Nurse Specialty Care

Duties:

Delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses plans implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education self management and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. The Hampton VA Health Care System Center is a 1-C teaching facility serving Eastern Virginia and Northeastern North Carolina. The main campus is in Hampton Virginia with 4 community-based outpatient clinics in Chesapeake Portsmouth and Virginia Beach Virginia and Elizabeth City North Carolina. There is one new Health Care Center in Chesapeake VA. Hampton VAMC provides comprehensive health care which includes Primary Care Acute Inpatient Acute Psychiatric Chronic Spinal Cord Injury a 169-bed Domiciliary and long-term Community Living Center/Hospice Care Unit.

Contributes to Accreditation Readiness including Quick Sweeps Environment of Care (EOC) rounds and clinic daily logs. Leads and/or participates in daily huddles. Initiates and follows through with patient schedule scrubbing days in advance. Triages walk-in patients and collaborate with providers to determine a plan of care. Conducts nurse visits and provide patient education. Rooms patients performs treatments administers medications performs other patient care duties. Prevention and Management of Disruptive Behavior (PMDB) The Outpatient RN is fully competent in the application of Prevention and Management of Disruptive Behavior (PMDB) to Level 3. They are directly responsible to the Nurse Manager Chief Nurse of Ambulatory Care and Associate Director of Patient Care Services. Outpatient nurses provide service to outpatient care settings and specialize in the whole health of the Veteran. The Outpatient RN demonstrates technical and operational knowledge and can apply PMDB skills in the outpatient setting. Supervisory Controls: The incumbent is responsible to the assigned rating and approving supervisors and is accountable to the Associate Director of Patient Care Services (ADPCS).

VETERAN/PATIENT DRIVEN CARE: Knowledge of Veteran/patient driven care patient experience satisfaction and safety.
Expectations:
1. Establishes a therapeutic relationship allowing the patient to attain maintain or regain optimal function through assessment and treatment.
2. Engages patients families and other caregivers to incorporate knowledge values and beliefs into care planning without judgement or discrimination.
3. Knowledgeable of ethical issues related to professional nursing practice and follows established policies of the practice setting VA and ANA Code of Ethics for Nurses.
4. Aware of high reliability principles to deliver consistent care and improve patient outcomes.

LEADERSHIP: Communicates collaborates and utilizes leadership principles to perform as an effective member of the interprofessional team. Expectations:
1. Demonstrates positive effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers.

PROFESSIONAL DEVELOPMENT: Incorporates educational resources/opportunities and self evaluation for professional growth.
Expectations:
1. Participates in unit based educational activities and continuing education requirements.
2. Responsible for maintaining competency to continue personal and professional growth.

EVIDENCE-BASED PRACTICE/RESEARCH: Awareness of evidence-based practice/research to improve quality of care and resource utilization. Expectations:
1. Applies evidence-based practice/research to patient care.
2. Participates in unit-based activities to improve and deliver cost effective patient care.
3. Demonstrates knowledge of specific unit level performance improvement activities.
4. Incorporates patient preferences into shared care delivery decisions.

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: 0730-1630. Tour may vary for needs of the service.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the Required Documents section of this announcement.

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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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.)