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Veterans Affairs, Veterans Health Administration Hospital in Home Registered Nurse in West Roxbury, Massachusetts

Summary

This Hospital in Home Registered Nurse position is located in the Medical Service at the West Roxbury campus location. This position is a full-time position.

Responsibilities

Hospital in Home is a program that provides acute level clinical care to veterans in the comfort of their home 7-days a week, with the goal of avoiding admission to the hospital or reducing length of stay once admitted. This program is supported by a multidisciplinary team that provides visits, as often as daily, with both in person and virtual visits. The direct care RN must be a clinical expert who is competent in triage and assessments, EKG and telemetry, IV and phlebotomy skills, IV medication administration with familiarity of diuresis among other medications, wound care, and technical skills to utilize virtual capabilities. The direct care RN must be autonomous and able to work independently in the filed with minimal resources and direct oversight, with excellent time management skills and the ability to multitask. Duties include, but are not limited to: Provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling. Provision of care supportive to or restorative of life and well-being. Executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider. Work Schedule: Day Shift with Weekend and Holiday Rotations, Hours to be set between 8:00 am and 6:30 pm

Financial Disclosure Report: Not required

Compressed/Flexible Tour: Authorized

Telework: May be Authorized

Virtual: This is not a virtual position

Relocation & Travel Incentives: Not Authorized

Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Notifications:

This position is a NAGE Bargaining Unit position.

This position is covered by a special rate.

Selectee may be required to work at any VA Boston Healthcare System campus, as needed.

The incumbent may be required to travel to other VA campuses and CBOC's.

Current and former Federal employees must submit copies of their most recent SF-50 (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.

This position is in the Excepted Service.

The salary is based on the grade and step approved for the selected candidate.

The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate's education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy.

Requirements

Conditions of Employment

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. 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. Driver's License: Unrestricted Massachusetts state Driver's License is required. Preferred Experience: Recent critical care and/or Emergency Department experience. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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: Position is subject to a pre-employment physical and medical examination. This position requires: lifting, carrying; reaching above shoulder; use of fingers; walking (8 hours); standing (8 hours); repeated bending; working alone; protracted or irregular hours of work and occasional emotional strain. It also requires intermittent lifting, carrying, straight pulling and straight pushing up to 45 lbs.

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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in

Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the

Commission On Collegiate Nursing Education (CCNE). Verification of accreditation may be obtained from

http://www.acenursing.us/accreditedprograms/programsearch.htm

(http://www.acenursing.us/accreditedprograms/programsearch.htm)

or https://directory.ccnecommunity.org/reports/accprog.asp

(https://directory.ccnecommunity.org/reports/accprog.asp)

  • If your school has changed names, or is no longer in existence, you must provide this information in your

application.

  • If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the

websites, you must provide documentation of accreditation with your application packet.

Additional Information

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application. VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

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