Registered Nurse (Inpatient)
San Antonio, TX - USA
Job Summary
The Inpatient Staff Registered Nurse provides safe evidence-based patient-centered care across the continuum. The nurse assesses plans implements and evaluates care; administers medications and treatments; coordinates with the interdisciplinary team; educates patients and families; promotes safety and quality improvement; and at higher grades leads staff practice improvement and broader clinical outcomes.
This position is located in Unit 2W.
Nurse I Level 1
- Provides fundamental inpatient nursing care with close supervision using the nursing process.
- Assesses patient needs administers medications and treatments and evaluates responses to care.
- Establishes therapeutic relationships and involves patients families and caregivers in care planning and education.
- Participates in interdisciplinary care planning and coordinates care across the continuum.
- Applies evidence-based practice safety principles and appropriate delegation to support patient outcomes.
- Provides competent evidence-based inpatient nursing care with general supervision.
- Plans implements and evaluates technically competent care for assigned patients.
- Coordinates patient education self-management and transitions across the healthcare continuum.
- Directs and delegates appropriate care while ensuring assigned tasks are completed safely and timely.
- Participates in interdisciplinary care professional development and unit-level performance improvement.
- Independently provides self-directed evidence-based nursing care for patients with complex needs.
- Prioritizes and manages patient care while evaluating outcomes and adjusting plans as needed.
- Functions as an emerging leader or charge nurse by directing staff and coordinating care.
- Collaborates with the interdisciplinary team to achieve patient-centered plans of care and improve safety.
- Educates colleagues and students mentors staff and supports evidence-based performance improvement.
- Leads evidence-based nursing care for patients with complex needs within the immediate practice setting.
- Applies clinical judgment to lead care planning decision-making interventions and outcome evaluation.
- Improves patient care by addressing safety coordination timeliness process and patient experience concerns.
- Leads interdisciplinary teams mentoring precepting education and professional development activities.
- Leads evidence-based practice performance improvement and effective resource utilization with demonstrated outcomes.
- Leads and organizes evidence-based nursing care for complex patients and populations beyond the immediate practice setting.
- Applies advanced clinical judgment to improve care planning decision-making and outcomes across programs or services.
- Leads initiatives addressing patient safety experience coordination timeliness and care concerns.
- Leads interdisciplinary teams mentoring education and development of current and future clinical leaders.
- Leads evidence-based practice performance improvement policy development and resource management with outcomes beyond the immediate practice setting.
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: Includes Days/Nights/Weekends/Holidays
Telework: Not Available
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.
- Pre-Employment/Post-Employment Physical Examination: May be required depending on the needs of the organization.
- 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.)
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: I Level I
Reference: For more information on this qualification standard please visit Requirements: The work is sedentary. Some work may require movement between offices hospitals warehouses and similar areas for meetings and to conduct work. Work may also require walking/standing in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds.
Preferred Experience:
- Bachelor Prepared Nurse.
- 1-2 Years Recent Med/Surg Experience.
The Associate Degree Nursing (ADN) Bachelor of Science degree in Nursing (BSN) or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE).
- Verification of accreditation may be obtained from or your school has changed names or is no longer in existence you must provide this information in your application.
If your school was accredited by ACEN or CCNE at the time of graduation but is no longer listed on the websites you must provide documentation of accreditation with your application packet.
If you are using foreign education to meet qualification requirements you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information visit: Only education or degrees recognized by the U.S. Department of Education from accredited colleges universities schools or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information visit: information
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38 and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required Experience:
IC