Registered Nurse in the Transition to Practice (RNTTP) residency program is a NOVICE and upon hiring, no experience of the situations in which they are ultimately expected to perform. In this first year, the RNTTP is "taught about situations in terms of objective attributes and other objectifiable, measurable parameters of a patient's condition, features of the task world that can be recognized without situational experience. Supervised by the RNTTP Program Director/Manager, Clinical Education. 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. 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: The population of male and female patients served ranges from the adult, age 18, to the elderly adult, age 65 and over. VA Black Hills Health Care System is a health care facility, providing acute medical, surgical, behavioral health, physical medicine and rehabilitation, geriatric, and primary care services predominately to Veterans, but in special cases, includes active-duty military and civilian populations. This position requires visual acuity (Correctable to 20/40), hearing clear distinctive speech (correctable to 20db), and manual dexterity to perform prescribed procedures/computer usage. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or during patient operative/invasive procedures. 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, and is able to shift priorities based on patient needs. Heavy Lifting (45 lbs and over); Moderate Carrying (15-44 lbs); Pushing (up to 2 hrs); Reaching above shoulder; Use of fingers; Both hands required; Walking (8 hrs); Standing (8 hrs); Repeated bending (7 hrs); 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; Ability to distinguish shades, of color; Hearing (aid permitted); Emotional and mental stability required. Environmental Factors: slippery or uneven walking surfaces, working with hands in water, working closely with others, working alone and protracted or irregular hours of work. Transferring patients and objects may be required. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must possess excellent critical thinking skills and be capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 29, 2023. The initial cut-off date for referral of eligible applications will be January 13, 2023, with subsequent cut-off dates on the 1st and 15th of each month. Applicants will be considered and referred as vacancies become available. 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. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Registered Nurse in the Transition to Practice (RNTTP) residency program is a NOVICE is accountable for adhering to established policies, standards of care, and standards of practice; delivering fundamental, knowledge-based care to assigned patients while developing technical competencies. All functions/activities/duties are performed under the direction and supervision of a licensed Registered Nurse preceptor. The GNT, after successful completion of National Council Licensure Examination for Registered Nurses (NCLEX-RN) and licensure, enters a 12-month RN Transition to Practice residency program. This position is located within the Education Service Line and is supervised by the RNTTP Program Director/Manager, Clinical Education. The Registered Nurse in the Transition to Practice (RNTTP) residency program interprets the philosophy and goals of nursing service to others in the work setting; functions within established guidelines and demonstrates the ability to work effectively and develop therapeutic relationships with patients, their families, and other professional and supportive personnel who provide patient care. Delivers fundamental, knowledge-based care to assigned patients while developing technical competencies. Works closely with a RN preceptor with a goal of developing skills and judgement to utilize the nursing process in real situations. Focus is on individual growth and development in practice with increased levels of self-direction. RNTTP will be enrolled in a 12-month RN Transition to Practice (RNTTP) residency program that includes hands-on clinical training, classroom training, simulation training, preceptorship, mentorship, and shadowing experiences. The RN is required to attend all trainings to successfully complete the program. Work Schedule: Variable, 80 hours per pay period Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized, possibly authorized upon appointment to permanent position. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
