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 transition through the continuum of care, patient and family education, patient self management after discharge, and supporting factors that impact customer satisfaction.
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Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and promotion, development, implementation and evaluation of unit/program level quality improvement processes and initiatives as well as customer service programs. The incumbent must possess a valid state driver’s license as frequent travel is required within a catchment area often greater than 100 miles. Consult Care coordinator: Responsible for coordination of primary care home services through either VA HBPC or contracted agencies or the VA Fee Basis program. This position serves as an educational resource and content expert on the consult management process. This includes exceptional communication skills between veterans, agency staff and VA staff and providers. Patients with emergent or urgent medical needs must be provided care, or be scheduled to receive care as soon as practicable, independent of service connected (SC status and whether care is purchased or provided directly by the VA. A wait list for hospice or palliative care must not be maintained. VHA must offer to provide or purchase needed hospice or palliative care services without delay. Schedules appointments in accordance with current guidelines, assuring that patients that are 50% or more service connected, OEF/OIF, or appointments for a service connected condition are scheduled within 30 days of the desired appointment date specified by the patient or clinician, or added to the Electronic Wait List (EWL) if no appointment slots are available. Communication with Service Chief(s) is vital to alert them of unavailability to schedule within 30 days for the above stated categories of veterans. Nonservice connected veterans are scheduled within 120 days, or added to the EWL if no appointment slots are available.
Work Schedule: 8:00 AM to 4:30 PM (Monday through Friday) Financial Disclosure Report: Not Required Compressed/Flexible Schedule: Not Available Telework: Not Available Virtual: Not a virtual position. Functional Statement Title: Registered Nurse Home Based Primary Care (HBPC) Relocation/Recruitment Incentives: Not Authorized
76% or greater – You may be expected to travel for this position.
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Conditions of Employment
**You must be a U.S. Citizen to apply for this job Designated and/or random drug testing required Selective Service Registration is required for males born after 12/31/1959 You may be required to serve a two year probationary period Subject to a background/security investigation Must be proficient in written and spoken English Must have valid Driver’s License
Physical Requirements**: May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or invasive procedures. Homes may be in poor condition and present potential safety and infection control risks such as unsafe structures and invasive insects. An ability to recognize safety in the home that includes environmental, physical, emotional and spiritual aspects is critical. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The incumbent may be exposed to animals and severe weather conditions. This position also may require potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. An ability to lift and carry objects such as laptop cases, nurse assessment bag and other home care supplies in and out of vehicles and into homes is necessary. The incumbent is expected to use proper preventive technics to perform duties. The incumbent may occasionally be exposed to patients and or others within the home who are combative secondary to delirium, dementia, or psychiatric behavioral 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 as a condition of employment.
Preferred Experience/Qualifications: Preferred home care experience
Note:Must have Basic Life Support (BLS) certification and Advanced Cardiac Life Support (ACLS) prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). The ACLS requirement is satisfied by attaining, and maintaining, current status through an approved AHA Advanced Cardiac Life Support Course. BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted
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. * 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), previously known as the National League for Nursing Accrediting Commission (NLNAC) 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. * English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within
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