Registered Nurse - Progressive Care Unit
Direct Jobs, Lexington, KY, United States
Summary
The Progressive Care Registered Nurse (RN) is responsible for all elements of the nursing process - including assessing - planning - implementing - and evaluating care. This role focuses on patient education - self-management - and customer satisfaction - administering medications - and procedures per policies. The RN collaborates with interdisciplinary teams to improve care outcomes and demonstrates leadership in managing complex patient care.
Qualifications
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: https://apply.usastaffing.gov/ViewQuestionnaire/12944733
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/
Preferred Experience: BSN - Previous experience in Med/Surg preferred - Critical Care Experience preferred - Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification
Physical Requirements: Heavy lifting (45 lbs and over)
Heavy carrying (45 lbs and over)
Straight pulling (up to 8 hours)
Pushing (up to 8 hours)
Reaching above shoulders
Use of fingers
both hands required
walking (up to 8 hours)
standing (up to 8 hours)
kneeling (2 to 3 hours)
repeated bending (up to 8 hours)
both legs required
hearing (aid permitted).
Duties
The Progressive Care Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
This includes assessing - planning - implementing - and evaluating care based on age-specific components
The RN assumes responsibility for the coordination of care - emphasizing patient education - self-management - and customer satisfaction throughout the continuum of care
They administer medications and procedures according to established policies and guidelines and influence care outcomes by collaborating with members of the interdisciplinary team
This position requires the RN to execute responsibilities demonstrating leadership - experience - and innovative approaches to managing complex client care
The RN is also involved in the development - implementation - evaluation - and revision of policies - procedures - and guidelines
Demonstrating broad performance and leadership - the RN improves the care of acutely ill patients who are moderately stable but with an elevated risk for instability
They provide peers with formal or informal constructive feedback for improvement and support colleagues and other nurses through knowledge sharing to ensure safe - quality nursing care
A significant aspect of their role is fostering a safe and supportive environment conducive to the professional development of healthcare professionals
The RN evaluates the outcomes of evidence-based decisions and practice changes for individuals - groups - and populations - and is responsible for documented outcomes at the program or service level
These outcomes are broad and complex - capable of being demonstrated at any organizational level within a facility
The RN must possess vast experience and knowledge - skillfully integrating theoretical concepts - strong critical thinking skills - and demonstrating expert technical practice
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 Pay Scale: N01H Work Schedule: Days/Nights 12 hours with rotation to other shifts as needed
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 Progressive Care Registered Nurse (RN) is responsible for all elements of the nursing process - including assessing - planning - implementing - and evaluating care. This role focuses on patient education - self-management - and customer satisfaction - administering medications - and procedures per policies. The RN collaborates with interdisciplinary teams to improve care outcomes and demonstrates leadership in managing complex patient care.
Qualifications
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: https://apply.usastaffing.gov/ViewQuestionnaire/12944733
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/
Preferred Experience: BSN - Previous experience in Med/Surg preferred - Critical Care Experience preferred - Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification
Physical Requirements: Heavy lifting (45 lbs and over)
Heavy carrying (45 lbs and over)
Straight pulling (up to 8 hours)
Pushing (up to 8 hours)
Reaching above shoulders
Use of fingers
both hands required
walking (up to 8 hours)
standing (up to 8 hours)
kneeling (2 to 3 hours)
repeated bending (up to 8 hours)
both legs required
hearing (aid permitted).
Duties
The Progressive Care Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
This includes assessing - planning - implementing - and evaluating care based on age-specific components
The RN assumes responsibility for the coordination of care - emphasizing patient education - self-management - and customer satisfaction throughout the continuum of care
They administer medications and procedures according to established policies and guidelines and influence care outcomes by collaborating with members of the interdisciplinary team
This position requires the RN to execute responsibilities demonstrating leadership - experience - and innovative approaches to managing complex client care
The RN is also involved in the development - implementation - evaluation - and revision of policies - procedures - and guidelines
Demonstrating broad performance and leadership - the RN improves the care of acutely ill patients who are moderately stable but with an elevated risk for instability
They provide peers with formal or informal constructive feedback for improvement and support colleagues and other nurses through knowledge sharing to ensure safe - quality nursing care
A significant aspect of their role is fostering a safe and supportive environment conducive to the professional development of healthcare professionals
The RN evaluates the outcomes of evidence-based decisions and practice changes for individuals - groups - and populations - and is responsible for documented outcomes at the program or service level
These outcomes are broad and complex - capable of being demonstrated at any organizational level within a facility
The RN must possess vast experience and knowledge - skillfully integrating theoretical concepts - strong critical thinking skills - and demonstrating expert technical practice
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 Pay Scale: N01H Work Schedule: Days/Nights 12 hours with rotation to other shifts as needed
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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