The Nursing Process provides the framework for Procedural Nursing practice. The Procedural Nurse uses evidence-based practice along with clinical expertise and client preferences to assess, diagnose, plan, implement, and evaluate care. He/She formulates nursing diagnoses from pertinent assessment data and assists the Veteran in developing and prioritizing goals. He/she, in consultation with the client, identifies expected outcomes and interventions necessary to achieve those outcomes.

Duties

VA offers a comprehensive total rewards package. The Procedural Nurse provides individualized education, endorses healthy lifestyles, supports decision making, and promotes achievable independence. The client's responses to those interventions are evaluated and discussed as appropriate. The Procedural Ambulatory Registered Nurse: Establishes effective relationships with the Veteran, their family, and/or significant other(s) to facilitate the development of a care plan unique to their care needs. Practice is led by the Nursing Process in developing and implementing the plan of care. He/she is responsible and accountable for demonstrating the educational, experiential, and knowledge/practice-based competency requirements outlined in the nine (9) dimensions of nursing practice: Nursing Practice Quality of Care Performance Educational/Career Development Collegiality Ethics Collaboration Research Resource Utilization Assessment and management strategies are based on a consideration of the physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure dimensions of human responses to actual and potential health problems. Performs ongoing assessment(s) of the impact of actual or potential illness each Veteran's physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure status. He/she applies the existing body of evidence-based practice and scientific knowledge in health care to Medical/Surgical Specialty Nursing practice ensuring that nursing care is delivered based on respective scope of practice acts. Participates with the Veteran, family, significant other{s), and other health care providers in collaborative decision making reflecting the understanding that care should be culturally sensitive, ethical, legal, holistic, informed, compassionate, and humane, and within the boundaries of available economic resources. Serves as an advocate for the Veteran, family, and significant other(s). Educates the Veteran, family, and significant other(s) about measures that promote, maintain, and restore health or promote comfort. Mobilizes resources to provide an environment that supports health promotion, health restoration, health maintenance, and comfort as defined by the client, family, and significant other(s). This nurse may be expected to function in the Scrub Nurse or Circulating Nurse roles for all surgical procedures performed within the Wilmington HCC. The Nurse in WHCC Procedures department may also receive training in the administration and monitoring of conscious sedation. Make referrals to and maintain communication with appropriate institutions and community agencies involved in the delivery of the client's care. Uses standards of Medical-Surgical Nursing practice to increase the quality of care and quality of life for the client, family, and significant other(s). Fosters a healthy work environment within the practice setting and profession. Systematically evaluates the quality and effectiveness of nursing practice. Communicates effectively with the client, family, significant other(s), and other health care professionals. Work Schedule: Monday through Friday 0730-1600 Compressed/Flexible: Not Available 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 Pay: Competitive salary, annual performance bonus, regular salary increases. Paid Time Off: Receive 13 to 26 days paid time off per year, not to include 10 paid federal holidays; and 13 sick days annual with no limitation on accumulation. 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).For More Information on Benefits: https://www.vacareers.va.gov/Benefits/EmploymentBenefits

Requirements

Qualifications

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: BLS, ACLS, 2-3 years experience Moderate Sedation Administration Emergency Room experience Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: The full performance level of this vacancy is VN-03. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-01 to VN-03. Registered Nurses: 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. 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. The incumbent 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-vehicles.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Fayetteville NC VA Medical Center 2300 Ramsey Street Fayetteville, NC 28301 US
• Name: Loretta Johns
• Phone: 910 488 2120 X1619
• Email: [email protected]