AddressSummary The DRRTP RN functions as part of the interdisciplinary team in the residential setting for treatment of Veterans for substance abuse, homelessness, or mental health conditions. Responsibilities Duties include however are not limited to the following: 1. Provides a full range of nursing care to patients with complex care needs utilizing the nursing process based on the ANA Standards of Nursing Practice. 1.1. Demonstrates consistent clinical competence in providing nursing care. 1.1.1. Uses equipment correctly and accurately interprets data. 1.1.2. Recognizes subtle changes in patient's condition and responds timely, choosing the correct interventions. 1.1.3. Demonstrates evidence of critical thinking skills in identifying, analyzing, and resolving patient care problems on the unit. 1.2. Initiates and implements an interdisciplinary plan of care based on assessments. 1.2.1. Performs ongoing assessment of patient condition and response to treatment. 1.2.2. Provides leadership in establishing goals, evaluating the plan of care, and in discharge planning. 1.2.3. Initiates referrals to other disciplines and/or services as appropriate. 1.2.4. Assesses the patient's learning needs, learning preference, and readiness to learn. Modifies teaching approach based on knowledge of human behavior, motivations, and reactions to situations. 2. Accurately documents in the medical record patient findings, assessments, and care provided. 2.1. Documentation is technically informative, complete, accurate, consistent, concise, and timely. 2.2. Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes. 2.3. Revises interdisciplinary plan of care based upon on-going patient assessment and evaluation. 2.4. Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy. 3.Effectively functions as the charge nurse, team leader, or in other leadership role that guides and directs others who provide patient care. 3.1. Delegates assignments and directs activities of other unit staff, (RNs, LPNs, students, PSAs, other team members). 3.2. Delegates patient care responsibilities based upon competencies of staff and patient needs. . 3.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary. 3.4. Provides direction to staff for unit activities in meeting patient care needs. 3.5. Ensures that delegated tasks as assigned are completed by other staff. 3.6. Ensures the physician and/or the nurse manager/ immediate supervisor/coordinator are immediately notified of untoward events involving patients and staff, either by assigned RN or by self. 4.Uses a team approach to identify, analyze, and resolve patient care problems that result in improved patient outcomes. 5. Demonstrates grade-appropriate and consistent critical thinking skills. 5.1. The nurse can recognize the patient has a problem. 5.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice. 5.3. The nurse has a relative sense of urgency. 5.4. The nurse takes the right action for the right reason (del Bueno). 5.5 The nurse responds and intervenes appropriately to emergency situations. 6. Adheres to established policies, standards of care and standards of practice. 7. Practices within "Scope of Practice" based upon state licensure. 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: 12 hour shifts every other weekend. variable tours: days/nights Requirements Conditions of Employment 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. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. 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). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. 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: A pre-employment physical will be required. Education Additional 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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.
