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Registered Nurse
3 months ago
**Duties**:
**PRACTICE**: Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving others in improving care.**
Performance Standards
1. Provides a full range of nursing care to patient/residents with complex care needs utilizing the nursing process based on the ANA Standards of Nursing Practice.
1.1. Demonstrates consistent clinical competence in providing nursing care.
1.1.1. Uses equipment correctly and accurately interprets data.
1.1.2. Recognizes subtle changes in patient/resident's condition and responds timely, choosing the correct interventions.
1.1.3. Demonstrates evidence of critical thinking skills in identifying, analyzing, and resolving patient/resident care problems on the unit.
1.1.4. Facilitates safe patient centered flow, both in and out of VALL.
1.2. Initiates and implements an interdisciplinary plan of care based on assessments.
1.2.1. Performs ongoing assessment of patient/resident condition and response to treatment.
1.2.2. Provides leadership in establishing goals, evaluating the plan of care, and in discharge planning.
1.2.3. Initiates referrals to other disciplines and/or services as appropriate.
1.2.4. Assesses the patient/resident/resident's learning needs, learning preference, and readiness to learn. Modifies teaching approach based on knowledge of human behavior, motivations, and reactions to situations.
2. Accurately documents in the medical record patient/resident/resident findings, assessments, and care provided.
2.1. Documentation is technically informative, complete, accurate, consistent, concise, and timely.
2.2. Evaluates and documents patient/resident/resident response to interventions and progress towards attainment of goals and expected outcomes.
2.3. Revises interdisciplinary plan of care based upon on-going patient/resident/resident assessment and evaluation.
2.4. Uses the Computerized Patient/resident Record System (CPRS), pyxis and/or the Bar Coded Medication Administration (BCMA) software if applicable per policy.
3. Effectively functions as the off-tour supervisor, charge nurse, team leader, or in other leadership role that guides and directs others who provide patient/resident care.
3.1. Makes assignments and directs activities of other unit staff, (RNs, LVNs, students, PSAs, other team members).
3.2. Assigns patient/resident care responsibilities based upon patient/resident needs and competencies of staff.
3.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary.
3.4. Provides direction to staff for unit activities in meeting patient/resident care needs.
3.5. Ensures that delegated tasks as assigned are completed by other staff.
3.6. Ensures the physician and/or the nurse manager/ immediate supervisor/coordinator are notified of untoward events involving patient/residents and staff, either by assigned RN or by self.
4. Uses a team approach to identify, analyze, and resolve patient/resident care problems that result in improved patient/resident outcomes.
5. Demonstrates grade-appropriate and consistent critical thinking skills.
5.1. The nurse can recognize the patient/resident has a problem.
5.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
5.3. The nurse has a relative sense of urgency.
5.4. The nurse takes the right action for the right reason (del Bueno).
6. Provides age-specific care for adult (18-64) and geriatric (65 and older) patients/residents/groups including the following elements: promotes independence; encourages self-care; involves family or designated caregiver with care planning, provides necessary safety measures and access to privacy; assists patient/resident to cope with changes affecting mobility, balance, cognition, psychosocial function, and physical/sensory changes.
7. Role-specific Competency Checklist is complete and is rated competent in all measured areas (see attachment).
and many more not listed above
**Work Schedule**: Open
**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.
- 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 Requirem
