RN-Home Based Primary Care
1. Identifies potential and actual problems involving resources and/or safety. Takes action to avert or manage the situation in a manner which meets the needs of veterans in a safe/therapeutic manner. - Assesses planned visits in relation to staffing allocation in making assignments. - Reviews the number of planned scheduled visits; anticipates unscheduled veteran workload - Ensures clinical reports are available to review and the scheduled; 2. Effectively plans veteran care and resources for maximum productivity, efficiency, and positive veteran outcomes. Effective on follow-up actions. 3. Consults with members of the Interdisciplinary Team as needed. 4. Demonstrates leadership with compliance with infection control practices, such as hand washing and wearing of appropriate personal protective equipment. Demonstrates safe work practices with appropriate body mechanics and use of lifting devices. Promptly reports all accidents to supervisor and notifies supervisor promptly of unsafe or unhealthy environmental situations/conditions. Corrects safety hazards promptly. Removes broken equipment out of service immediately, tags it as such, and follows-through for appropriate disposition of the broken equipment. Discusses safety hazards promptly with members of the HBPC team and Veterans. Recognizes need to consult to community agencies (Adult Protective Services, etc.) for corrective action. Submits a new Prosthetic Consult for broken equipment provided by the VHA; requests the Veteran and/or caregiver take the equipment out of service immediately. 5. Conserves resources effectively by using supplies and equipment in a responsible manner. Ensure employees follow appropriate standard operating procedures related to the equipment, devices, and work practices that impact or have the potential to impact the environment. Complies with relevant environmental regulations, Executive Orders, and Green Environmental Management System (GEMS). Work Schedule:
M-F Normally 7:
30am to 4:
PM, but may vary based upon driving times and patient care needs. Financial Disclosure Report:
Not required 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:
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, pushing, and operation of a motor vehicle. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative invasive procedures. 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. NURSE QUALIFICATION STANDARD a. Basic Requirements(1) Graduation from School of Nursing(a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. NOTE:
See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program. 1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or 2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site. The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded. In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing. (3) Registration a Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. Dimension Requirements for Grades (Dimensions should be addressed in Resume or as a separate submission.):
Nurse Level 1:
PRACTICE:
1. Practice:
Uses the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation). Accurately documents care of clients.2. Ethics:
Safeguards client privacy and confidentiality. Provides care in a non-judgmental, non-discriminatory manner, respecting the values and belief of members of all cultures.3. Resource Utilization:
Provides care in a safe and cost-effective manner.PROFESSIONAL DEVELOPMENT:
1. Performance:
Participates in appraisal of own performance.2. Education/Career Development:
Seeks opportunities to acquire and develop basic skills.COLLABORATION:
1. Collegiality:
Establishes professional relationships with peers. Seeks out colleagues for mutual information exchange.2. Collaboration:
Communicates with clients and other healthcare providers regarding client care.SCIENTIFIC INQUIRY:
1. Quality of Care:
Describes the quality improvement process, roles and responsibilities, and identifies quality improvement activities on the unit.2. Research:
Assists in identifying problem areas in nursing practice. Nurse level 2:
PRACTICE:
1. Practice:
Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving others in improving care.2. Ethics:
Supports and enhances client self-determination. Serves as a resource for clients and staff in addressing ethical issues.3. Resource Utilization:
Identifies and assesses resource utilization and safety issues, taking appropriate action.PROFESSIONAL DEVELOPMENT:
1. Education/Career Development:
Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance.2. Performance:
Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance.COLLABORATION:
1. Collaboration:
Uses group process to identify, analyze, and resolve care problems.2. Collegiality:
Educates colleagues and/or students and serves as a preceptor and/or mentor.SCIENTIFIC INQUIRY1. Quality of Care:
Initiates/participates in quality improvement activities that result in approved outcomes.2. Research:
Uses a body of research to validate and/or change work group practice. Nurse Level 3:
PRACTICE:
1. Practice:
Provides leadership in the application of the nursing process to client care, organizational processes and/or systems, improving outcomes at the program or service level.2. Ethics:
Provides leadership in identifying and addressing ethical issues that impact clients and staff, including initiating and participating in ethics consultations.3. Resource Utilization:
Manages program resources (financial, human, material, or informational) to facilitate safe, effective, and efficient care.PROFESSIONAL DEVELOPMENT:
1. Education/Career Development:
Implements an educational plan to meet changing program or service needs for self and others. Maintains knowledge of current techniques, trends, and professional issues.2. Performance:
Uses professional standards of care and practice to evaluate programs and/or service activities.COLLABORATION:
1. Collaboration:
Uses the group process to identify, analyze, and resolve care problems.2. Collegiality:
Coaches colleagues in team building. Makes sustained contributions to health care by sharing expertise within and/or outside the medical facility. SCIENTIFIC INQUIRY:
1. Quality of Care:
Initiates interdisciplinary projects to improve organizational performance.2. Research:
Collaborates with others in research activities to improve care. NOTE:
In order to be considered for appointment or promotion above Nurse Level 1, outcomes must be documented. Meeting the Practice dimension involves incorporating and implementing the requirements of the other qualification standards, including:
(a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning.(b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making and evaluating outcomes.(c) Functioning as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities.(d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise.(e) Guiding, developing and supporting staff from a leadership perspective.(f) Using professional standards of care, scientific evidence and practice to evaluate programs and/or service activities.
Estimated Salary: $20 to $28 per hour based on qualifications.
M-F Normally 7:
30am to 4:
PM, but may vary based upon driving times and patient care needs. Financial Disclosure Report:
Not required 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:
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, pushing, and operation of a motor vehicle. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative invasive procedures. 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. NURSE QUALIFICATION STANDARD a. Basic Requirements(1) Graduation from School of Nursing(a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. NOTE:
See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program. 1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or 2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site. The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded. In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing. (3) Registration a Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. Dimension Requirements for Grades (Dimensions should be addressed in Resume or as a separate submission.):
Nurse Level 1:
PRACTICE:
1. Practice:
Uses the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation). Accurately documents care of clients.2. Ethics:
Safeguards client privacy and confidentiality. Provides care in a non-judgmental, non-discriminatory manner, respecting the values and belief of members of all cultures.3. Resource Utilization:
Provides care in a safe and cost-effective manner.PROFESSIONAL DEVELOPMENT:
1. Performance:
Participates in appraisal of own performance.2. Education/Career Development:
Seeks opportunities to acquire and develop basic skills.COLLABORATION:
1. Collegiality:
Establishes professional relationships with peers. Seeks out colleagues for mutual information exchange.2. Collaboration:
Communicates with clients and other healthcare providers regarding client care.SCIENTIFIC INQUIRY:
1. Quality of Care:
Describes the quality improvement process, roles and responsibilities, and identifies quality improvement activities on the unit.2. Research:
Assists in identifying problem areas in nursing practice. Nurse level 2:
PRACTICE:
1. Practice:
Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving others in improving care.2. Ethics:
Supports and enhances client self-determination. Serves as a resource for clients and staff in addressing ethical issues.3. Resource Utilization:
Identifies and assesses resource utilization and safety issues, taking appropriate action.PROFESSIONAL DEVELOPMENT:
1. Education/Career Development:
Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance.2. Performance:
Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance.COLLABORATION:
1. Collaboration:
Uses group process to identify, analyze, and resolve care problems.2. Collegiality:
Educates colleagues and/or students and serves as a preceptor and/or mentor.SCIENTIFIC INQUIRY1. Quality of Care:
Initiates/participates in quality improvement activities that result in approved outcomes.2. Research:
Uses a body of research to validate and/or change work group practice. Nurse Level 3:
PRACTICE:
1. Practice:
Provides leadership in the application of the nursing process to client care, organizational processes and/or systems, improving outcomes at the program or service level.2. Ethics:
Provides leadership in identifying and addressing ethical issues that impact clients and staff, including initiating and participating in ethics consultations.3. Resource Utilization:
Manages program resources (financial, human, material, or informational) to facilitate safe, effective, and efficient care.PROFESSIONAL DEVELOPMENT:
1. Education/Career Development:
Implements an educational plan to meet changing program or service needs for self and others. Maintains knowledge of current techniques, trends, and professional issues.2. Performance:
Uses professional standards of care and practice to evaluate programs and/or service activities.COLLABORATION:
1. Collaboration:
Uses the group process to identify, analyze, and resolve care problems.2. Collegiality:
Coaches colleagues in team building. Makes sustained contributions to health care by sharing expertise within and/or outside the medical facility. SCIENTIFIC INQUIRY:
1. Quality of Care:
Initiates interdisciplinary projects to improve organizational performance.2. Research:
Collaborates with others in research activities to improve care. NOTE:
In order to be considered for appointment or promotion above Nurse Level 1, outcomes must be documented. Meeting the Practice dimension involves incorporating and implementing the requirements of the other qualification standards, including:
(a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning.(b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making and evaluating outcomes.(c) Functioning as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities.(d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise.(e) Guiding, developing and supporting staff from a leadership perspective.(f) Using professional standards of care, scientific evidence and practice to evaluate programs and/or service activities.
- Department:
0610 Nurse - Salary Range:
$56,035 to $104,874 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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