In the absence of the ADPCS/ ANE during non-administrative hours, the NOD has designated authority, responsibility, and accountability for managing and directing employees/staffing units; and allocating resources as necessary. Conducts clinical area rounds to evaluate patient care. The (NOD), is a registered professional nurse responsible for maintaining safe patient care by providing leadership and support to the unit staff for clinical, administrative, and bed flow/throughput.

Duties

The NODs are responsible for staffing decisions, addressing nursing concerns, practice issues, patient and family issues, clinical emergencies, interdepartmental communication, equipment and/or supply procurement, etc. The NODs are responsible for reviewing all prospective admissions against admission criteria and assist with ensuring the admission process is complete and timely, including all inter-ward transfers, working collaboratively with the Medical and Administrative Officer of the Day (MOD, AOD). The NODs act as liaisons among various patient areas, Utilization Review, Outpatient Clinics, Care in the Community, and the Charge Nurses of the inpatient Units, MOD, AOD, for the purposes of providing comprehensive care to Veterans as safely and efficiently as possible. The NOD provides coaching to the nursing staff to resolve problems both with conduct or clinical issues. The NOD is responsible to evaluate and meet staffing needs and approve overtime accordingly. The NOD works closely with the Nurse Managers to ensure quality care for Veterans and to provide input into performance and conduct of staff. The NOD is responsible to gather facts regarding events that occur during their tour of duty. Duties include but not limited to: Maintains and communicates global pictures of hospital's capacity at all times. Control flow and placement of patients to inpatient areas of the hospital, including internal and external transfers. Allocate nursing staff to units based on census, NHPPD and acuity with resources. Assist the Nurse Managers by contributing to educational development for the non-administrative tour employees. Assist leadership in meeting facility and VISN performance measures. Collaborates with the Administrative Officer of the Day (AOD) as needed for decisions related to on-going patient care and actions taken in emergency situations and disasters. Will cover each others' scheduled and unplanned absences. This position potentially requires flexibility in schedule and assignments, as the healthcare system includes a 24/7 hospital. The incumbent must be poised and articulate in communicating with people of varied educational levels and ethic backgrounds. The position requires critical thinking in assessing and allocating appropriate levels of care for patient placement. Willing to work cooperatively as a member of a team in all team assignments. Interfaces regularly with support departments to facilitate timely/appropriate care, e.g., prioritizing bed cleaning, after-hours prosthetic procurement, accessing/moving hospital and personnel resources where needed for patient care. Manages and resolves bed control issues. Communicates with executive leadership, chief residents and AOD about high census and potential diversion status. Performs other duties as assigned. 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: Sunday-Saturday 12-hour shifts (72/80 Pay Plan) 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

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/12438286. 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. Preferred Experience: 3-5 years experience in Emergency Room or Intensive Care MSN or related field 1-3 years experience as a Nursing Supervisor or House Supervisor 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. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. 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.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Las Vegas VA Medical Center 6900 North Pecos Road North Las Vegas, NV 89086 US
• Name: Ieisha Freeman
• Phone: 443-251-9441
• Email: [email protected]