---

VETERANS HEALTH ADMINISTRATION is Hiring a Registered Nurse (OR) Near Loma Linda, CA

Qualifications:

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR 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. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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.
• 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.

Preferred Experience:

• One (1 ) or more years of Operating Room experience preferred
• One (1 ) or more years of Scrubbing experience preferred
• Robotic experience preferred
• CNOR preferred
• BLS and ACLS preferred

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 practice/experience required.
• Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
• Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
• Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
• Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience.

Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements:
Heavy lifting (45 lbs and over); Heavy carrying (45 lbs and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.

All registered nurses with less than 12-months of RN experience upon entry on duty (EOD) date, will complete a 12-month nurse residency program. The RN Transition-to-Practice (RNTTP) Residency Program complies with VHA Directive 1077. See https://www.va.gov/NURSING/workforce/RNTTP.asp for details.

Responsibilities:

Provides a full range of nursing care to patient/residents with complex care needs utilizing the nursing process based on the ANA Standards of Nursing Practice.
1.1. Demonstrates consistent clinical competence in providing nursing care.
1.1.1. Uses equipment correctly and accurately interprets data.
1.1.2. Recognizes subtle changes in patient/resident's condition and responds timely, choosing the correct interventions.
1.1.3. Demonstrates evidence of critical thinking skills in identifying, analyzing, and resolving patient/resident care problems on the unit.
1.2. Initiates and implements an interdisciplinary plan of care based on assessments.
1.2.1. Performs ongoing assessment of patient/resident condition and response to treatment.
1.2.2. Provides leadership in establishing goals, evaluating the plan of care, and in discharge planning.
1.2.3. Initiates referrals to other disciplines and/or services as appropriate.
1.2.4. Assesses the patient/resident/resident's learning needs, learning preference, and readiness to learn. Modifies teaching approach based on knowledge of human behavior, motivations, and reactions to situations.
2. Accurately documents in the medical record patient/resident/resident findings, assessments, and care provided.
2.1. Documentation is technically informative, complete, accurate, consistent, concise, and timely.
2.2. Evaluates and documents patient/resident/resident response to interventions and progress towards attainment of goals and expected outcomes.
2.3. Revises interdisciplinary plan of care based upon on-going patient/resident/resident assessment and evaluation.
2.4. Uses the Computerized Patient/resident Record System (CPRS), pyxis and/or the Bar Coded Medication Administration (BCMA) software if applicable per policy.
3. Effectively functions as the charge nurse, team leader, or in other leadership role that guides and directs others who provide patient/resident care.
3.1. Makes assignments and directs activities of other unit staff, (RNs, LVNs, students, PSAs, other team members).
3.2. Assigns patient/resident care responsibilities based upon patient/resident needs and competencies of staff.
3.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary.
3.4. Provides direction to staff for unit activities in meeting patient/resident care needs.
3.5. Ensures that delegated tasks as assigned are completed by other staff.
3.6. Ensures the physician and/or the nurse manager/ immediate supervisor/coordinator are notified of untoward events involving patient/residents and staff, either by assigned RN or by self.
4. Uses a team approach to identify, analyze, and resolve patient/resident care problems that result in improved patient/resident outcomes.
5. Demonstrates grade-appropriate and consistent critical thinking skills.
5.1. The nurse can recognize the patient/resident has a problem.
5.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
5.3. The nurse has a relative sense of urgency.
5.4. The nurse takes the right action for the right reason (del Bueno).
6. Provides age-specific care for adult (18-64) and geriatric (65 and older) patients/residents/groups including the following elements: promotes independence; encourages self-care; involves family or designated caregiver with care planning, provides necessary safety measures and access to privacy; assists patient/resident to cope with changes affecting mobility, balance, cognition, psychosocial function, and physical/sensory changes.
7. Role-specific Competency Checklist is complete and is rated competent in all measured areas (see attachment).

and many more depending on service needs.

Work Schedule:
Monday - Friday, 8-hour Day Shift with workdays/hours flexibility required as patient care needs require. This position has 24-hour accountability. On-call is required for weekdays and weekends and is assigned by rotation. Designation of the tour will be assigned after completion of orientation and may change depending on the facility's needs.

Financial Disclosure Report: Not required

Job Summary