Registered Nurse - Women's Health

Summary

The Registered Nurse is organizationally aligned under Ambulatory Care Services - where he/she will work as part of - and in collaboration with - a larger clinical team to provide Women's Health services to the Central Virginia VA Healthcare System Veteran patient population.

Qualifications

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 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:
• 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
• Preferred Experience: 2-5 years of Women's Health and/or PACT Reference: For more information on this qualification standard - please visit
• Physical Requirements: See VA Directive and Handbook 5019
• 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.

Duties

• The Women's Health RN will assume routine clinical care delivery and administrative roles consistent with this specialty clinic
• This is for Women's Health Clinic
• The RN is directly responsible to the Primary Care Nurse Manager in charge of this clinic
• Duties include - but are not limited to: -Proficient using VA EMR and nursing specific documentation - care coordination - phone triage - walk-in triage and physical assessments
• Proficient in administering medications (All routes and 5 rights) - enter laboratory orders and/or draw laboratory specimens per protocol and correctly and safely performs all nursing procedures
• Able to perform other staff member's roles as needed
• Recognizes abnormal signs and symptoms and/or changes in patients' condition and responds appropriately - notifies the provider - and document in the medical record
• -Assisting with initial VA consult referrals for mammography - gynecology - and/or other care - assisting with VA or community services for the patient with an appropriate provider - to include coordinating any subsequent appointments or follow-up - as needed
• -Educating patients on a variety of OB/Gyn topics - to include importance of routine medical screenings - and authorized VA and community-based resources for OB/Gyn needs
• -Assisting veterans who have presented to VA or non-VA emergency department for OB/Gyn emergencies to secure appropriate follow-up care such as lab - ultrasound - emotional support - and/or other care as needed
• Coordinating care with the Veterans PACT
• -Documenting patient care interactions accurately - succinctly - and timely - using appropriate notes - templates - and clinical reminders - in the electronic medical record
• -Understanding and responding to mammography reports - BIRADS - Pap - and other OB/Gyn screening/diagnostic test results.-Contacting patients who fail to keep mammogram appointments - or who are delinquent in obtaining recommended breast cancer - Cervical Cancer Screening - and other diagnostic screenings - to determine and resolve obstacles the veteran may have with keeping appointments and educating women on these screenings
• -Maintaining professional skills in the application of professional bodies of knowledge and accepted clinical practices that will facilitate oversight of service delivery for female patient care.-Participating in quality improvement programs and initiatives including system redesign - to improve access - quality - efficiency - and patient satisfaction
• Data tracking - formulating - continual evaluation of quality measures - and identification and implementation of best practices for the Women's Health Program
• -Clinical outreach coordination - education - and mentoring for local and rural areas that include VA Video Connect (VVC) - phone - and in-person visits with female veterans.-Cross-training and surrogate coverage for the OB-GYN Nurse and PACT RN Care Manager duties
• -Collaboration with other healthcare members to identify common social issues of gynecological patients like Intimate Partner Assault - Gender Dysphoria etc
• -Other duties as assigned including but not limited to outside application of Depo Provera shots
• 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 to 4:00pm (No weekends & Holidays at this time.
• Small amount of overtime may be necessary based on patient care needs)
• Weekends May be required as the WHC determines based on patient care needs
• Will be rotated among all assigned staff
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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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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