Registered Nurse (Inpatient/Med Surge)

Summary

The Inpatient Staff Registered Nurse is responsible for providing competent - evidence-based care to patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization - integrating knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex situations.

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:
• 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
• The full performance level of this vacancy is Nurse III
• The actual grade at which an applicant may be selected for this vacancy is in the range of Nurse I to Nurse III
• Reference: For more information on this qualification standard - please visit
• 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 - and pushing
• Transferring patients and objects may be required
• Mechanical inpatient lifts are provided
• The Registered Nurse may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• The Registered Nurse may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The Registered Nurse must be a 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 or testing - as a condition of employment.

Duties

• The Fayetteville VA Medical Center (VAMC) is located at 2300 Ramsey Street - Fayetteville - NC within 10 miles of Fort Liberty and Pope Army Air Base
• In addition - Camp Lejeune Marine Base and Seymour Johnson Air Force Base lie in the facility's catchment area
• The Fayetteville VAMC is a general medicine - surgery - and mental health facility
• It is a Complexity Level 1C Medical Center authorized 58 general medical - surgical - and mental health beds
• The medical center also maintains a 69-bed long-term care Community Living Center (CLC) to care for Veteran residents
• Fayetteville VAMC serves Veterans in 19 counties in Southeastern North Carolina and 2 counties in Northeastern South Carolina serving 69 -200+ patients
• We are also the largest catchment area in the VISN 6 Mid-Atlantic Healthcare Network
• The Medical Surgical Telemetry Registered Nurse is directly responsible to the Inpatient Nurse Manager for the Inpatient Acute Unit
• He/she is responsible and accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse veteran patient population
• He/she possesses basic knowledge and skills to apply all aspects of the nursing process within a collaborative - interdisciplinary practice setting - which will then enable effective implementation of health promotion and prevention practices - management of acute and chronic illnesses - and attainment of optimal levels of functioning and/or support of the dying patient and significant others
• Core Competencies/skills include: - Excellent observation and assessment skills - Skill in recording symptoms - reactions - and progress - Skill in administering medical treatments and examinations - Knowledge of convalescence and rehabilitation requirements for patients - Skill in developing - planning - implementing - evaluating - documenting - and managing nursing care - Patient and family education skills - Ability to help individuals and groups take steps to improve or maintain their health - Administer medications and other treatments that are appropriate to the patient situation and based upon provider order - Demonstrate competence with utilization of electronic documentation systems to ensure safe patient care to include CPRS - VISTA - and BCMA - Respond proactively to changes in patient condition to prevent or minimize adverse patient outcomes - Document assessment findings based on facility policy and in a timely manner Reconcile medications and treatments across transitions of care - Documentation and acknowledgment of all new provider orders throughout the tour of duty
• - Perform a physical assessment using age-appropriate - system-specific - evidence-based tools and techniques based on facility policy for timeliness and provider orders for exceptions
• - Advocate for patient - Document patient's response to interventions and changes to the plan of care - Maintain appropriate physical and emotional boundaries - Monitor cardiac rhythm throughout tour of duty and notify provider of any significant changes in rhythm - Identify barriers to effective communication and make appropriate adaptations - Document appropriate aspects of nurse-patient interactions - Maintain current license and up-to-date BLS/ACLS certification - Utilize technologies to enhance nursing practice - Participate in shared governance - unit based council and play key role in quality improvement activities - Seeks opportunities to advance professionally in nursing practice - Serves as a clinical content expert for the design and enhancement of competencies - policies - and processes that affect nursing care at the unit level - Maintain current and up-to-date with mandatory competency requirements to include VA Talent Management System (TMS) training - Identify malfunctioning equipment or devices at the unit level and place work orders for timely repair - Appropriately identify patient safety events and document in Joint Patient Safety Record Function as Charge Nurse - Direct and supervise less skilled nursing/health care personnel in the role of a shift Charge Nurse 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: 7:45am-8:15pm (rotating weekends) Compressed/Flexible: 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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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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