Registered Nurse - Community Living Center (1P)

Veterans Health Administration•Richmond, VA
•Onsite

About The Position

The Registered Nurse assigned to the Community Living Center 1P unit demonstrates proficiency through conscious, deliberate planning and is self-directed in setting goals for complex client situations. The RN coordinates care throughout the continuum, focusing on patient education, self-management, and customer satisfaction. The role includes providing and supervising direct patient care, administering medications and procedures according to policy, and collaborating with the interdisciplinary team to influence patient outcomes. The nurse provides evidence-based care to residents and may oversee licensed vocational nurses and nursing assistants. The RN also supports nursing education, orientation, competency development, quality improvement, and improved outcomes utilization. The position requires sound clinical judgment, critical thinking, prioritization, and the ability to validate care decisions against their rationale and question clinical practices to support evidence-based care. The RN collaborates with the Minimum Data Set Coordinator to ensure accuracy of Resource Utilization Group scores. All shifts are available; weekends and holidays are required. The position is not telework or virtual. It is a clinical role involving face-to-face patient care and use of information technology, software, and equipment for virtual visits, as well as timely and accurate electronic medical record documentation. The work environment can range from steady to fast-paced and may be noisy, with multiple priorities, frequent and sometimes intense customer interactions, and changing conditions. The RN may work with residents experiencing communication difficulties, cognitive loss including dementia, behavioral challenges, or altered mentation, and with stressed caregivers. Personal protective equipment may be needed to prevent exposure to disease, illness, and hazardous materials. The role requires a current, full, active, unrestricted nursing registration in a U.S. state, territory, commonwealth, or the District of Columbia, and graduation from an appropriately accredited professional nursing program, subject to the exceptions described in the announcement. Education and experience requirements vary by Nurse grade and level. The position is eligible for the Education Debt Reduction Program for qualifying applicants; approval, amount, and eligibility period are determined after application review.

Requirements

  • Proficiency in basic written and spoken English.
  • Graduation from a professional nursing program accredited by ACEN or CCNE, or qualifying education under the stated bridge-program or foreign-education provisions.
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. state, territory, commonwealth, or the District of Columbia; a Graduate Nurse Technician exception may apply under the stated conditions.
  • Meet the education and professional nursing experience requirements for the applicable Nurse grade and level.
  • U.S. citizenship, except that non-citizens may be appointed when recruitment of qualified citizens is not possible under VA policy.
  • Pass a pre-employment physical evaluation.
  • Submit to required pre-appointment drug testing if selected for a testing-designated position.
  • Register for Selective Service if applicable to males born after December 31, 1959.
  • Pass a background/security investigation and complete online onboarding and application requirements.
  • Comply with the seasonal influenza vaccination program and other VHA-mandated vaccination and employee health requirements.
  • Meet the physical demands of clinical patient care, including lifting, prolonged standing and sitting, frequent bending, stooping, walking, reaching, repetitive motion, and climbing stairs.
  • Meet the stated mental and sensory demands, including logical thinking, information processing and recall, reasoning, complex problem solving, hearing, clear speech, writing, keyboarding, and use of a telephone.
  • Work weekends and holidays as required.
  • Use available IT software and equipment for virtual visits and navigate and document in electronic medical records accurately and on time.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Long-term care experience.
  • Medical-surgical experience.

Responsibilities

  • Provide and/or supervise direct patient care and remain responsible and accountable for all elements of the nursing process.
  • Coordinate care throughout the continuum, focusing on patient education, self-management, and customer satisfaction.
  • Administer medications and procedures in accordance with established policies and guidelines.
  • Collaborate with interdisciplinary team members to influence patient outcomes.
  • Provide competent, evidence-based care to residents, overseeing licensed vocational nurses and nursing assistants as appropriate.
  • Assist in directing nursing education, orientation, and competency activities.
  • Contribute to quality improvement and enhanced outcomes utilization.
  • Use clinical knowledge, skills, abilities, and judgment to manage complex situations and competing priorities.
  • Validate understanding of the rationale for care processes and decisions, and question clinical practices to support evidence-based care.
  • Collaborate with the Minimum Data Set Coordinator to ensure accuracy of Resource Utilization Group scores.
  • Provide face-to-face patient care and document accurately and promptly in electronic medical records.

Benefits

  • Education Debt Reduction Program (EDRP) student loan payment reimbursement for eligible participants, with awards up to $200,000 and eligibility periods of one to five years, subject to program review and approval.
  • Competitive salary, regular salary increases, and potential performance awards.
  • 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 and 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.
  • One full and unrestricted license from any U.S. state or territory is accepted.
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