Summary

The PACT RN is a skilled nurse who is able to work proficiently with some level of supervision to optimize patient care - patient safety and operational efficiency for patients. The focus of the individual's performance encompasses a combination of clinical - administrative - education and research. The PACT RN must demonstrate performance that impacts more than one individual and patient care assignment. This position located in Casa Grand

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 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/12997485
• 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 may include a level of physicality normally associated with duties performed by nurses such as walking - bending - stooping - and some lifting
• There may also be extended periods of sitting or standing
• Transferring patients and objects may be required
• Utilization of safe patient handling and mobility protocols using mechanical lifts that are provided.

Duties

• The Southern Arizona VA Health Care System is seeking Registered Nurse's for (PACT) in the Nursing - Ambulatory Care Service
• The incumbent uses the nursing process and evidence-based practice to collaborate with the Team (Patient - Primary Care Provider - RN Care Manager - Clinical Associate - and Clerical Associate) and expanded Team (family/caregiver - internal - and community -based services involved in providing care to the patient) in developing the patient-driven care plan for life
• Responsibilities: The incumbent possesses the knowledge and skills to effectively apply all aspects of the nursing process within a collaborative - interdisciplinary practice setting to facilitate the effective care of patients
• Within the framework of the nursing process and through highly developed clinical expertise - the RN is able to assess - monitor and treat patient responses to life-threatening health problems
• The Incumbent is responsible for collaboration with administrative and clinical staff in actively managing and planning for actual and potential needs of patient population groups
• Assumes responsibility for the coordination of care focused on patient transition through the continuum of care - patient and family education - patient self-management after discharge - and supporting factors that impact customer satisfaction
• Administers medications and procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs
• Integrates nursing protocols in daily practice to work to the top of education and competency
• The incumbent .leads teams - contributes to team huddles - and actively collaborates in all phases of patient care planning
• reviews team metrics and assist team in developing a plan to improve patient outcomes
• Integrates population health into daily practice - using patient-centered needs and goals - assessment - and metrics while using motivational interviewing Completes two-day discharge calls - coordinate discharge follow-up from the hospital - Emergency Department (ED) - or other setting Provides patient and family education with a focus on self-management - shared decision making - and prevention and wellness that is based on the individual patient's goals
• Recognizes urgent or emergent patient care situations and initiates appropriate emergency interventions as directed
• Completes daily population health nursing visits to improve patient wellness
• Participates in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients and Perform virtual care modality visits (VVC)
• 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 Work Schedule: Compressed Tour - rotating shift per clinic needs Monday-Friday Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required