Registered Nurse

Duties include:

• Provides comprehensive patient-centered nursing care in an outpatient specialty care setting using the nursing process of assessment planning implementation and evaluation.
• Assesses patient needs and develops individualized plans of care based on the patients condition age-specific needs safety considerations and established goals of care.
• Coordinates care across the continuum and provides patient and family education related to medications procedures disease prevention chronic disease management wellness and self-management.
• Administers medications and performs treatments and therapeutic interventions in accordance with established policies procedures and clinical guidelines.
• Assists providers with specialty clinic procedures and provides pre- and post-procedure education and care.
• Monitors patient condition and safety before during and after procedures and appropriately documents assessments interventions and patient responses.
• Performs clinical procedures including venipuncture intravenous (IV) therapy electrocardiograms (EKGs) nebulizer treatments Holter monitoring and other diagnostic testing as assigned.
• Initiates appropriate emergency interventions including use of an automated external defibrillator (AED) and emergency airway management when clinically indicated.
• Reviews patient records before and after clinic visits or procedures to identify potential concerns follow-up needs and continuity-of-care requirements.
• Collaborates with physicians advanced practice providers nursing staff and other members of the interdisciplinary team to coordinate safe and effective patient care.
• Facilitates efficient patient flow throughout specialty clinics and assists with coordinating appointments procedures and clinical activities.
• Functions as a charge nurse when assigned coordinating patient care activities communicating with providers and staff and assisting with appropriate staff assignments and workload distribution.
• Ensures accurate documentation proper specimen identification and labeling and adherence to patient safety and infection control standards.
• Safeguards confidential patient and employee information and complies with applicable privacy information security and electronic health record requirements.
• Utilizes clinical software electronic health records and applicable databases to document and coordinate patient care.
• Uses maintains and when applicable reprocesses reusable medical equipment in accordance with manufacturer instructions standard operating procedures and established competency requirements.
• Promotes positive communication teamwork and professional collaboration with patients families caregivers staff and other internal and external customers.
• Incorporates evidence-based practices patient preferences and established standards of nursing practice into the delivery of care.
• Participates in continuing education competency validation performance improvement activities and unit-based initiatives to support quality patient care.
• Maintains required certifications and competencies including BLS and other facility-required clinical training.
• Performs additional duties and assignments as required to support the needs of the clinic and patient population.

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: 7:30am-4:00pm Monday-Friday
Virtual: This is not a virtual position.
Recruitment/relocation Incentives: Not authorized
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 evaluation
• 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.
• A drug test is required for the position
• The position is subject to random drug testing.

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.)

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: I Level IDelivers 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 IIDemonstrates 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 IIIDemonstrates 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 Masters degree in nursing (MSN) and no additional professional nursing experience; OR a Masters degree in a *related field with a BSN and no additional professional nursing experience.Nurse IIDemonstrates 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 Masters 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 IIIExecutes 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 Masters 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.

Preferred Experience:

• 2-3 years of adult acute care/med-surg experience
• Outpatient clinic experience
• Recent adult clinical experience within the last 2-3 years
• Specialty certifications
• ACLS

Reference: For more information on this qualification standard please visit Requirements: This position may include a level of physicality normally associated with duties performed by nurses such as direct patient care and potentially long periods of walking standing sitting moderate lifting repeated bending or kneeling. Examples may include but are not limited to:

• Significant amounts of time standing assisting assigned patients
• Utilization of safe patient handling and mobility protocols

Position specific duties/expectations are detailed in the associated competency and should be performed once the competency has been validated. This position potentially requires flexibility in schedule and assignments.