Registered Nurse - Clinical Resource Nurse for Rehab and Extended Care Clinics
Veterans Affairs, Veterans Health Administration
Location: Des Moines, Iowa
Internal Number: 658147400
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: 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. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: - MSN preferred - CNL preferred Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. 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, and pushing. Must be able to lift at least 45 pounds. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. This position requires heavy lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 12 hours; both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aid permitted). Transferring patients and objects may be required. ["The Clinical Resource Nurse (CRN) functions within the assigned area and is responsible and accountable for the coordination of care for a culturally diverse Veteran population. The CRN possesses the knowledge and skills to effectively apply all aspects of the nursing process and care management principles within a collaborative, interdisciplinary practice setting. The incumbent implements health promotion, manages acute and chronic illnesses, and assists the team in assuring appropriate lengths of stay and level of care. The CRN demonstrates the knowledge and skills necessary to provide cost effective care. He/She initiates and develops evidence-based practice through the evaluation of interdisciplinary processes and improvement projects The practice of the CRN is based on knowledge, experience, and research, and is expected to impact patient outcomes for the their work unit/department, and the facility at large. The CRN manages and coordinates care of patient groups and programs under the Rehabilitation & Extended Care Clinic (REC) umbrella. Functions and responsibilities include, but are not limited to: - Demonstrates leadership in improving patient care and helps to enhance staff education and professional development using evidences-based practice - Communicates regularly with other members of the multidisciplinary team, such as Nurse managers, Providers, Nursing supervisors, Charge Nurses, and Pharmacy - Utilizes expert level knowledge and skills at the microsystem level to improve patient outcomes - Assists the Nurse Manager with monitoring department metrics, trend and goals. - Assesses and evaluates patient care processes for effectiveness, and initiates process improvement efforts where indicated. - Leads process improvement projects to improve patient care. - Follows and monitors staff compliance with safe work practice and procedures and provides education and re-direction where needed. - Provides training to nursing staff regarding documentation in correlation with VHA directives, policies and standards of care. - Provides individual or group training activities for nursing staff to include assisting with orientation, competency training and just in time training. - Provides a broad range of education; hands on, in-person, virtual in all REC Clinic programs. - Identifies and develops unit level education in collaboration with Nursing Education and Nurse Manger. - Meets all mandatory requirements for the assigned area and will perform activities that reflect the educational, experiential and competency requirements outlined in the four (4) dimensions of the VA Nurse Qualification Standards. Work Schedule: Monday-Friday 7:00-3:30pm or 7:30am-4:00pm\nTelework: Available, Ad Hoc\nVirtual: This is not a virtual position\nRelocation/Recruitment Incentives: Not authorized\nEDRP Authorized: Contact Beth.Spitzer@va.gov, the EDRP Coordinator, for questions/assistance\nPermanent Change of Station (PCS): Not authorized\nFinancial Disclosure Report: Not required The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.