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Clinical Nurse Specialist - Medical Surgical Telemetry Unit
Veterans Affairs, Veterans Health Administration
Location: San Diego, California
Internal Number: 679214800
The Advanced Practice Registered Nurse (APRN): Nursing Education & Research Clinical Nurse Specialist (CNS) Medical Surgical Telemetry Unit is an expert clinician in a specialized area of nursing practice. The specialty may be identified in terms of a population, setting, or medical subspecialty. The CNS assesses plans, implements, and evaluates the total health care of a specialized patient population in a clinical specialty area. 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. 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. 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 Experience: Master's Degree in nursing/clinical nurse specialist major Special certification: CNA/ board certification as clinical nurse specialist from VA approved certifying body (i.e., ANCC, AACN)3-years current medical/Surgical Telemetry and/or Acute Critical/Progressive Care experience BLS and ACLS Knowledge in basic EKG and dysrhythmias interpretation Documented evidence of ability to plan and execute orientation programs for all levels of unit staff Documented evidence of progressive clinical leadership experience related to clinical performance outcomes Understanding of Evidence Based Practice principles and demonstrated ability to mentor staff in process Demonstrates flexibility in scheduling to meet program/unit outcomes 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 - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An 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 - An 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 (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A 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: In accordance with VA Directive and Handbook 5019This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Occupational Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA vehicles. This position requires flexibility in schedule and assignments, as this is a 24/7 hospital. Some positions require rotation of tours or indefinite work on non-administrative tours as established by the immediate supervisor or designee ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Clinical Nurse Specialist (CNS) Advanced Practice Registered Nurse (APRN)is a professional registered nurse who provides high quality, evidence-based care to patients through the utilization of advanced educational preparation and clinical expertise. The CNS supports the Medical Surgical Telemetry (Med/Surg/Tele) Units. The CNS provides care appropriate to the patient's age, gender, culture, and learning abilities and can guide others in these competencies when planning patient care. The CNS works collaboratively with many disciplines/departments to provide care and optimize s experiences as appropriate. The scope of the assignment includes clinical, consultation, leadership, research, and educational components. The incumbent collaborates with an inter-professional team to provide optimal learning experiences as appropriate. Change is facilitated through consultation and highly discriminating judgment in applying the Nursing Process. The CNS APRN Med/Surg/Tele duties may include but are not limited to: Collaborates with Associate Nurse Executive (ANE) Education & Research, Nurse Manager Nursing Education, ANE Inpatient Units, Nurse Manager (NM) and Assistant Nurse Manager (ANM) of Med/Surg/Tele Units to: provides clinical leadership for Med/Surg/Tele nursing staff, develops and implement a strategic educational plan, develops, coordinate, facilitate, and evaluate unit-based nursing service orientation, clinical competencies and required educational directives for the Med/Surg/Tele Units and maintains competency folders with quarterly reviews. Facilitates, coordinates, and lead development and completion of initial and ongoing competencies for Med/Surg/Tele Unit nursing staff and nursing service as needed. Develops, coordinates, and provides Med/Surg/Tele Unit education programs and activities and hospital wide Med/Surg/Tele educational programs and activities as appropriate. Develops nursing Med/Surg/Tele standards of practice and serves as the Med/Surg/Tele nursing consultant on Med/Surg/Tele clinical practice. Serves as the nursing consultant regarding Med/Surg/Tele nursing policy and procedure development. Serves as the coordinator for any research on Med/Surg/Tele Units. Mentors Med/Surg/Tele staff in evidence-based practice projects. Provide leadership and facilitates evidence-based practice to VASDHS employees. Mentors Med/Surg/Tele Unit nursing staff and VASDHS staff to develop leadership and preceptor skills. Disseminates accreditation standards and ensures staff compliance with The Joint Commission and other regulatory agency requirements. Uses advance clinical knowledge/judgement to promote staff involvement in planning, decision-making and evaluation outcomes. Functions as an expert in clinical practice and/or areas related to the assigned roles and responsibilities. Systematically evaluates current practice and formulates outcomes for groups of patients and/or organizational process within area of expertise. Collaborates and participates with Med/Surg/Tele nursing staff and VASDHS staff in the selection and process of performance measure improvement. Provides direct and indirect care for patients in the Med/Surg/Tele Units. Documents all direct patient care provided using the electronic health record (EHR), according to unit and facility policies and procedures. Serves as member of the VASDHS - Clinical Nurse Specialist group, and Nursing Clinical Practice Committee. May serve as chair or co-chair as appropriate. Acts and serves as a consultant, member, or chair to unit-based councils, interdisciplinary task forces and committees, Nursing Service Councils, facility wide committees, VISN 22 and national workgroups as appropriate. May serve as chair or co-chair as appropriate. DUE TO TEXT LIMITATIONS, THIS IS NOT THE ENTIRE TEXT FROM THE POSITION DESCRIPTION IF YOU WOULD LIKE TO REVIEW THE ENTIRITY OF THIS POSITION DESCRIPTION, PLEASE CONTACT THE HUMAN RESOURCES POC LISTED AT THE BOTTOM OF THIS JOB OPPORTUNITY ANNOUNCEMENT (JOA). Pay: Competitive salary, regular salary increases, potential for performance awards\nPaid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)Licensure: 1 full and unrestricted license from any US State or territory. Work Schedule: Full-Time, 7:30 AM - 4 PM (to be discussed)\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
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.