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John D Dingell VA Medical Center is seeking innovative Registered Nurses to become part of our Healthcare Team. ***THIS IS AN OPEN CONTINUOUS ANNOUNCEMENT*** Resumes/Questionnaires received in USA Staffing in response to this announcement will be maintained in the USA Staffing job file. Qualification determinations will be done based on the applicant's resume/questionnaire/documents submitted for the position and a list of qualified candidates will be referred to Service as vacancies arise. 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. The Four Dimensions of Nursing are: 1. Practice 2. Professional Development 3. Collaboration 4. Scientific Inquiry Within the Four Dimensions of Nursing, nine criteria define the performance requirements for RNs at each grade and/or level in the Nurse Qualification Standard. These requirements listed below, are based on the American Nurses Association (ANA) Standards of Care and Standards of Professional Performance. 1. Practice. Extent to which the RN effectively uses the nursing process components of assessment, diagnosis, outcome identification, planning, implementation, and evaluation in varied practice settings. 2. Quality of Care. Extent to which the RN systematically evaluates and improves the quality and effectiveness of nursing practice and health care delivery. 3. Performance. Extent to which the RN evaluates his/her own nursing practice as well as the performance of others. 4. Education/Career Development. Extent to which the RN acquires and uses current knowledge for self and others. 5. Collegiality. Extent to which the RN contributes to the professional development of peers, colleagues, and others. 6. Ethics. Extent to which the RN makes decisions and takes action in an ethical manner. 7. Collaboration. Extent to which the RN collaborates with clients, significant others, and other health care and service providers. 8. Research. Extent to which the RN uses research in practice. 9. Resource Utilization. Extent to which the RN considers factors related to safety, effectiveness, and cost in planning and delivering care. The above criteria are conceptualized within the Four Dimensions of Nursing as follows: 1. Practice (Practice, Ethics, Resource Utilization). 2. Professional Development (Education/Career Development, Performance). 3. Collaboration (Collaboration, Collegiality)4. Scientific Inquiry (Quality of Care, Research). Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: Heavy Lifting, 45 pounds and over, Heavy carrying, 45 pounds and over, Straight pulling (four hours), Pushing (four hours), Reaching above shoulder, Both hands required, Walking (8-12 hours), Standing (8-12 hours), Repeated bending (eight hours), Both legs required, 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, Both eyes required, Ability to distinguish shades of colors, Hearing (aid permitted), Transferring patients & objects may be required, Do protective clothing in isolation situation or operative/ invasive procedures, May occasionally be exposed to patients who are combative secondary to delirium. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Vacancies may not presently exist but may become available at any point during the opening period of this vacancy announcement. We will not review applicant resumes until there is a request to fill a vacancy. You are applying to a public notice to fill current and future vacancies. Please note, there may or may not be actual/projected vacancies when you submit your application. Your resume and any supporting documentation will be retained with other applicants and reviewed as vacancies occur. You will not receive a notice regarding your application's status other than the initial acknowledgment until a request is received to fill a position. Once a request to fill a vacancy is received, we will review applicants in application date order. We will refer qualified applicants to the selecting official for consideration. The organization's hiring need will determine the referral of additional applicants. Applicants will be notified about their application's status if referred or if we fill all vacancies. This is an open and continuous posting in which you will identify the areas in which you are interested in working. Areas include inpatient and outpatient areas to provide care to our Nation's Veterans. The incumbent will provide prescribed medical treatment and personal care services to ill and injured veterans. Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical and/or behavior problems; and accountable for meeting and maintaining the qualification standards and functional statements of assigned grade. The incumbent must maintain BLS/ACLS certification. This announcement covers multiple areas within John D Dingell VA Medical Center. Eligible applicants will be referred based on their answers assessment in regards to preferred location/specialty combination. Specialties include: Emergency Room ICU/Stepdown Med/Surg (Inpatient) Surgery/Operating Room Patient Aligned Care Team (PACT) Specialty Clinics Community Based Outpatient Clinics (CBOC) Behavioral Health/Mental Health Community Living Center (CLC) Home Based Primary Care/Telehealth Care in the Community GI/Endoscopy Hemodialysis Diagnostic Cardiology Pain/Neurology Clinic Intervention Radiology Pay: Competitive salary, regular salary increases, potential for performance awards Paid 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 Insurance: 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: Schedule will vary based on the current vacancy being filled. Specific work schedule will be discussed during the interview process. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. Financial Disclosure Report: Not required."]

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