Registered Nurse-Specialty Care (Outpatient)

Summary The Registered Nurse delivers fundamental knowledge-based nursing care to Veterans in the Specialty Care Outpatient setting. Responsibilities include assessing - planning - implementing - and evaluating care; coordinating care with the interdisciplinary team; administering medications and treatments; and providing patient education to promote optimal health outcomes.

Qualifications 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 master's level bridge program in nursing who have completed coursework equivalent to a bachelor's 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: https://apply.usastaffing.gov/ViewQuestionnaire/12987453
• Grade/Level Scope Education Nurse I - Level I Delivers 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 II Demonstrates 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 III Demonstrates 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 Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates 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 Master's 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 III Executes 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 Master's 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: 1-2 years Surgical Procedures or Outpatient clinic experience
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019
• This position requires potentially long periods of continued walking - standing - and sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs and repeated bending
• Heavy lifting (45 lbs
• and over)
• Heavy Carrying (45 lbs
• and over)
• Straight Pulling (up to 4 hours)
• Pushing (up to 4 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 8 hours)
• Standing (up to 8 hours)
• Repeated bending (up to 8 hours)
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Specific visual requirement: Read typed Chapters
• Correctable vision :20/40 in one eye
• Ability to distinguish basic colors and shades of colors
• Hearing (aid permitted)
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Emotional and Mental Stability: The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• Must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.

Duties

• The Hampton VA Health Care System is seeking a Registered Nurse (RN) to join the Specialty Care Outpatient Nursing team
• The RN delivers comprehensive - Veteran-centered nursing care in a multidisciplinary outpatient setting while promoting quality - safety - and exceptional patient outcomes
• The Hampton VA Health Care System is a Level 1C teaching facility serving Veterans throughout Eastern Virginia and Northeastern North Carolina
• The health care system includes the Hampton VA Medical Center and community-based outpatient clinics located in Chesapeake - Portsmouth - Virginia Beach - and Elizabeth City - offering comprehensive primary care - specialty care - mental health - inpatient services - spinal cord injury care - community living - hospice - and other healthcare services
• Located in the Hampton Roads region of coastal Virginia - Hampton offers a high quality of life with waterfront living - historic attractions - excellent outdoor recreation - and convenient access to Virginia Beach - Norfolk - Williamsburg - and Richmond
• The area provides diverse cultural experiences - affordable living options - and a strong military and healthcare community - making it an exceptional place to live and work
• Major Duties include - but are not limited to: Assess - plan - implement - coordinate - and evaluate individualized nursing care for Veterans in an outpatient specialty care setting
• Perform patient triage - including assessment of walk-in patients - and collaborate with providers to determine appropriate plans of care
• Coordinate care across the continuum through collaboration with physicians and the interdisciplinary healthcare team
• Provide patient and family education related to disease management - medications - preventive care - and healthy lifestyle practices
• Administer medications - intravenous therapies - hydration - blood products - biologics - and other prescribed treatments in accordance with VA policies and standards of practice
• Assist providers during specialty procedures and perform treatments within scope of practice
• Conduct nurse visits - monitor patient progress - and accurately document care in the electronic health record
• Participate in daily huddles - schedule management - clinic readiness activities - accreditation preparation - and Environment of Care initiatives
• Promote evidence-based practice - patient safety - infection prevention - and continuous quality improvement
• Maintain effective communication with Veterans - families - providers - and members of the interdisciplinary team to ensure coordinated - patient-centered care
• Demonstrate professionalism - accountability - and adherence to VA nursing standards while providing exceptional customer service
• Perform other related duties as assigned
• 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: Monday-Friday - 07:30-1600 Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Permanent Change of Station (PCS): PCS Appraised Value Offer (AVO):