Registered Nurse - Durham Specialties Clinic

Summary The Durham VA Healthcare System is seeking (1) highly skilled/experienced Registered Nurse to serve within Durham Gastroenterology and Liver departments. Demonstrates leadership - experience/ingenious approaches to management of complex patient care. Accountable for the management of patient care - human - fiscal/material resources - & the total environment of the unit. Responsible to ensure that the highest possible quality of care is achieved & a safe therapeutic environment.

Qualifications

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy

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 & spoken English

Graduate of a school of professional nursing approved by the appropriate accrediting agency & accredited by 1 of the following accrediting bodies at 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 & later converted to a permanent appointment upon successful completion & 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 - & unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant 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 - & unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or District of Columbia

Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess required licensure - may be appointed at entry step of grade & level applicable to completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to 2 years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series & performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered have met all qualification requirements for the grade held including positive education & licensure/certification

Grade Determinations: The following Scope - Education & Dimension criteria must be met in determining the grade assignment of candidates - & if appropriate - the level within a grade

The Dimension requirements are detailed for each grade & level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12858451

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 & technically competent practice providing care to clients w/ basic/complex

An ADN or Diploma in Nursing & 1 year specialized nursing experience equivalent to Nurse I - Level 1 ;OR Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required

Nurse I - Level III Demonstrates proficiency in practice based on conscious & deliberate planning

Self-directed in goal setting for managing complex client situations

An ADN or Diploma in Nursing & 2 years of professional nursing experience that 1 year is equivalent to Nurse I - Level 2

OR a BSN & 1 year professional nursing experience equivalent to Nurse I - Level 2

OR a Master's degree in nursing (MSN) & no additional professional nursing experience

OR Master's degree in related field with a BSN & no additional professional nursing experience

Nurse II Demonstrates leadership in delivering & improving holistic care through collaborative strategies w/others

BSN with 2 years professional nursing equivalent to Nurse I - Level 3

OR MSN with 1 year specialized nursing experience equivalent to Nurse I - Level 3

OR Master's degree in a related field with a BSN & 1 year specialized nursing experience equivalent to Nurse I - Level 3

OR a Doctoral degree in Nursing with no professional nursing experience

OR Doctoral degree in a related field with a BSN w/no additional professional nursing experience

Nurse III Executes position responsibilities that demonstrate leadership - experience & creative approaches to management of complex client care beyond immediate practice setting

MSN & 2 years specialized nursing experience - 1 that is equivalent to Nurse II & meets all dimension requirements for Nurse III

OR Master's degree in related field with BSN & 2 years of specialized nursing experience - (1) that is equivalent to Nurse II & meets all dimension requirements for Nurse III

OR Doctoral degree in Nursing with & 1 year specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in a related field w/ a BSN & 1 year specialized nursing experience equivalent to Nurse II & meets all dimension requirements for Nurse III

*Note: Foreign education programs/degrees are not creditable as related degrees

Preferred Level of Education: BSN Preferred Certification(s): Ambulatory Care Case Management Medical-Surgical Telephone Nursing Practice Full performance level of this vacancy is Nurse III

The actual grade an applicant may be selected for is Nurse I to Nurse III

Reference: VA Regulations - specifically VA Handbook 5005 - Part II - Appendix G-6 Nurse Qualification Standard

This can be found in the local Human Resources Office

Physical Requirements: See VA Directive and Handbook 5019

This position requires potentially long periods continued walking - standing - sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs & repeated bending

Heavy lifting (45 lbs

& over) Heavy Carrying (45 lbs

& over) Straight Pulling (up to 4 hours) Pushing (up to 4 hours) Reaching above shoulder

Use of fingers

Both hands required

Walking (up to 8 hours) Standing (up to 8 hours)

Repeated bending (up to 8 hours) Both legs required

Ability for rapid mental & muscular coordination simultaneously

Specific visual requirement: Read typed Chapters

Correctable vision 20/40 in one eye

Ability to distinguish basic colors & shades of colors

Hearing (aid permitted)

The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders

Emotional & Mental Stability: Incumbent must be mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs

Must complete annual Employee Health requirements - such as annual TB screening/testing - as condition of employment.

Duties

The Registered Nurse working in the Gastroenterology and Liver departments will serve the Veteran population by providing peri-procedural care for Sedated and Non-Sedated Procedures and Hepatology Services

These include but not limited to: Colonoscopy/Flexible Sigmoidoscopy - Endoscopy - ERCP - Upper and Lower Endoscopic Ultrasound - PEG placement - Capsule Endoscopy - Fibro scan - Paracentesis - Esophageal Manometry and other treatment care items

The GI clinic staff also travels to the ER - OR - or ICU to perform cases (including for on-call emergency cases)

The Liver Clinic supports Veterans with different forms of Hepatitis - Cirrhosis - Hepatocellular Carcinoma and Drug Induced liver injuries to name a few

The projected end of year procedures top 10 -000

The Durham Liver clinic has monitored a cure rate for HCV at 1223 patients which makes this VA #1 in treatment rates for 2017

Duties include but not are not limited to: Monitoring and sedating patients for GI Procedures and guided by the Moderate Sedation policy MCM 558-01-5.8 (pre - intra and post procedure)

Assisting physicians with the technical aspects of endoscopic procedures within the endoscopy unit and during on-call or travel cases

Preparing patients scheduled for endoscopic or biopsy procedures

Monitoring the technicians and other support personnel related to safe patient care

Education for patients and families related to pre-and post-procedures and medications - including diet and medication regimens

Communicating with patients by telephone triage - secure messaging - or Annie App (text application)

Participating in conferences and awareness events for GI and Liver cancers

Scheduling appointments for procedures for the providers

Managing the Clinical Case Registry and HCV Dashboard

Tracking and identifying the patient appropriate for treatment of Liver disease

Active in conferences and awareness programs for HCV amongst Veterans

Case Management of patients needing follow-up labs and screening of clinical markers

Assisting with management of the National Colo-rectal Cancer Screening Reminders

Preferred Experience: Minimum of (2) years successful nursing experience

Prior experience caring for patients in Gastroenterology or Intensive Care Units

Demonstrated experience to manage patients using conscious sedation

Demonstrated outcomes in working effectively with the interdisciplinary team in the outpatient setting

Demonstrated ability to function independently - be flexible and project effective communication with Veteran population

Demonstrated leadership activities evident by having a charge nurse role and/or participating in unit or hospital based committees

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 Work Schedule: Monday - Friday - 8:00am - 4:30pm Telework: No Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required

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