Description
Summary This nurse provides patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management in the Gastroenterology Specialty Care Outpatient Clinic. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Demonstrates performance and leadership that is broad enough to improve the care for specialty care outpatients. This is NOT an endoscopy procedure RN position. Responsibilities PRACTICE: Delivers self-directed, professional nursing practice using the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) for complex patients based on conscious and deliberate planning with occasional supervision. The RN will perform a wide range of clinical/administrative duties and will utilize nursing skills when assessing and triaging unscheduled patients as walk-ins, over the phone or secure messaging. Assures current, comprehensive, and timely documentation is contained in the patient's medical record and any other pertinent records. Uses the nursing process, evidence-based practice, and effective communication to collaborate with healthcare providers, family/caregiver, internal VHA and community based services and disciplines involved in providing care to the patient in developing the patient-driven holistic care plan for life. The RN must have the ability to work within an intra-professional team to assist in the nursing care of complex populations. Triages and applies a collaborative team approach in identifying triage patient concerns/symptoms; categorizes acuity (emergent, urgent, semi-urgent, or routine) and assists in getting the appropriate treatment and intervention and documents encounter citing approved protocols. Performs a variety of tasks to include but not limited to: Vital signs, EKGs, immunizations, injections, setting up and assisting with procedures, and other tasks as required by clinic. Promotes patient self-management, prevention, and wellness; while incorporating critical thinking and customer service skills into all aspects of the role. The RN oversees LVNs and MIT/Health techs. May function as charge nurse and preceptor; prepares schedule, makes/adjusts staffing assignments, etc. Participates in committees and performs other duties as assigned. Expectations: 1. Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice. 2. Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed. 3. Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs. 4. Collaborates with the interdisciplinary team to ensure the plan of care is achieved. VETERAN/PATIENT DRIVEN CARE: Provides and directs others in Veteran/patient driven care by optimizing the patient experience, satisfaction, and/or safety for a team of patients. Expectations: 1. Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients. 2. Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Role models and displays ethical behavior. 3. Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses. 4. Models' high reliability principles and I CARE values to improve patient outcomes. LEADERSHIP: Communicates and collaborates as an effective member of the interprofessional team demonstrating leadership responsibilities such as team leader/charge nurse. Expectations: 1. Demonstrates knowledge over a wide range of job responsibilities, effectively communicating with individuals and groups to build a strong sense of teamwork and purpose. 2. Actively contributes to the collaboration process and clearly communicates ideas to promote team success. Makes meaningful and challenging contributions for the betterment of the work group. 3. Demonstrates compassion for self and others. Makes sound decisions under pressure. Effectively handles multiple demands, anticipates, and resolves conflicts. 4. Is consistent and dependable in carrying out responsibilities and exercises sound judgement. 5. Promotes collaborative behavior and team efforts. Is confident of abilities, effectively initiates solutions and, is alert to new opportunities, techniques, and approaches. PROFESSIONAL DEVELOPMENT: Shares knowledge and learning opportunities that enhance current nursing practice and self-evaluation for self and others on the team. Expectations: 1. Shares knowledge and learning opportunities that enhance current nursing practice for self and others. 2. Shares knowledge gained from self-directed professional development activities. 3. Provides constructive feedback to others. 4. Educates colleagues and/or students and serves as a preceptor or mentor. and many others not listed above Work Schedule: Monday - Friday 07:30am to 4:00pm Financial Disclosure Report: Not required Requirements Conditions of Employment U. S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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 com
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