Department of Veterans Affairs
The Incumbent is responsible for providing competent, evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting. The individual will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation.
- Major Duties: Assumes responsibility and accountability for all elements of the nursing process and evidence-based practice when providing and/or supervising direct patient care. Assess, plans, implements, and evaluates care based on age and life stages, state of health, race and culture, values, and previous experiences. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self management after discharge, and supporting factors that impact customer satisfaction. Performs customary nursing care for clinically complex patient populations. Triages patients, administers medications, monitors intravenous (IV) fluid therapy, interprets cardiac rhythms, documents all care provided in the Electronic Healthcare Record (EHR) and carries out other procedures per established policies and guidelines. Performs outpatient IV infusion therapy. Performs point of care (POC) testing at bedside. Influences patient outcomes by collaborating with members of the interdisciplinary team and reporting significant clinical findings in a timely manner. Participates in discharge rounding and provide clinically relevant information to the interdisciplinary team. Performs discharge instruction to include disease specific information, diet, physical activity, effects of medications, and future appointments/referrals. Assesses the Veterans' ability to learn and evaluates understanding of all education provided during Urgent Care visit and at discharge. Maintains certification in Prevention and Management of Disruptive Behavior(PMDB) Part 1 and Part 2, Moderate/High Risk Workplace. Maintains knowledge of and active participation in unit/program level quality improvement processes and initiatives, as well as customer service programs. Functions as a systems coordinator; monitors progress and intervenes as necessary to ensure that patient outcomes are achieved within anticipated timeframes. Monitors progress along clinical pathways, analyzes variations and initiates appropriate actions. Is a role model in the provision of excellent customer service. Completes and documents Nursing Notes in EHR, as applicable, in a timely manner and closes the Encounter Notes for patients not seen by a provider. Notes will be closed by the end of tour of duty daily. Areas to be addressed include Encounters: reasons for visit-Service Connection; Primary Assignment-Service connected conditions under the diagnosis tab; Procedures, etc. Assists in gathering records from community providers and health care facilities and relays that information to appropriate staff. Completes the Blood Glucose meter quality check daily, or PRN and enters the correct patient information for testing. Answers telephone in a courteous and assistive manner, obtains necessary information, communicates messages and/or refers to the appropriate team member for disposition. Demonstrates and educates staff on providing excellent customer service. Cultivates an environment of professionalism, excellence and conflict resolution at the clinic and team level. Completes clinic unit rounds daily and as needed to address specific issues. Reports to ACNS/designee daily any incidents (i.e. med errors, falls, threats, and assaults) and completes incident reports. Maintain copy of nursing schedules and unplanned leave electronically for three years or paper copies for three years from last Joint Commission inspection. Reviews and approves schedules time, providing three weeks of approved leave as required to meet the Master Agreement (the present week and two weeks in advance) Prepares and post or submits in monthly reporting to ACNS by the 5th of each month, according to clinic assignments per ACNS. Completes information for the Balanced Score Card for their clinic by the5th of the month, includes action plans as required. Communicates with ACNS if unexpected day. 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 1:00pm-9:30pm Telework: Not Telework Eligible Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
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