This is an OPEN CONTINUOUS ANNOUNCEMENT for Captain James A. Lovell FHCC looking for Registered Nurses (Multiple Specialties) NTE 1 year, for Nursing service. Specialties: PC, ED, ICU, Peri-op, Support Services, Med/Surg, MH, CLC, GI, Fleet Med., Specialty Med., Occ. Health and Prev. Med. It will remain open until 07/26/2023 or until filled. The initial cut-off date for referral of eligible applications is 05/08/2023. Eligible applications received after this will be referred as-needed. 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: Specialized experience for the unit in which you are applying. Have a Bachelor of Science in Nursing or Bachelor's Degree in a healthcare related field. Have at least 2-3 years of complex RN nursing practice. Have and maintain current certification in Basic Life Support (BLS). 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: To perform in a fully successful manner, the individual must have the physical ability to perform the following job-related duties: light lifting (under 15 pounds); light carrying (under 15 pounds); pushing (no more than 30 minutes); walking (no more than 2 hours); reaching above shoulder; use of fingers; near vision correctable as 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; and hearing (aid permitted). Required administrative duties include the following: computer word processing/spreadsheet usage; key board typing; computer screen viewing; basic Excel and Word skills; answer/placing telephone calls; filing; note taking; and report writing. Environmentally, the individual may work alone and/or closely with others during their tour of duty. A health examination must be successfully completed prior to this assignment and periodically thereafter as required by the Occupational Health Clinic policy. There will be intermittent exposure to blood and body fluids. ["This is a Permanent Temporary appointment not to exceed one year. There are vacancies for RNs in a variety of specialty areas to include: Patient Aligned Care Team (PACT) Community Based Outpatient Clinics (CBOC) Medical Home Port Surgery Support Services Community Living Center/Inpatient Geriatric Services Emergency Department Gastrointestinal/Endoscopy Specialty Medicine Medical/Surgical/Telemetry Intensive Care Unit (ICU) Mental Health Fleet Medicine Occupational Health Public Health The RN is accountable for adhering to established policies, standards of care, scope of practice, and demonstrating leadership within the team under the supervision of the Nurse Manager or designee. Demonstrates the following core competencies and behaviors: veteran-centric care, nursing process, technical skills, communication, critical thinking, interpersonal skills, flexibility, organizational skills, accountability, and leadership. Duties may include but are not limited to: PACT/CBOC/Medical Home Port: Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care. Assist Primary Care team with routine and timely completion of preventative screening, identifies priorities for patients with complex clinical needs. Surgery: Provides nursing care in accordance with the established standards of practice and follows policies and procedures. Initiates problem solving identification and seeks for a timely resolution utilizing the plan-do-check-method of performance improvement process. Support Services: Demonstrate leadership, experience, and creative approaches in providing quality nursing education and related program management supporting the hospital and VISN goals. Completes the Nursing 24 Hour Report daily; provides a verbal and written report at the daily nursing leadership huddle Monday-Friday at 0730. Optimize patient movement between and among acute care areas, including internal and external facility coordination as warranted. CLC/IGS: The RN possesses the knowledge and skills necessary to effectively apply all aspects of the nursing process within the collaborative, interdisciplinary practice setting of the Community Living Center. ED: Demonstrates skills in the following: cardiac monitoring, phlebotomy, basic intravenous placement/maintenance and troubleshooting, advanced hemodynamics, identification and management of unstable patients. GI: Provide care throughout the complete peri-endoscopic continuum of care: pre-endoscopic; intra-endoscopic; and post-endoscopic (including sedation and recovery) Specialty Medicine: Assesses the patient's clinical and psychosocial status, diagnosis and current treatment plan. Coordinates the myriad of medical treatments, referrals, education and discharge planning. Med/Surg: Support systems; strengths/areas for growth; advocacy; discharge planning; and collaboration with other healthcare providers to optimize wellness and comfort. Give immediate attention and response to critical events and assess, plan, implement, and evaluate the patient's experience with pain ICU: This includes but is not limited to continuous cardiac monitoring, assisting in the insertion of invasive lines such as arterial lines, Swan-Ganz catheters and maintenance, hemodynamic monitoring, multiple vasoactive drips, mechanical ventilation, EKG/rhythm strip interpretation, moderate sedation, post-surgical recovery and stabilization. Responds to the Rapid Response System and other cardiopulmonary arrests calls for adults in the medical center. Mental Health: Knowledge of a wide variety of Psychiatry/Behavioral Health theories, modalities, assessments, planning and intervention. Involved in the admissions, treatment planning, and discharge process and is key participant in the maintenance of a safe stable and therapeutic environment. Fleet Medicine: Assists Medical Assessment staff with routine and timely completion of Health Promotion and Disease Prevention screening, identifies priority needs for patients with complex problems. Assesses subtle and potential changes in signs, symptoms, and/or changes in patients' condition/behavior and provides clinical modifications to nursing interventions accordingly. Expertly assess the medical and psychosocial needs of patients related to diagnosis, optimal treatment options, psychosocial impact, and individualized discharge planning. Occupational Health/Public Health: Complete the initial evaluation, treatment and follow-up of all work-related injuries and illnesses. Setting standard of operating procedures for screening, administration, coding, and quality assurance of immunizations. Work Schedule: All tours: Mon-Fri, Days/PM/Nights, 8 or 12hrs with rotation on weekends and holiday; based on unit location. Tours will be discussed in interviews."]

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