The Registered Nurse, Clinical Program Supervisor, works in Nursing Service in Acute Care Hospital Operations (ACHO) for the VA Palo Alto Health Care System. This position provides oversight and leadership for clinical programs within ACHO and reports directly to the Chief Nurse. In addition to the supervisory roles, this nurse assists with implementation, spread, and maintenance of initiatives and techniques across ACHO. 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. Preferred Experience: Current BLS provider card Current ACLS provider card MSN or related field 5 years nursing practice in area of responsibility with progressive oversight and accountability, demonstrating a high level of administrative and leadership responsibility and utilization of management skills including conflict resolution. Ability to demonstrate initiative, be self-directed, excellent decision-making skills, and work collaboratively with personnel from various services within the hospital. Proficient in Office Software to include Excel, Outlook, etc. Experience with VISTA or electronic charting, CPRS (Computerized Patient Record System) 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: This position requires potentially long periods of continued walking, standing, and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. In the performance of duties, the incumbent may be required to drive and/or ride in GSA-vehicles. ["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, 7:30am - 4:00pm, Monday - Friday Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required The major duties and responsibilities include, but are not limited to: Manages the administration and evaluation of Clinical Nurse Specialists, Registered Nurse Practitioners, PICIS Coordinators, and Palliative Care staff assigned to the Office of the Chief. Responsible for ensuring annual appraisals/proficiencies are completed, communicated to the employees and submitted in a timely manner. Responsible for retention and recruitment of highly skilled nursing staff, monitoring changes in workflow, technical and equipment needs, and ensuring a workforce that can adapt to this rapidly changing environment. Serves as liaison and coordinator for ACHO programs and initiatives including but not limited to: GeriVet, SLICE, SCOUTS, Avasys, Masimo, and GetWell Network; as well as future initiatives. Utilize VANOD, SAIL, NDNQI, IPEC and other databases to create action plans to drive change and progress for ACHO metrics. Explores Evidence Based Practices and works to implement them by involving front-line staff in seeking to constantly improve outcomes. Coordinates ongoing data collection and analysis to assess organizational performance. Works with ACHO nursing units to develop department specific metrics for objectively tracking their impact on the facility strategic priorities - Performs a continuing evaluation and analysis of initiatives to verify program effectiveness and identify areas requiring management attention. Serves on appropriate committees and all strategic planning initiatives related to ACHO initiatives at the local level. Promotes Evidence Based Practice in all clinical environments to provide and ensure optimal patient care outcomes. Monitors the education being provided by recording the Progress and adherence to policy, protocols and track progress made by all unit and service-level teams. Contributes to the professional growth and development of individuals on the Acute Care team and ensures that staff is trained in appropriate performance improvement and system redesign principles and equipped with the proper tools necessary to accomplish their goals. Assists in ACHO Nursing Service activities and preparations for The Joint Commission and other accreditation and external reviews. Monitors the follow-up recommendations related to patient flow, quality patient care, and performance improvement resulting from The Joint Commission and other accreditation and external review visits. Applies rules and regulations and have a broad knowledge of VA regulations, The Joint Commission, and other applicable federal and investigatory requirements to provide accurate information for unit-level nursing leadership, the Chief Nurse for ACHO, and front-line staff. Encourages participation of staff in problem solving activities by providing an environment conducive for innovation and creativity. Assists with designing work processes and systems that are responsive to customer needs and uses customer feedback to plan and improve services."]
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.
