This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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: Current Bio-therapy and Chemotherapy Certification. Two or more years of recent acute medical / oncology nursing experience. BSN 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: This position requires visual acuity (including depth perception), keen hearing (aide permitted), clear distinctive speech, and manual dexterity in both hands. This position requires potentially long periods of continued walking (2-4 hours), standing (2-6 hours), stooping, sitting, bending, pulling (1-2 hours), and pushing (1-2 hours). lifting (>50 pounds), carrying (>50 pounds). 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 be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Ability for rapid mental and muscular coordination simultaneously. 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 Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be able to work closely with others, as well as protracted or irregular hours of work. Must be compliance with the use of ergonomic exercises and employee safety requirements. ["The Medical/Oncology inpatient unit Staff Registered Nurse is organizationally responsible to the Nurse Manager or designee. The (RN) is responsible for providing direct patient care primarily to hematology and oncology patients. He/she shall independently perform critical tasks in assessing, initiating, monitoring, and terminating treatment in an inpatient setting. The nursing care being provided is under the direction and in cooperation with the medical director and in accordance with physician orders, MEDVAMC Policies, Procedures and Guidelines, OSHA, JCAHO, Commission on Cancer, Oncology Nursing Society, federal, state and local regulations. The Medical/Oncology RN is expected to support the VHA's vision, values, mission and customer service philosophy. It is expected that individuals in this position will follow the hospitals' policies and procedures to provide the highest level of patient care and most superior customer service possible. Responsible for displaying culture of veteran-centric service through values and customer service standards. Develops and maintains effective relationships with internal and external costumers through accurate and timely communication Takes initiative and action to resolve customer service issues with all customers in a timely manner and asks for assistance if the problem cannot be solved independently. Provides safe and effective patient care in compliance with company and contracted hospital standards, policies and procedures, as well as regulations set forth by the VHA, state, and federal agencies. Responsible for reporting all new or unusual incidents, information, complaints, or problems to the Nurse Manager. Works effectively with other registered nurses in the Cancer Center along with other members of the health team in the inpatient area and the hospital. Demonstrates skill in implementation of physician orders for patients undergoing treatments in the Inpatient area. Administers chemotherapy utilizing appropriate techniques and assessment of outcomes including patient education and toxicity management. Able to manage and deliver care for complex patient situations incorporating age specific considerations for the patient requiring chemotherapy/biotherapy or other Hematology/Oncology interventions. Assesses subtle changes in patient's condition during chemotherapy/biotherapy administration that can indicate an impending emergency. Administers appropriate treatments for acute chemotherapy infusion reactions. Implements appropriate treatments for intravenous extravasations. Demonstrate proper use of PPE in handling chemotherapeutic agents and biotherapeutic agents Demonstrates proper documentations on safe chemo administration, monitoring for specific acute drug effects, patient and family education, and other post treatment considerations Practices proper disposal of chemotherapy wastes according to hospital policy. Assesses patients' responses to ordered treatments making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicates problems or concerns to appropriately credentialed physician, patient hospital primary nurse and others as necessary. Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed chemotherapy treatments, blood product transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Collaborates and communicates with physicians and other staff to interpret, adjust, and coordinate patient care plan to ensure continuity of care. Accurately records all physician orders and treatment information in the individual patient medical record. Reports any significant patient information to the correct team member(s), including the physician. Appropriately and accurately completes any required documentation. All other duties dictated by patient care. Work Schedule: 7:30a-8p & 7:30p-8a with rotational shifts, weekends & Holidays\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Contact Ms. Demetrius Roberts @ Demetrius.Roberts@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required ****This is an open continuous announcement until September 30, 2022. Qualified Applicants will be considered and referred as vacancies become available. All applicants may receive consideration for 3 months from the date of application. If you wish to be considered after that period, and the announcement is still open to receive applications, you must re-apply to indicate your continued interest."]
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.