The domiciliary RN provides patient-centered and recovery-oriented care and maintains self-awareness while caring for patients living with substance use disorder and/or mental health conditions.

Duties

Duties include but are not limited to: Completing the appropriate nursing process, following nursing standards of care for every resident in the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) and Psychosocial Residential Rehabilitation Treatment Program (PRRTP). Ensuring documentation is accurate, complete, and timely. Functioning as Case Manager, creating individualized plans for SARRTP and PRRTP residents, coordinating nursing care, and identifying barriers to education. Identifying and prioritizing residents' problems and needs. Continuing ongoing assessments, required re-assessments, and addressing any changes. Documenting when resident conditions change, their response to interventions and treatments. Setting measurable goals, objectives, and outcomes with the resident. Presenting residents for review at expanded team meetings. Providing resident/family education based on the identified needs and problems assessed. Completing transfers and/or discharge summaries. Monitoring the therapeutic milieu, maintaining a safe respectful environment of interaction between residents of various programs. Communicating with Primary Mental Health Provider, Medical staff, Addiction Therapists, Psychosocial Education (PSE) staff, family or significant other, and VA Police as needed to facilitate care and safety. Communicating to charge nurse or appropriate other personnel potential situations in which a resident may be a danger to self or others. Ensures direct care staff provide safe and appropriate care. Follows local policies. Serving as the resident's advocate, problem solves issues at the lowest level, collaborating with charge nurse and/or care coordinator. Transcribing and verifying orders accurately and timely. Administering medications and treatments according to VHA directives and local policies. Conducting group trainings and one-to-one activities as assigned. Reviewing assessments completed by others, and obtains missing information from providers, patients and medical records. Maintaining forms, surveys, instruments, and materials for proper coordination of the different treatment modules available through the Behavioral Health Program. Providing psychoeducation and direct advice regarding symptoms of depression, Post Traumatic Stress Disorder (PTSD) and alcohol misuse of residents. This includes the development of a collaborative treatment plan for residents and the ability to communicate that plan to the resident's provider. 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. Program 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. Work Schedule: Tuesday-Saturday 3:30PM-12:00AM Telework: Not Available Virtual: This is not a virtual or remote position. Relocation/Recruitment Incentives: May be authorized for highly qualified applicants EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact [email protected] for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required 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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Requirements

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/12430080. 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: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Preferred Experience: At least 1 year experience working with patient populations with Behavioral Health and/or Alcohol/Substance Use Disorder diagnoses. Experience teaching nursing & Health and Wellness classes. Creating treatment plans. Providing care & patient education for ETOH/SUD, BH diagnoses. Participation in Process Improvement. Providing Health & Wellness Patient Education. Physical Requirements: Light lifting, under 15 pounds; light carrying, under 15 pounds; reaching above shoulder; use of fingers; walking; standing; repeated bending (2 hours); specific visual requirement (specify)See Computer Screen; hearing (aid may be permitted) Environmental Factors: Working closely with others; Working alone.

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.

Note: The National League for Nursing Accrediting Commission/NLNAC changed its name to ACEN in May 2013. ACEN's website may be utilized to verify accredited programs using automated inquiry processes; however, for verification of any nursing program's accreditation prior to 1998, an automated inquiry cannot be used and ACEN must be contacted directly via their email contact information on the ACEN website to verify.)

Note: In order to grant credit towards an appointment based on foreign nursing education higher than the associate degree level, formal degree equivalency validation from a recognized degree equivalency evaluation agency accepted by VA such as the International Consultants of Delaware (ICD) must be obtained.

Contacts

• Address Jonathan M Wainwright Memorial VA Medical Center 77 Wainwright Drive Walla Walla, WA 99362 US
• Name: Dannie Swanson
• Phone: 360-696-4061 X34265
• Email: [email protected]