Registered Nurse (Telephone Triage)
Assist with patient care, clinic workflow and assigned by NM or Charge Nurse to provide safe patient care. Uses the nursing process and evidence-based practice to collaborate with the Teamlet and larger Team to meet patient care needs. Provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Collaborates with the interdisciplinary team. Completes and documents Nursing Notes in CPRS, as applicable, in a timely manner and closes the Encounter Notes for patients not seen by a provider. Notes will be closed by the end of tour of duty daily. Areas to be addressed include:
Encounters:
reasons for visit-Service Connection; Primary assignment-Service connected conditions under the Diagnosis tab; Procedures, ACSC conditions, etc. Monitors progress with clinical guidelines and/or pathways, analyzes variations and initiates appropriate actions. Maintains current knowledge of multidisciplinary resources, programs and services, referring patients for community resources as appropriate. Collaborates with patient and care providers. Reviews options with patients and families, including costs, alternatives, risks/benefits and services. Actively educates the patient and family on disease process, resources, plan of care, treatments and /or procedures. Advocates fiscal responsibility in the management of patient care through effective utilization of resources. Screens patients for social service, home care, and other community care needs; and coordinates or makes referrals as appropriate; and seeks consultation when indicated. Appropriately documents own interventions and oversees appropriate health team documentation of patient care. Keeps patient's provider aware of patient progress, issues, and/or problems. Evaluates needs and facilitates the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care. Actively participates in care delivery with priority attention to patient preference. Utilizes approved Protocols and Guidelines to facilitate autonomy in providing care. Promotes cost effective use of resources; effective least-expensive strategies expected in non-face-to-face approaches (including telehealth) Maintains privacy and confidentiality of all patient information, including electronic, print, and conversations. Applies skills, such as motivational interviewing to promote patient self-management. Promotes health promotion and risk reduction strategies Actively participates in policies, procedures and standards to promote evidence-based patient-driven care. Initiates follow-up telephone calls appropriately and documents interactions on encounter form/CPRS. Documents patient instructions and advice given. Uses protocols appropriately and documents reasons for not following protocols. Signs in and out of ACD system per policies/procedure. Other duties as assigned. Work Schedule:
Monday-Friday, 8:
00am-4:
30pm Financial Disclosure Report:
Not required Note:
This is a bargaining unit position To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/14/2020. 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. 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:
At least 3 years of nursing experience in a complex setting (PACT, ER, Med/Surg). At least 3 years experience with electronic medical records (CPRS, TRM Plus, etc.) 1 - 2 years of Telephone Triage experience 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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:
Moderate lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Straight pulling (__0.5__hours), Pushing (__0.5__hours) Reaching above shoulder, Walking (__5.3___hours) Standing (__5.3___hours), Repeated bending (___5.3__hours), 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, Depth perception, Ability to distinguish basic colors, Hearing (aid permitted).
Estimated Salary: $20 to $28 per hour based on qualifications.
Encounters:
reasons for visit-Service Connection; Primary assignment-Service connected conditions under the Diagnosis tab; Procedures, ACSC conditions, etc. Monitors progress with clinical guidelines and/or pathways, analyzes variations and initiates appropriate actions. Maintains current knowledge of multidisciplinary resources, programs and services, referring patients for community resources as appropriate. Collaborates with patient and care providers. Reviews options with patients and families, including costs, alternatives, risks/benefits and services. Actively educates the patient and family on disease process, resources, plan of care, treatments and /or procedures. Advocates fiscal responsibility in the management of patient care through effective utilization of resources. Screens patients for social service, home care, and other community care needs; and coordinates or makes referrals as appropriate; and seeks consultation when indicated. Appropriately documents own interventions and oversees appropriate health team documentation of patient care. Keeps patient's provider aware of patient progress, issues, and/or problems. Evaluates needs and facilitates the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care. Actively participates in care delivery with priority attention to patient preference. Utilizes approved Protocols and Guidelines to facilitate autonomy in providing care. Promotes cost effective use of resources; effective least-expensive strategies expected in non-face-to-face approaches (including telehealth) Maintains privacy and confidentiality of all patient information, including electronic, print, and conversations. Applies skills, such as motivational interviewing to promote patient self-management. Promotes health promotion and risk reduction strategies Actively participates in policies, procedures and standards to promote evidence-based patient-driven care. Initiates follow-up telephone calls appropriately and documents interactions on encounter form/CPRS. Documents patient instructions and advice given. Uses protocols appropriately and documents reasons for not following protocols. Signs in and out of ACD system per policies/procedure. Other duties as assigned. Work Schedule:
Monday-Friday, 8:
00am-4:
30pm Financial Disclosure Report:
Not required Note:
This is a bargaining unit position To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/14/2020. 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. 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:
At least 3 years of nursing experience in a complex setting (PACT, ER, Med/Surg). At least 3 years experience with electronic medical records (CPRS, TRM Plus, etc.) 1 - 2 years of Telephone Triage experience 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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:
Moderate lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Straight pulling (__0.5__hours), Pushing (__0.5__hours) Reaching above shoulder, Walking (__5.3___hours) Standing (__5.3___hours), Repeated bending (___5.3__hours), 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, Depth perception, Ability to distinguish basic colors, Hearing (aid permitted).
- Department:
0610 Nurse - Salary Range:
$60,322 to $125,909 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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