Nursing Officer of the Day

Department of Veterans Affairs

The Nursing Officer of the Day (NOD) is a registered professional nurse, responsible for maintaining safe patient care by providing leadership and support to the unit staff for clinical, administrative, and bed placement functions. The NOD has delegated authority for the Associate Director, Patient Care / Nursing Services for nursing decisions regarding workload placement and management.

• The Nursing Officer of the Day assumes the following major duties and responsibilities: Works closely with the Admission Clerk/Administrative Officer of the Day (AOD)/Utilization Management group to assure that admission criteria are met, and appropriate bed placement occurs. Responsible for the placement of all medical and surgical admissions throughout the hospital. Coordinates assignments directs hospital activities and deploys staff appropriately taking into consideration the competency of the staff. Responsible and oversight of Centralized Nurse Staffing Office staff (registry/contracted) and VA Float pool. Receives all reservations for admission from OR, Cardiology, and other procedural areas. Assists specialty care clinic physicians in bed utilization pre and post-procedures. Handles all transfers from the Intensive Care Unit (ICU) to the wards and vice versa. Works closely with the Transfer Coordinator Nurse to find placement for our Veterans returning to VA San Diego Healthcare System (VASDHS) from Non-VA Care community facilities. Chairs the daily bed huddle which is attended by nurse managers/charge nurses from inpatient units, procedural area representatives (OR, Cardiology, etc.), transfer coordinator nurses, social work, environmental services, and utilization management to discuss bed availability versus bed need. Bed Control Coordinator carries a cell phone for continual access to up-to-date bed information. Utilizes the Bed Management System (BMS) to update status during rounds. Circulates throughout the hospital, constantly evaluating all needs for patient placement. Maintains and communicates global pictures of hospital's capacity at all times. Responsible for safe and adequate staffing throughout the hospital during non business hours (off-tours) and in collaboration with the inpatient & perioperative nurse managers, Associate Nurse Executives (ANE) and Deputy Associate Director Patient Care Services (D-ADPCS) for 24/7 operations of inpatient and outpatient areas. Manages and resolves bed control issues. Communicates with executive leadership, chief residents and AOD about high census and potential diversion status. Participates in projects data collection and other activities designed to enhance bed operations. Interfaces regularly with support departments to facilitate timely/appropriate care, e.g., prioritizing bed cleaning, after-hours prosthetic procurement, accessing/moving hospital and personnel resources where needed for patient care. Communicates with Nurse Managers, the Associate Nurse Executives (ANE) the Deputy Associate Director Patient Care Services (D-ADPCS) and Associate Director Patient Care Services (ADPCS) to trouble shoot and/or to assess operational issues that may potentially lead to large-scale events and/or unusual events that would potentially portrait the VA negatively in the public domain. Assigns patient care responsibilities based upon patient needs, competencies of staff and whenever possible in collaboration with off-tour charge RNs. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary. Actively develops and manages collaborative partnerships with physicians and other clinicians. Provides fair input for the evaluation process for the managers regarding off-tour nursing staff. Identifies developmental and training needs of subordinates and provides or makes provision for such development and training as well as providing input for evaluation of off-tour staff. Responsible for performance improvement, customer service/patient satisfaction, patient, and employee safety, interviewing applicants, employee relations, standards of care and practice, the work environment, and adherence to accreditation and regulatory standards. Directly reports to the Nurse Manager of CNSO & UM and/or designee. Performs other 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: Full Time; Day Shift 0630-1900, Mid shift, 1030-2300, NOC Shift 1830-0700, Mon-Sun, weekends/holidays, flexible to work all shifts to fulfill the needs of the NOD office 24/7. Compressed/Flexible: N/A Telework: N/A Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized

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