Summary

Demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences outcomes by collaborating with members of the interdisciplinary team.

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/12932821
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position requires potentially long periods of continued walking - standing - and sitting
• The nurse may be exposed to infected patients and contaminated materials and may be required to don protective clothing
• The nurse may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The nurse 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
• In the performance of duties - the nurse may be required to drive and/or ride in GSA-vehicles.

Duties

• Provide competent - evidence-based care to patients with oversight of nursing assistants as appropriate to the setting
• Assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization
• Practice includes directing other providers
• Integrates knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex situations
• Partners with the patient - family - and interdisciplinary team to promote effective and safe transitions for stroke and rehabilitation patients across the health care continuum
• Is responsible for the Bay Pines VA Healthcare System Stroke Program as well as Bay Pines VA Healthcare System Acute Rehabilitation Program
• Serves as a liaison between the Physical Medicine and Rehabilitation Service (PM&RS) management - accreditation team - and nursing staff to facilitate communication and ensure compliance with the Commission on Accreditation of Rehabilitation Facilities (CARF) standards for providing care coordination services to acute rehab patients
• Coordinates the hospital's performance plan for the Stroke Program and Acute Rehab Program
• Acts as a resource person and consultant for the education of staff and serves as the primary chair-member of the medical center stroke subcommittee
• Supports activities at the unit level - trends and tracks important processes and activities in patient care and organizational functions for stroke and rehab patients
• Conducts care coordination functions such as patient education - as well as compliance with regulatory bodies and national guidelines for stroke management
• Follows acute stroke and rehab patients to formulate a plan of care based on nursing assessments
• Delegates elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patient
• Provides the customer with consistent information according to established policies and procedures
• Responsible for participating within unit based and/or organizational level Shared Governance councils - utilizing clinical expertise - evidence-based practice - and knowledge to assist with finding solutions to problems or issues to improve the quality care provided to our Veterans
• 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 - 4PM - Monday - Friday Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: May be authorized for a highly qualified candidate Preferred Experience: The Stroke/Acute Rehabilitation Nurse follows acute stroke and rehab patients to formulate & evaluate a plan of care
• The candidate has 3 of more years neuro and/or rehab experience
• BSN preferred
• National Certified rehabilitation nurse (CRN) or Stroke Certified Nurse (SCN) preferred
• BLS required - ACLS preferred.