ED Nurse Manager

Summary

The Emergency Department Nurse Manager (NM) is a professional registered nurse accountable for the 24/7 operation of the Emergency Department. The NM provides leadership in delivering & improving holistic care through collaborative strategies and clinical and administrative judgment. The incumbent is responsible for implementing evidence-based practice - promoting a Veteran-centered care environment - & aligning operations with the mission and strategic goals of the VA San Diego Healthcare system.

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 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 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 associated 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 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 Experiences: 3 to 5 years of current experience in Emergency Room setting
• Experience implementing Emergency Department flow strategies such as split-flow models - surge protocols - or rapid triage processes
• Proven ability to manage staffing resources - including reducing reliance on premium labor - improving retention - and maintaining staffing efficiency
• Experience leading quality and patient safety initiatives and participating in accreditation readiness activities - including compliance with standards from The Joint Commission or equivalent
• Demonstrated ability to lead change initiatives - including workflow redesign - process improvement - and culture transformation in a clinical setting
• Experience developing frontline leaders and staff through coaching - mentoring - and succession planning
• Experience working within a federal healthcare system - such as U.S. Department of Veterans Affairs - or similarly complex integrated delivery system
• Possession of relevant professional certifications (e.g. - Certified Emergency Nurse (CEN) or Nurse Executive Board Certified (NE-BC)) and/or a graduate degree in nursing or a related field
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: In accordance with VA Directive and Handbook 5019Physical Requirements: Heavy Lifting and Carrying (45 lbs
• and over)
• Straight Pulling - Pushing - Walking - Standing - Kneeling - Repeated bending - Keyboarding - Viewing computer screen (8 - 12 hours)
• Reaching above shoulder
• Use of fingers
• Both hands and 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 20/40 in the other
• Depth perception
• Ability to distinguish basic colors and shades of colors
• Hearing (aid permitted)
• and Emotional/Mental stability.

Duties

• Dimension 1 - Practice - Manages clinical operations of the ED to ensure timely - safe - high-quality care
• - Overseas - appropriate nurse staffing based on acuity and census - adjusting assignments as necessary
• - Ensures nursing care is evidence-based and consistent with VA Nursing Standards of Practice
• - Monitors ED throughput metrics - staffing efficiencies - and workload capture (e.g. - PACT - DSS - NDE)
• - Addresses clinical issues and barriers to care - engaging appropriate support services as needed
• Dimension 2 - Veteran/Patient-Driven Care - Ensures individualized - Veteran-centered care that respects patients' values - preferences - and needs - Incorporates cultural - spiritual - and age-specific considerations into patient care planning - Addresses patient concerns promptly and ensures timely service recovery and follow-up
• - Leads efforts to improve the Veteran experience using feedback from SHEP - PATSR - and other satisfaction tools
• Dimension 3 - Leadership - Directly supervises ED nursing and support personnel - including performance appraisals - timekeeping - and disciplinary actions
• - Promotes a positive and professional practice environment - fostering shared decision-making and staff engagement
• - Participates in facility and service-level committees - workgroups - and emergency preparedness planning
• - Leads initiatives to improve team collaboration - workplace safety - and staff satisfaction Dimension 4 - Professional Development - Identifies individual and collective learning needs and coordinates appropriate training opportunities
• - Ensures staff completion of mandatory education - certifications - competencies - and proficiencies
• - Encourages pursuit of advanced degrees - specialty certifications - and leadership training programs (e.g. - LDI - TMS modules)
• - Serves as a mentor and preceptor to novice leaders and participates in succession planning initiatives
• Dimension 5 - Evidence-Based Practice/Research - Facilitates quality improvement initiatives using tools such as PDSA cycles - flow mapping - and RCA participation
• - Uses data to identify trends and drive improvements in clinical outcomes and department performance
• - Supports staff engagement in evidence-based practice - scholarly projects - and VA research opportunities
• - Maintains awareness of current literature and clinical guidelines - integrating best practices into policy and workflow revisions
• Performs other duties as assigned VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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: Full Time
• The incumbent may be required to work irregular tours - weekends - holidays - or extended shifts to meet operational needs
• Telework: N/A Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: 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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