Registered Nurse (CLC)
Major duties include but not limited to the following:
Responsible for administering, monitoring, documenting and evaluating therapeutic interventions and regiments specific to long term and hospice/palliative care residents. Anticipates and implements preventative patient care measures, ensuring that appropriate plan of care is implemented according to the standards of regulatory agencies such as JCAHO, OSHA and the appropriate professional nursing organization. Provides guidance and education to patients and caregivers and collaborates with other professionals at all levels, including but not limited to :
Social Workers, Pharmacists, Radiology Staff, Laboratory Staff and the other Nurses and Physicians on the various clinical treatment teams. Collaborates with Community Living Center (CLC) interdisciplinary team to promote resident-centered care and provide a home like environment for long term care and hospice/palliative care residents. Identifies physiological, psychological, social and environmental variable affecting the functional status of the older adult and hospice/palliative care patient. Identifies current coping mechanisms and support systems and their effectiveness. Anticipates possible discharge needs and assists patient/significant others and multidisciplinary team in achieving goals for discharge. Documents on approved VA forms/computer programs. Determines nursing diagnoses based on analysis of assessment data. Plans and directs nursing care of long term and hospice/palliative care patients admitted to the Community Living Center. Plans interventions which promote health, self-determination and dignity at the end of life. Develops teaching plans based on assessment of individual needs. Provides individualized instruction or directs staff in teaching specific content/skill to adult geriatric and hospice patients/significant others. Participates with inter-disciplinary team and families and refers to social work potential ethical dilemmas that arise in the care of the individual with complex problems associates with age and end of life cycles. Responsible for attending in-services and continuing education activities and continued progression in knowledge and skills in long term care and palliative care. Work Schedule:
Full-time to include rotating weekends (Tour of duty subject to change based on agency needs) Financial Disclosure Report:
Not required Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR 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. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Bachelor of Science in Nursing (BSN) or (MSN) with a minimum of 3 years professional nursing experience with Community Living Center and/or Nursing Education emphasis. Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. NOTE:
Nurse III must demonstrate performance and leadership that is broad enough to improve the care for a group of patients. The Nurse III is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level. In order to be considered for appointment to Nurse III, 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. 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:
Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 4 hours); Standing (up to 4 hours); Repeated bending (up to 2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16; Hearing (aid permitted).
Estimated Salary: $20 to $28 per hour based on qualifications.
Responsible for administering, monitoring, documenting and evaluating therapeutic interventions and regiments specific to long term and hospice/palliative care residents. Anticipates and implements preventative patient care measures, ensuring that appropriate plan of care is implemented according to the standards of regulatory agencies such as JCAHO, OSHA and the appropriate professional nursing organization. Provides guidance and education to patients and caregivers and collaborates with other professionals at all levels, including but not limited to :
Social Workers, Pharmacists, Radiology Staff, Laboratory Staff and the other Nurses and Physicians on the various clinical treatment teams. Collaborates with Community Living Center (CLC) interdisciplinary team to promote resident-centered care and provide a home like environment for long term care and hospice/palliative care residents. Identifies physiological, psychological, social and environmental variable affecting the functional status of the older adult and hospice/palliative care patient. Identifies current coping mechanisms and support systems and their effectiveness. Anticipates possible discharge needs and assists patient/significant others and multidisciplinary team in achieving goals for discharge. Documents on approved VA forms/computer programs. Determines nursing diagnoses based on analysis of assessment data. Plans and directs nursing care of long term and hospice/palliative care patients admitted to the Community Living Center. Plans interventions which promote health, self-determination and dignity at the end of life. Develops teaching plans based on assessment of individual needs. Provides individualized instruction or directs staff in teaching specific content/skill to adult geriatric and hospice patients/significant others. Participates with inter-disciplinary team and families and refers to social work potential ethical dilemmas that arise in the care of the individual with complex problems associates with age and end of life cycles. Responsible for attending in-services and continuing education activities and continued progression in knowledge and skills in long term care and palliative care. Work Schedule:
Full-time to include rotating weekends (Tour of duty subject to change based on agency needs) Financial Disclosure Report:
Not required Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR 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. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Bachelor of Science in Nursing (BSN) or (MSN) with a minimum of 3 years professional nursing experience with Community Living Center and/or Nursing Education emphasis. Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. NOTE:
Nurse III must demonstrate performance and leadership that is broad enough to improve the care for a group of patients. The Nurse III is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level. In order to be considered for appointment to Nurse III, 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. 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:
Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 4 hours); Standing (up to 4 hours); Repeated bending (up to 2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16; Hearing (aid permitted).
- Department:
0610 Nurse - Salary Range:
$56,430 to $119,084 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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