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Registered Nurse - Patient Aligned Care Team (PACT)
Veterans Affairs, Veterans Health Administration
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Registered Nurse - Patient Aligned Care Team (PACT)
Veterans Affairs, Veterans Health Administration
| Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on age-specific components. 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. 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 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 experience required. Nurse I Level II - An ADN or Diploma in Nursing and 1 year of specialized nursing experience equivalent to aa Nurse 1, Level 1; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing experience. Nurse I Level III - An ADN or Diploma in Nursing and 2 yeas of professional nursing practice, one of which is a year of specialized nursing experience equivalent to Nurse 1, Level 2; OR a BSN with 1 year of professional nursing experience equivalent to Nurse 1, Level 2; OR a Master's degree in nursing (MSN) and no professional nursing experience; OR a Master's degree in a related filed with a Bachelors degree in nursing with no professional nursing experience. Nurse II - A BSN with 2 years of professional nursing experience, one of which is a year of specialized nursing experience equivalent to Nurse 1, Level 3; OR a Master's degree in nursing with 1 year of nursing experience equivalent to a Nurse 1, Level 3; OR a Master's degree in a related field with a BSN and 1 year of specialized nursing experience equivalent to Nurse 1, Level 3. OR Doctorate degree in nursing and no professional nursing experience OR a Doctorate degree in a related field with a MSN or BSN and no professional experience. Nurse III - Master's degree in nursing and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Master's degree in a related field with a BSN 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 Doctorate degree in Nursing and 1 year of specialized care which is equivalent to a Nurse II and meets all dimension requirements for Nurse III; OR Doctorate degree in a related field with a MSN or BSN and 1 Year of specialized nursing experience equivalent to a Nurse II and meets all dimension requirements for Nurse III. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Preferred Experience: Women's Health, Primary Care, and has Core Elements of performance that include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. ["The Registered Nurse - Patient Aligned Care Team (PACT) Demonstrates: Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care. Provides gender-specific direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department. Manages assigned panel(s), utilizes registries, and ensures appropriate evaluation and access is provided to patient panels. Provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management. Focus is on individual growth and development in outpatient PACT nursing practice with increased levels of self-direction. Ability to formulate a plan of care based on nursing assessments. Seeks guidance on how to improve care provided to patients and families. Delegates elements of care to the appropriate individual based upon assessed needs, condition, and safety of the patient. Brings primary care principles and theory with limited application of critical thinking skills. All consistent with the nurse's obligation to provide optimal care to multiple areas of outpatient PACT and Specialty Care nursing. Works with close supervision, is responsible and accountable for individual nursing practice and seeks direction from others as needed. Manages workload as assigned, organizes, and completes own assignments in an efficient and appropriate manner. Participates in the development, implementation, and evaluation of interdisciplinary care. Establishes a therapeutic relationship, allowing the patient to attain, maintain or regain optimal function through assessment and treatment. Engages patients, families, and other caregivers to incorporate knowledge, values, and beliefs into care planning without judgement or discrimination. Knowledgeable of ethical issues related to professional nursing practice and follows established policies of the practice setting, VA, and ANA Code of Ethics for Nurses. Aware of high reliability principles to deliver consistent care and improve patient outcomes. Demonstrates positive, effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers. Participates in unit-based activities to improve and deliver cost effective patient care. Demonstrates knowledge of specific unit level performance improvement activities. Meets the needs of the Veteran and as appropriate the Veteran's family, caregiver and/or significant other, the Veteran's representative, visitors to VA facilities, all VA staff and other customers while supporting VA missions. Consistently communicates and treats the Veteran and as appropriate the Veteran's family, caregiver and/or significant other, the Veteran representatives, visitors to VA facilities, all VA staff, and other customers in a courteous, tactful, and respectful manner. Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy, and VHA policy. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. 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 7:30am - 4:00pm"]
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Internal Number: 820924000
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
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