Registered Nurse (Part Time)
Duties include however are not limited to the following:
The RN Care Manager is a registered professional nurse who is accountable for the provision of client care at the Off-Site Clinics for the Bath VAMC. The Care Manager is directly responsible to the Nurse Manager of their specific service. The work locations are the CBOCs, and Rural Health Clinics. The RN Care Manager uses the nursing process and evidence-based practice to collaborate with the Team let (Patient, Primary Care Provider, RN _Care Manager and Clinical Support Technician) and larger Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient-driven holistic care plan for life. The RN Care Manager is responsible for collaborating with services internal and external to the VA to facilitate care transition in order to effectively meet the patients' needs. The RN Care Manager provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The RN Care Manager demonstrates leadership by serving as an advocate for patients, team player to colleagues as she/he continues to enhance his/her own and the team's professional growth, development and practice. Meets all mandatory requirements for assigned area and will perform activities that reflect the educational, experiential, and competency requirements outlined in the 4 Dimensions and the criteria identified under each Dimension. The RN performs, reports, and records assigned nursing care in the Primary Care Clinic/CBOC/Rural Health/Telehealth as described below and any other duties assigned by management. a. Triages walk-ins appropriately b. Uses appropriate telephone etiquette for both internal and external customers c. Uses telephone assessment skills to identify actual and/or potential health, safety, and educational needs of the patient d. Appropriately uses triage decision support based from the Telephone Triage Protocols for Nurses by Briggs to systematically assess and address caller needs e. Appropriately prioritizes the urgency of caller needs utilizing critical thinking skills and decision support tools f. Develops a collaborative plan of care with caller, their support systems, and their provider g. Completes documentation for clinical calls/TRM's within 24 hours of call h. Enters as ordered, locates as needed, and obtains results of x-rays, tests, procedures, and labs i. Engages and documents patient education j. Incorporates knowledge of ethical/legal issues and professional nursing standards necessary for providing patient care and information k. Knowledge of and implementation of PACT principles l. Completes hospital discharge follow-up calls within two business days and UCC/ER visit calls m. Documents hospital discharge and post discharge UCC/ER calls in CPRS n. Utilizes secure message as a means of communication with patients and documents pertinent health information in CPRS. Responds to secure messages within 3 business days o. Facilitates and acts as provider in RN clinic including providing knowledge/information to patient/family to promote self care of acute/chronic disease management p. Applies clinical knowledge of primary health care in prevention and wellness, health risk assessment, disease management, and self care q. Adheres to proper infection control procedures regarding equipment, cleaning, and storage r. Understands responsibility for the safe processing of reusable medical equipment s. Monitors exam rooms and clinic frequently for cleanliness and patient presence t. Follows policies for insuring the correct patient is receiving the correct treatment by using two patient identifiers u. Performs procedures as direction, i.e. EKG, Doppler, l&O catheterization, venipuncture, PPD application, nebulizer treatments, dressing changes, vital signs and weights, etc. v. Administers medications as ordered and documents appropriately w. Documents clinical reminders x. Adheres to the Missed Opportunities Policy for cancellation of provider/Med RN appointments y. Follows policies/procedures developed by their service, facility, and VISN z. Facilitates flow of patients through clinic as team facilitator by assigning tasks/roles to RN,s LPN's, Health Technicians, and MSA's Work Schedule:
Two days weekly 8:
00-4:
30. Days will be discussed at interview. Financial Disclosure Report:
Not required Basic Requirements (1) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (2) Graduation from School of Nursing (a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. NOTE:
See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program. 1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or 2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site. (b) 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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded. (c) In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing. NOTE:
Most individuals admitted as permanent residents or adjusting to permanent resident status as registered nurses on or after December 14, 1998, for the purpose of working as a registered nurse, must meet the certification requirements in Section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act (Pub. L. 104-208, September 30, 1996). This certification involves a review of the alien's education, training, license(s), and experience, verification that the alien possess an acceptable level of competence in written and oral English, and a requirement that the individual has passed either the Commission on Graduates of Foreign Nursing Schools (CGFNS) Qualifying Examination or the National Council of State Boards of Nursing, Inc. examination, the NCLEX-RN. For additional information see Pub. L. 104-208, 63 Federal Register 55007-55012, dated October 14, 1998, and the CGFNS web site. (3) Registration (a) Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. (b) Impaired Registration. An impaired registration is any registration(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status. A registered nurse who has or ever had any such impairment to their registration as listed above may be appointed only in accordance with the provisions of chapter 3, section B, paragraph 15 of this part. (4) Physical Standards. See VA Directive and Handbook 5019. A pre-employment physical examination is required. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical patient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. 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. (5) English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Estimated Salary: $20 to $28 per hour based on qualifications.
The RN Care Manager is a registered professional nurse who is accountable for the provision of client care at the Off-Site Clinics for the Bath VAMC. The Care Manager is directly responsible to the Nurse Manager of their specific service. The work locations are the CBOCs, and Rural Health Clinics. The RN Care Manager uses the nursing process and evidence-based practice to collaborate with the Team let (Patient, Primary Care Provider, RN _Care Manager and Clinical Support Technician) and larger Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient-driven holistic care plan for life. The RN Care Manager is responsible for collaborating with services internal and external to the VA to facilitate care transition in order to effectively meet the patients' needs. The RN Care Manager provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The RN Care Manager demonstrates leadership by serving as an advocate for patients, team player to colleagues as she/he continues to enhance his/her own and the team's professional growth, development and practice. Meets all mandatory requirements for assigned area and will perform activities that reflect the educational, experiential, and competency requirements outlined in the 4 Dimensions and the criteria identified under each Dimension. The RN performs, reports, and records assigned nursing care in the Primary Care Clinic/CBOC/Rural Health/Telehealth as described below and any other duties assigned by management. a. Triages walk-ins appropriately b. Uses appropriate telephone etiquette for both internal and external customers c. Uses telephone assessment skills to identify actual and/or potential health, safety, and educational needs of the patient d. Appropriately uses triage decision support based from the Telephone Triage Protocols for Nurses by Briggs to systematically assess and address caller needs e. Appropriately prioritizes the urgency of caller needs utilizing critical thinking skills and decision support tools f. Develops a collaborative plan of care with caller, their support systems, and their provider g. Completes documentation for clinical calls/TRM's within 24 hours of call h. Enters as ordered, locates as needed, and obtains results of x-rays, tests, procedures, and labs i. Engages and documents patient education j. Incorporates knowledge of ethical/legal issues and professional nursing standards necessary for providing patient care and information k. Knowledge of and implementation of PACT principles l. Completes hospital discharge follow-up calls within two business days and UCC/ER visit calls m. Documents hospital discharge and post discharge UCC/ER calls in CPRS n. Utilizes secure message as a means of communication with patients and documents pertinent health information in CPRS. Responds to secure messages within 3 business days o. Facilitates and acts as provider in RN clinic including providing knowledge/information to patient/family to promote self care of acute/chronic disease management p. Applies clinical knowledge of primary health care in prevention and wellness, health risk assessment, disease management, and self care q. Adheres to proper infection control procedures regarding equipment, cleaning, and storage r. Understands responsibility for the safe processing of reusable medical equipment s. Monitors exam rooms and clinic frequently for cleanliness and patient presence t. Follows policies for insuring the correct patient is receiving the correct treatment by using two patient identifiers u. Performs procedures as direction, i.e. EKG, Doppler, l&O catheterization, venipuncture, PPD application, nebulizer treatments, dressing changes, vital signs and weights, etc. v. Administers medications as ordered and documents appropriately w. Documents clinical reminders x. Adheres to the Missed Opportunities Policy for cancellation of provider/Med RN appointments y. Follows policies/procedures developed by their service, facility, and VISN z. Facilitates flow of patients through clinic as team facilitator by assigning tasks/roles to RN,s LPN's, Health Technicians, and MSA's Work Schedule:
Two days weekly 8:
00-4:
30. Days will be discussed at interview. Financial Disclosure Report:
Not required Basic Requirements (1) Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) (2) Graduation from School of Nursing (a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. NOTE:
See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program. 1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or 2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site. (b) 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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded. (c) In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing. NOTE:
Most individuals admitted as permanent residents or adjusting to permanent resident status as registered nurses on or after December 14, 1998, for the purpose of working as a registered nurse, must meet the certification requirements in Section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act (Pub. L. 104-208, September 30, 1996). This certification involves a review of the alien's education, training, license(s), and experience, verification that the alien possess an acceptable level of competence in written and oral English, and a requirement that the individual has passed either the Commission on Graduates of Foreign Nursing Schools (CGFNS) Qualifying Examination or the National Council of State Boards of Nursing, Inc. examination, the NCLEX-RN. For additional information see Pub. L. 104-208, 63 Federal Register 55007-55012, dated October 14, 1998, and the CGFNS web site. (3) Registration (a) Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. (b) Impaired Registration. An impaired registration is any registration(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status. A registered nurse who has or ever had any such impairment to their registration as listed above may be appointed only in accordance with the provisions of chapter 3, section B, paragraph 15 of this part. (4) Physical Standards. See VA Directive and Handbook 5019. A pre-employment physical examination is required. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical patient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. 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. (5) English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
- Department:
0610 Nurse - Salary Range:
$55,890 to $98,032 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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