This is a nursing job opportunity within the Surgical Clinics at the Pittsburgh VA Medical Center. 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. English Language Proficiency: In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: Applicant must be a 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. Licensure: Applicant must possess a 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. Preferred Qualifications: BSN degree; minimum of 2 years of outpatient experience; experience caring for the surgical patient (urology specific). 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 - Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - 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 - 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 or related field with a BSN and no additional nursing practice/experience. Nurse II - 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of walking, standing, computer use and or sitting. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities with short notice based on needs. ["The Surgical Clinics nurse is responsible for covering a variety of surgical specialty outpatient clinics with primary focus in the ENT, Pain, Urology, Vascular, or Wound Clinic during operating hours. The incumbent will perform initial triage of walk-in patients with urgent or post-operative issues daily and determine if the patient requires further intervention with provider support, to improve same day access. The incumbent will function as Charge Nurse as indicated while coordinating with multiple specialty clinics, maintaining strong relationships with Medical Center departments, CBOCs and spoke facilities, and lead/coordinate RN led clinics. She/he must have a demonstrated ability to organize the clinic and procedure areas, make assignments for nursing staff and prioritize clinic space based on multiple clinics being held simultaneously. The incumbent will possess the ability to recognize urgent or emergent care situations and initiates appropriate emergency interventions; collaborate with providers within the surgical specialties to determine if additional testing needs are required prior to clinic appointment; discuss additional testing needs with referring provider and patient as needed and facilitate completion of testing as needed. She/he will assist with ensuring compliance by the surgical providers and nursing staff regarding appropriate MRSA testing being completed pre-operatively; maintain active clinic grid management to understand the clinic cancellation process and assist with entering LEAF cancellation requests when needed; maintaining awareness of assigned specialty areas' access to appointments and ability to schedule patients within 28-days of Mission Act standards; continually evaluating existing clinic grids and making suggestions where needed to optimize and improve access to care in efforts to improve the Veteran's experience and/or reduce Community Care utilization. The incumbent will prepare and/or administer medications and perform treatments according to established policies and procedures; observe for any physical and/or emotional changes in patient's condition from ordered medications/treatments and promptly report any deviations from normal. She/he will remain knowledgeable on current trends/medical practices in designated assigned area/surgical specialty; maintain awareness of processes required to obtain new products for patient use; maintain appropriate supplies with the clinic exam rooms; and ensure efficient clinic flow and educate the provider team to clinic needs. She/he will respond to view alerts, patient phone calls, and Secure Messaging (SMS) as indicated and escalate message to appropriate provider if unable to answer the question and possess the ability to build and maintain strong relationships with CBOC and spoke facilities to ensure efficient and effective patient care using CVT. The incumbent will perform appropriate surgical clinic nursing documentation dependent on patient needs, i.e., pain assessment, suicide risk assessment, RAI, allergy assessment, education assessment, education record, MRSA consent, telephone contact reports, etc. She/he will assist providers as needed during exams and procedures, to include setting up sterile field and assisting with correct site protocol/time out processes; obtain specimens as ordered by the provider; assist with the triage of Urology consults; maintain quality monitors within the 2A/Urology Suite; maintain the biopsy tracking log ensuring appropriate follow up has occurred with patients; maintain RME inventory list and SDS list and report any additions/deletions to Nurse Manager; review clinic access metrics for 2A/Urology clinics, making recommendations to alter clinic capacity to meet 28-day metrics as needed; place clinic cancellation/reductions within SharePoint site for 2A/Urology specialties; provide education and initial teaching to include but not limited to the following within the 2A/Urology unit: new medications, pre-operative testing and coordination of care needs, nephro-tube care, self-catheterization, SSI education, ERP education, VTE prevention education, post-procedure dressing/wound care, the safe handling, storage and disposal of opioids; receives and triage all phone messages for 2A/Urology patients related to clinical issues, which at times require extensive chart review and collaboration with APP/MD and scheduling staff; document all phone conversations in CPRS accordingly; maintain knowledge of various forms of tele-health medicine to include VVC and CVT; maintain knowledge of equipment utilized to implement telehealth processes; any and all other duties and responsibilities as assigned by the Nurse Manager or Assistant Nurse Manager. Work Schedule: Monday-Friday 7:30AM-4:00PM Financial Disclosure Report: Not required The VA offers a comprehensive total rewards package: VA Nurse Total Rewards"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.