Registered Nurse (Wound Care)

Summary

The Wound Care Registered Nurse (RN) provides competent - evidence-based nursing care to Veterans with acute and chronic wounds across the continuum of care in both inpatient and outpatient settings at the VA Palo Alto Health Care System. The RN functions as a core member of the interdisciplinary team and a subject matter expert - utilizing an inter-professional approach to coordinate care - consultation - and education that promotes recovery - self-management - and quality of life.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - 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 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)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have the opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on a temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (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 to warrant an appointment as a Nurse who has completed an associate's degree/entry-level nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA - such as International Consultants of Delaware (ICD)
• 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
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case basis)
• NOTE: Grandfathering Provision - All persons currently employed in VHA in the 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held - including positive education and licensure/certification
• Grade Determinations: The following Scope - Education - and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development - and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills - and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1
• OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Preferred Experience: Required BLS certification
• 2 years of wound and ostomy experience
• Wound and Ostomy certifications preferred
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: This position requires heavy lifting - 45 pounds heavy carrying - 45 pounds straight pulling (2 hours)
• reaching above shoulder
• use of fingers
• both hands required
• walking & standing 8 hours -intermittently
• repeated bending
• both legs required
• ability for rapid mental& 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 shades of colors
• hearing (aide permitted)
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or 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 - able to shift priorities based on patient needs.

Duties

• The major duties include - but are not limited to: Assessment & Care Planning: Performing comprehensive nursing assessments and directing the management of patients with complex wound care needs
• identifying and instituting preventive and treatment measures - and evaluating the effectiveness of resources and advanced therapies for wound management
• Clinical Procedures: Administering and evaluating specialized wound care procedures - including complex dressing changes - autolytic removal of devitalized tissue - suture removal - and the management of vacuum therapy and other prosthetic equipment
• Care Coordination: Collaborating with the interdisciplinary team to plan and implement comprehensive care
• serving as the point of contact for Wound/Ostomy consults - providing cross-coverage between settings - and referring complex cases to community-based providers as necessary
• Patient Education: Providing extensive education to patients - families - and caregivers regarding diagnosis - wound management goals - and in-home care strategies (including ostomy and continence care) to ensure safe discharges and transitions
• Leadership & Consultation: Serving as a subject matter expert and resource for staff
• providing consultation to the Emergency Department and inpatient units - and collaborating with the Wound Care Program Manager to ensure clinical consistency and oversight
• Performance Improvement: Participating in quality management projects and data collection - including the compilation and analysis of pressure ulcer incidence data to drive evidence-based practice changes and improved patient outcomes
• Mentoring & Development: Leading educational initiatives and in-services for nurses - physicians - and allied health professionals
• mentoring and precepting new staff and students to foster a safe - high-reliability learning environment
• 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: Monday-Friday - 0700-1530 Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized EDRP: Not Authorized Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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