Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines.

Duties

The Nurse Urgent Care (UC) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Provides urgent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions. Nursing care ranges from basic nursing care to initial stabilization care. UC nursing practice is independent and collaborative. The UC RN practice includes the roles of direct care provider, educator, administrator, researcher, consultant, leader, and advocate. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe, quality nursing care. Fosters a safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations. Responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility. The UC RN is responsible and accountable for all elements of the nursing process when providing care. They assess the patient by collecting pertinent data or information, including the triage of patients based on the five-level triage system to prioritize patients that require more immediate care. They use the assessment data to determine diagnoses, problems, or other concerns. They will identify expected outcomes to develop a collaborative and individualized plan for each patient. The UC RN will implement that plan, including care coordination, health teaching, and health promotion. They evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary. UC RN responsibilities include but are not limited to: -Receives SBAR "hand-off" report from nursing staff for all patients referred for urgent care evaluation. Knowledge of common patient conditions that may require a referral for urgent care assessment (falls or other injuries, chest pain, compromised cardio-pulmonary states, hypoglycemia, or post-Stat Page or Code Blue event). - Knowledge, ability, and skills to respond to urgent/emergent patient care situations using established UC protocols. - Able to perform 12-lead EKG and review for wave forms that require immediate provider attention. - Ability to provide patient education for care, treatments, diagnostic tests, and procedures done by nursing and/or provider staff. - Assists provider with iMed informed consent procedures. - Administers IV fluids and medications using infusion pumps. - Ability to draw blood samples and label per policy for lab tests. Maintains competency for point of care testing performed in UC including blood glucose and upper respiratory infection testing. - Additional knowledge and skills when assisting with diagnostic tests and procedures, and functioning as a member of Stat Page and Code Blue Team: - Current BLS and ACLS certifications. - Ability to insert peripheral IV catheters. - Administration of emergency medications. - Ability to monitor patients using cardiac monitors to identify normal EKG rhythms, as well as lethal dysrhythmias, describe to provider and intervene to support emergency treatment procedures until arrival of Code Blue Team. - Supports patient's safety and wellbeing during UC care, procedures, and treatments. - Administers prescribed medications, adult immunizations (flu and pneumonia), and PPD skin tests in accordance with established protocols. Provides patient education. - Knowledge of operation and handling of specialized equipment used in urgent care environment. Uses lift devices to ensure safe patient handling. - Uses Cerner to manage UC patient census and generate reports. - Completes electronic and/or hard copy documentation per facility policies and procedures. - Educates patients in understanding the need for transfer to a higher level of care. - Coordinates communications with MSA staff, UC team and other ACC staff for transfer of patients. Provides appropriate "hand-off" reports to receiving facility per policy/procedure. - Supports VA ACC performance improvement initiatives. - Follows written Standard Operating Procedures (SOPs), based on manufacturer's recommendations for pre-treatment, cleaning/disinfection, and set-up of any reusable medical equipment for assigned work area. Work Schedule: Monday-Sunday & holidays rotating 7:30am-6:00pm or 9:00am-7:30pm. Compressed/Flexible: None Telework: Not eligible for Telework. Virtual: This is not a virtual position. Functional Statement Title:CBSR-12572789-25-JD/Registered Nurse - Urgent Care. 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/12572789. 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. Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting. S/he may be exposed to infected patients and contaminated materials and may be required to don protective clothing. S/he may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. S/he must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on patient needs. Applicants must possess the mental and physical ability to satisfactorily perform the duties of the proposed assignment. Physical requirements may involve lifting, carrying, pulling, pushing, reaching above shoulder, walking, standing, sitting, kneeling, and repeated bending. S/he must complete annual Employee Health requirements, such as TB screening or testing on hire, as a condition of employment. In the performance of duties, s/he may be required to drive and/or ride in GSA-vehicles. See Form OF-178 for detailed job specific requirements.

Contacts

• Address Chalmers P Wylie Veterans Outpatient Clinic 420 North James Road Columbus, OH 43219 US
• Name: Jeffery DuBois
• Email: [email protected]