Registered Nurse - Home Based Primary Care

Summary

This position is located at the Department of Veterans Affairs (DVA) - Veterans Health Administration (VHA) - Mid-Atlantic Health Care Network (VISN-6) - Richmond VA Medical Center in Richmond - VA. The Home-Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) provides in-home comprehensive - patient-centered nursing care to Veterans with complex - chronic - or disabling conditions while evaluating the care provided to ensure it is timely - appropriate - of high qualify - and cost effective.

Qualifications

Basic Requirements:

• Citizenship: Citizenship of the United States in accordance with 38 U.S.C. 7402(c)
• 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. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Education: 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)
• Licensure and Certification: All nurses must possess and maintain an active - current - full and unrestricted license as a Nurse to practice in a State - Territory - or Commonwealth of the United States - or in the District of Columbia
• Exception to Licensure for Graduate Nurse Technician (GNT): 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.) Driver's License: Must possess a current - valid state-issued driver's license for this position
• (Please do not submit a copy of your license with your application package
• You will be required to show your valid driver's license at the time of your interview.) Physical Requirements: This position requires potentially long periods of continued walking - standing - and sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs and repeated bending
• Heavy lifting (45 lbs
• and over)
• Heavy Carrying (45 lbs
• and over)
• Straight Pulling (up to 4 hours)
• Pushing (up to 4 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 8 hours)
• Standing (up to 8 hours)
• Repeated bending (up to 8 hours)
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Specific visual requirement: Read typed Chapters
• Correctable vision :20/40 in one eye
• Ability to distinguish basic colors and shades of colors
• Hearing (aid permitted)
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Emotional and Mental Stability: 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
• Preferred Experience: 2-3 years experience with home care/home-based medical - surgical - or primary care outpatient nursing
• Master of Science in Nursing (MSN)
• Certification in Case Management - Geriatrics - and/or Ambulatory Care 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 Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12931795
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN 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 Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.
  
  

Duties

• The Home-Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex care and is responsible and accountable for all elements of the process when providing and/or supervising direct patient care to include case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
• Duties and Responsibilities include but are not limited to the following: 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
• Plans and delivers technically competent - knowledge-based care in the home of Veterans with complex needs - including health promotion - health prevention - geriatric care - primary care - and palliative care
• Demonstrates proficiency in practice based on conscious and deliberate planning
• Demonstrates integration of biopsychosocial concepts - cognitive skills - and technically competent practice while providing care to clients
• Partners with the patient - family - and interdisciplinary team to promote effective and safe transitions across the health care continuum
• Utilizes interventions that maximize health capabilities and reduce unnecessary urgent care and emergency room visits
• Makes home visits to Veterans in the program
• Administers medications and procedures per established policies and guidelines
• Contributes professional perspective and Influences care outcomes in collaboration with the interdisciplinary team
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Supports colleagues through knowledge sharing to provide safe - quality nursing care
• Evaluates practice in an ongoing process - based on best evidence
• Participates in the unit/program level quality improvement process and initiatives as well as customer service programs
• Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
• Provides peers with formal or informal constructive feedback for improvement
• Evaluates outpatient outcomes of evidence-based decisions and practice changes
• Integrates outpatient nursing knowledge - skills - abilities - and judgement and is self-directed in goal setting for managing complex situations
• Validates understanding of the rationale for care processes and decisions
• Demonstrates the ability to cope with and manage competing priorities
• Telework: Ad-hoc Virtual: This is not a virtual position.