Summary

The VA North Texas Health Care System (VANTHCS) in Dallas - TX is seeking a Registered Nurse for PRN (intermittent) position for Patient Aligned Care Team (PACT). This position is Not to Exceed 13 months.

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
• Preferred Experience: 5 years Med/Surg RN Experience or 2 Years RN ER/ICU Experience within the last 3 years 1 year RN Adult Outpatient Primary Care Experience within the past 3 years BSN or higher AAACN Ambulatory Care Certification VA Experience 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/12975994
• 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: Moderate lifting - 15-44 pounds
• Light lifting - under 15 pounds
• Moderate carrying - 15-44 pounds
• Light carrying - under 15 pounds
• Pulling hand over hand (8-12 hours)
• Pushing (8-12 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (8-12 hours)
• Standing (8-12 hours)
• Kneeling
• Repeated bending (8-12 hours)
• Climbing - legs only
• Climbing - use of legs and arms
• Both legs required
• Near vision correctable at 13" to 16" to Jaeger 1 to 4
• Ability to distinguish basic colors
• Hearing (aid may be permitted).

Duties

• The Registered Nurse - Patient Aligned Care Team (PACT) duties include - but are not limited to the following: Completes face to face - telephone - and video assessments to establish nursing diagnoses as needed
• Assesses - plans - implements - and evaluates care based on population specific components
• Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions
• to use judgment in selecting the appropriate order and sequence of procedures and treatments
• and to accurately recognize - report and record relevant patient information
• Ability to observe - identify and respond to the patient's needs for care - including medication - equipment-assisted care - and patient/family education
• Providing health education and procedural teaching to patients and significant others
• Perform procedures per established policies and guidelines
• Influences care outcomes using effective communication and collaboration with members of the interdisciplinary team
• - Administering medicine per established policies and guidelines
• Establishing priorities and making ethically-sound decisions to ensure safe patient care
• Assisting the physicians during diagnostic and therapeutic procedures to promote optimal patient outcomes by team collaboration
• Responding to emergency situations to promote optimal patient outcomes by recognizing changes in patient's health status
• Performing diagnostic studies within the scope of nursing practice as ordered by the physician
• Documenting patient data to ensure continuity in the provision and coordination of patient care
• Collaborating with other health care professionals
• Communicating with veterans and family members regarding veteran's care
• Knowledge and understanding of human behavior - patient motivations and reactions to situations - and ability to appropriately utilize this knowledge in working effectively with patients - family members and other staff
• Establishes constructive relationships with individual patients and their families to promote positive relationships and communication
• Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery
• May be responsible for charge nurse duties
• Managing follow-up care
• Acting as resource to others
• Participating in continuing education - achieving/maintaining certification
• Possess knowledge of unit level quality improvement indicators
• Applies knowledge and actively participates in unit/program level quality improvement processes and initiatives
• Provides excellent customer service according to ICARE values
• Executes position responsibilities that demonstrate leadership - experience - and creative approaches in the management of complex patient care
• Additional duties as assigned such as covering/float to other teams (Teamlet)
• 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: 07301600 or 0800-1630 Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Bargaining Unit Status: This position is part of the bargaining unit.