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Nurse

Direct Jobs, Garner, NC, United States


Summary
The Durham VA Health System - has 1 vacancy for a full-time Registered Nurse (Specialty Care/Outpatient).

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 than 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/12922023

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/

Physical Requirements: This position requires visual acuity - keen hearing clear distinctive speech - and manual dexterity This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - lifting and pushing Transferring patients and objects may be required Mechanical inpatient lifts are provided The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings The incumbent may occasionally be exposed to patients who" are combative secondary to delirium - dementia - or psychiatric disorders 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 The incumbent who provides care in home settings or other off‑site locations may be required to drive and/or ride in GSA‑vehicle.

Duties

The RN will be fully qualified and certified to function in a clinical role and in accordance with the guidelines and policies of the Durham Veterans Affairs Health Care System

The registered Nurse working in the Specialty Clinic located in Garner will function as a nurse in support of the Provider/Advanced Practice Providers in the Specialty clinics - primarily Pulmonology but will also support additional specialty clinics to include: Cardiology - Neurology - Dermatology - Renal - Oncology - and Rheumatology

Duties will include but not be limited to oversight of nursing staff - patient intake - documentation - point of care testing - health screening and assisting providers in clinical procedures

The RN will assess - triage - take histories and document conditions and concerns for veterans presenting in person and via the telephone

The clinical nurse will coordinate care through the health continuum

Patient/health education - health coaching and health promotion are integral functions of the role

The RN will assist with procedures and may be responsible for the cleaning and reprocessing of reusable medical equipment

The Garner VA clinic is located in Garner - North Carolina

It provides multi‑specialty care - as well as Primary Care - Mental Health and Urgent Care to approximately 25,000 Veterans throughout Wake County and surrounding counties in Eastern North Carolina

Preferred Qualifications Minimum of three years of successful clinical practice

Previous experience working in Specialty clinics

Prior recent experience in ambulatory care/primary care nursing - including care of patients with mental health and health education needs

Previous experience in the care manager role and coordinating care/care delivery

Previous experience with telephone advice nursing

Demonstrated proficiency in using the nursing process in providing care for clients with complex care needs

Previous knowledge/experience with the patient centered medical home practice model

Demonstrated ability in the areas of interpersonal relationships - problem solving/critical thinking skills and conflict resolution

Demonstrated outcomes in working effectively with interdisciplinary team in the outpatient setting

Demonstrated ability to function independently - use good communication skills and to be flexible

Computer skills and typing proficiency sufficient to permit real‑time documentation of patient encounters enter and retrieve data

Prior experience with determining patient assignments - unit management and charge nurse responsibilities

Ability to work with minimum supervision

Preferred Level of Education BSN Preferred Certification(s) ANCC/Ambulatory Care Nursing Telephone Nursing Practice Medical-Surgical Case Management

Work Schedule: Monday - Friday - 8 hour tours between 0730 and 1800 Telework: NO Virtual: This is not a virtual position Relocation/Recruitment Incentives: NO 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

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