Registered Nurse (Specialty Care)

Veterans Health Administration•Hampton, VA
•Onsite

About The Position

The Specialty Care Outpatient Registered Nurse is responsible and accountable for individual nursing practice and determines appropriate delegation of tasks consistent with the obligation to provide optimal specialty care. The role focuses on individual growth and development in practice, with increasing self-direction. The nurse provides patient care and care coordination, promotes health, and educates and coaches patients on wellness, disease prevention, and chronic care management. The nurse formulates plans of care based on nursing assessments and Veterans’ goals, seeks guidance to improve care, and delegates care elements according to patient needs, condition, and safety. The position involves applying nursing principles and theory with limited use of critical-thinking skills. The Specialty RN screens and triages patients, assists with procedures, and administers infusions, including blood, hydration, and biologics. Nurses assigned to Oncology or Infusion clinics must maintain a current Oncology Nursing Society (ONS) Chemotherapy/Biotherapy certification card and administer chemotherapy and/or biologics. The nurse contributes to accreditation readiness through Quick Sweeps, Environment of Care rounds, and clinic daily logs; leads or participates in daily huddles; prepares patient schedules through advance scrubbing; triages walk-in patients and collaborates with providers on care plans; conducts nurse visits and patient education; rooms patients; performs treatments; administers medications; and performs other patient-care duties. The work schedule is 7:30 a.m.–4:00 p.m., Monday through Friday. The position is not telework or virtual. Relocation and recruitment incentives and permanent change of station are not authorized. VA offers a comprehensive total rewards package, including competitive salary, regular salary increases, potential performance awards, paid time off, retirement benefits, and insurance coverage.

Requirements

  • Proficiency in basic written and spoken English.
  • Graduation from an appropriately accredited school of professional nursing, subject to the stated education exceptions for bridge-program candidates and foreign nursing graduates.
  • Current, full, active, and unrestricted registered professional nurse licensure in a U.S. State, Territory, or Commonwealth, or the District of Columbia; a stated Graduate Nurse Technician exception may apply.
  • Meet the education, experience, and scope criteria for the assigned Nurse grade and level.
  • U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
  • Applicants tentatively selected for testing-designated positions must undergo urinalysis for illegal drug use; refusal results in denial of employment.
  • Selective Service registration for males born after December 31, 1959.
  • Subject to background/security investigation and completion of online onboarding and required identification documentation.
  • Pass a pre-employment physical evaluation.
  • Participate in the seasonal influenza vaccination program.
  • May be required to serve a probationary period and complete application requirements in the announcement’s Required Documents section.
  • Physical ability and sensory requirements include visual acuity, keen hearing, clear distinctive speech, and manual dexterity; potentially long periods of walking, standing, stooping, sitting, bending, pulling, and pushing; and possible transfer of patients and objects.

Nice To Haves

  • Outpatient specialty clinic experience.

Responsibilities

  • Deliver fundamental, knowledge-based care to assigned patients while developing technical skills.
  • Assess, plan, implement, and evaluate care using age-specific components.
  • Coordinate care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
  • Administer medications and perform procedures according to established policies and guidelines.
  • Collaborate with interdisciplinary team members to influence care outcomes.
  • Provide patient care, care coordination, health promotion, health education, and coaching on wellness, disease prevention, and chronic care management.
  • Formulate plans of care based on nursing assessments and Veteran goals of care.
  • Seek guidance on improving care for patients and families.
  • Delegate elements of care according to assessed needs, patient condition, and safety.
  • Screen and triage patients; assist with procedures; and administer infusions, including blood, hydration, and biologics.
  • For Oncology or Infusion clinic assignments, maintain a current ONS Chemotherapy/Biotherapy certification card and administer chemotherapy and/or biologics.
  • Contribute to accreditation readiness through Quick Sweeps, Environment of Care rounds, and clinic daily logs.
  • Lead and/or participate in daily huddles.
  • Scrub patient schedules in advance and follow through on schedule preparation.
  • Triage walk-in patients and collaborate with providers to determine a plan of care.
  • Conduct nurse visits and provide patient education.
  • Room patients, perform treatments, administer medications, and perform other patient-care duties.

Benefits

  • 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
  • Traditional federal pension with five-year vesting.
  • Federal 401(k) with up to 5% in contributions by VA.
  • Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
  • Competitive salary, regular salary increases, and potential performance awards.
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