Registered Nurse (Primary Care/Specialty Care FLOAT) Kerrville
The Registered Nurse (RN) will perform a wide range of clinical/administrative duties and will utilize nursing skills when assessing and triaging unscheduled patients as walk-ins, over the phone or secure messaging. Assures current, comprehensive, and timely documentation is contained in the patient's medical record and any other pertinent records. Uses the nursing process, evidence-based practice, and effective communication to collaborate with healthcare providers, family/caregiver, internal VHA and community-based services and disciplines involved in providing care to the patient in developing the patient-driven holistic care plan for life. The RN must have the ability to work within an intra-professional team to assist in the nursing care of complex populations. Triages and applies a collaborative team approach in identifying triage patient concerns/symptoms; categorizes acuity (emergent, urgent, semi-urgent, or routine); telephone triage bot emergent and urgent care, video connect car and assists in getting the appropriate treatment and intervention and documents encounter citing approved protocols. Performs a variety of tasks to include but not limited to:
Vital signs, EKGs, immunizations, injections, PICC line management, setting up and assisting with procedures, and other tasks as required by clinic. Promotes patient self-management, prevention, and wellness; while incorporating critical thinking and customer service skills into all aspects of the role. The RN oversees LVNs and C.N.As. May function as charge nurse and preceptor; prepares schedule, makes/adjusts staffing assignments, etc. Participates in committees and performs other duties as assigned. The specialty care clinics include but not limited to:
Orthopedics, Urology, Gastroenterology, Dermatology, Cardiac Arrhythmia, Nephrology, Neurology, Podiatry, Ophthalmology and Occupational Health, in which Patient Aligned Care Team (PACT) principles are utilized. In primary care, the RN serves as patient care coordinator for veterans assigned to PACT. The RN coordinates care and collaborates with other staff/services to facilitate the best clinical outcomes, quality of life, and a seamless transition between facilities and levels of care. The population of patient varies depending on specialty and care required. Work Schedule:
Days 0730-1600/0800-1630 (8 hours) or possible 10 hours 0630-1700/0730-1800 Monday -Friday and Saturday clinics on occasion. Tour of duty may change due to patient care needs and must be flexible to the needs of the clinic. Cross coverage in CLC no longer than 90 consecutive days may occur due to specific identified patient care needs. Relocation expenses will NOT be reimbursed Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/05/2019. 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:
Three years Nursing experience BSN Specialty Clinic and/or PACT Experience Triage/Telephone Triage BLS certification required 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. 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:
Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Straight Pulling (4-6 hours); Pulling hand over hand (4-6 hours); Pushing (4-6 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, legs only (2 hours); Climbing, use of legs and arms; Both legs required; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Hearing (aid permitted); Sitting (8 hours per day); Simple Grasping (2-4 hours per day); Fine Manipulation (4-6 hours, includes keyboarding per day); Twisting (4-6 hours per day); Mental and Emotional Stability.
Estimated Salary: $20 to $28 per hour based on qualifications.
Vital signs, EKGs, immunizations, injections, PICC line management, setting up and assisting with procedures, and other tasks as required by clinic. Promotes patient self-management, prevention, and wellness; while incorporating critical thinking and customer service skills into all aspects of the role. The RN oversees LVNs and C.N.As. May function as charge nurse and preceptor; prepares schedule, makes/adjusts staffing assignments, etc. Participates in committees and performs other duties as assigned. The specialty care clinics include but not limited to:
Orthopedics, Urology, Gastroenterology, Dermatology, Cardiac Arrhythmia, Nephrology, Neurology, Podiatry, Ophthalmology and Occupational Health, in which Patient Aligned Care Team (PACT) principles are utilized. In primary care, the RN serves as patient care coordinator for veterans assigned to PACT. The RN coordinates care and collaborates with other staff/services to facilitate the best clinical outcomes, quality of life, and a seamless transition between facilities and levels of care. The population of patient varies depending on specialty and care required. Work Schedule:
Days 0730-1600/0800-1630 (8 hours) or possible 10 hours 0630-1700/0730-1800 Monday -Friday and Saturday clinics on occasion. Tour of duty may change due to patient care needs and must be flexible to the needs of the clinic. Cross coverage in CLC no longer than 90 consecutive days may occur due to specific identified patient care needs. Relocation expenses will NOT be reimbursed Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/05/2019. 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:
Three years Nursing experience BSN Specialty Clinic and/or PACT Experience Triage/Telephone Triage BLS certification required 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. 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:
Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Straight Pulling (4-6 hours); Pulling hand over hand (4-6 hours); Pushing (4-6 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, legs only (2 hours); Climbing, use of legs and arms; Both legs required; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Hearing (aid permitted); Sitting (8 hours per day); Simple Grasping (2-4 hours per day); Fine Manipulation (4-6 hours, includes keyboarding per day); Twisting (4-6 hours per day); Mental and Emotional Stability.
- Department:
0610 Nurse - Salary Range:
$61,493 to $128,352 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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