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:
• 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

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.

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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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