care and emergency room visits - per Veteran's goals of care

Makes home visits to Veterans in the program

Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines

Demonstrates performance and leadership that is broad enough to improve the care for the HBPC Program and facility

Provides peers with formal or informal constructive feedback for improvement

Supports colleagues and other nurses through HBPC knowledge sharing to provide safe - quality nursing care

Fosters a safe and supportive environment conducive to the professional development of health care professionals

Evaluates outpatient outcomes of evidence-based decisions and practice changes for HBPC individuals - groups - and populations

Work Schedule: Monday - Friday - 07:30am - 16:00pm (No Weekends - Evenings or Holidays) Telework: Not Available Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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