This is an open continuous announcement & will be open until 10/4/22 or until filled. Qualified applicants will be considered & referred as vacancies become available in the following areas: (1) PACT, Sioux Falls, Aberdeen and Dakota Dunes SD. (2) Specialty Medicine, Sioux Falls, SD. (3) Surgical/Specialty Care (Outpatient Clinics), Sioux Falls, SD These are Intermittent (PRN), temporary appointments. 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. 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: The population of male and female Veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. Sioux Falls VAHCS is an interdisciplinary teaching facility, offering medical, surgical, and mental health inpatient services. Comprehensive health care is provided through primary care, tertiary care, and long-term care in the areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, geriatrics, and transitional care. This 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 Veterans and objects may be required. The RN may be exposed to infected Veterans and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive procedures. The RN may occasionally be exposed to Veterans who are combative secondary to delirium, dementia, or psychiatric disorders. The RN must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on Veteran needs. This position requires heavy lifting (45 lbs and over), Heavy Carrying (45 lbs and over), use of fingers, both arms/hands required or the equivalent required, walking 8 hours, standing 8 hours, repeated bending (3 hours), climbing, legs only (1 hour), ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13 to 16 to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, hearing (aid may be permitted). Environmental factors include: Fumes, smoke or gases, working with hands in water, and working closely with others. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Nursing care is the dynamic and skilled application of a systematic body of knowledge to the diagnosis and treatment of actual or potential health problems. Competent nursing care is provided in the context of the nursing process, which encompasses all significant action taken by the nurse in providing care, and forms the foundation of clinical decision-making. Nursing care must be individualized to meet a particular patients' unique needs and situations. Intermittent Registered Nurses duties include, but are not limited to: Providing a full range of nursing care to patients with a variety of physical and/or behavior problems. Patients who range in age from adults (18-64) and adults (65+) with common medical conditions including; cardiac, respiratory, infectious, renal, hematology, endocrine, psychiatric, and oncology disease processes. Using sound judgment to prioritize work assignment based on patient needs, prioritizing patients according to urgent needs. Functioning independently in the complex environment and must be able to adapt to the constant changing environment. Collaborates with members of the multi-disciplinary team in assessing, planning, implementing and evaluating patient care. Collaborates with physicians and ancillary services in planning and implementing the patient's plan of care. Demonstrates knowledge and competencies in technical and operational knowledge in nursing, able to adhere to unit-based protocols, with the ability to apply these skills in the clinical setting. Completes and demonstrates knowledge of mandatory and annual competencies for equipment and procedures Treats all Veterans, families, and other healthcare providers with dignity and respect. Listens to and acknowledges Veteran and family perspectives and choices. Veteran and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care in a non-judgmental, non-discriminatory manner. Possesses the knowledge and skills necessary to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting. Work Schedule: Intermittent (prn) basis. Will be discussed at interview.\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.