1+ months
2018-01-162018-02-24

Spinal Cord Injury/Disorder Home Based Primary Care RN

Minneapolis, MN

Summary

OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?




Duties

The SCI/D Home Based Primary Care (HBPC) Nurse utilizes the nursing process and evidence-based practice to collaborate with the Core Team (Patient, Specialty/Primary Care Provider, Social Work, Pharmacy, Therapists, and other SCI/D Team Members) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient) in managing the primary care needs of the SCI/D HBPC veterans in the home setting. S/he is also responsible and accountable for maintaining training required and may be assigned additional duties that reflect the educational, experiential and competency requirements outlined in the Nursing Professional Standards Board nine (9) Dimensions of Practice.
Duties:
Receive referral from the Nurse Manager, review CPRS and outside records, consult with inpatient discharge coordinators, and care team to facilitate transition to home care.
Make initial home visit for assessment for veterans in their home within a 35 mile radius as stated in the Assessment of the home environment includes the patient's risk factors; physical, psychosocial, emotional and mental status; medications; home environments and safety; caregiver/support system; and educational needs.
Develop and initial plan of care, and review and update with the Interdisciplinary team every 90 days and as needed.
The SCI/D HBPC nurse makes home visits on a frequency determined by the Veterans level of need, usually weekly or every other week. Services are provided Monday through Friday from 0730 to 1600. During off duty hours, patients are instructed on how to obtain care if needed by contacting the call center, Urgent Care at the MVAHCS or by calling 911 in case of emergency.
Coordinate care among services and across the continuum for veterans with complex, physical and psychosocial needs assigned to staff SCI/D providers, HBPC providers, or other specialty providers. This includes coordinating patients' home care needs in a variety of areas including but not limited to; chronic disease management, bowel, bladder, and respiratory needs.
Facilitate use of preventative, wellness and health promotion activities to enhance overall health status and educate patient and family regarding current risk factors. Develop a plan in case of emergencies or natural disasters.
Management of medications is an important part of the HBPC nurse's role. The nurse reviews the medications the Veteran has in the home to ensure they are correct and match the current orders from VA physicians. They are examined for correct storage and expiration dates. The nurse educates the Veteran regarding their medications and provides a current Medication Instruction Sheet for use in the home.
Works closely with the pharmacist to ensure patient safety and assess for any over the counter medications or supplements the Veteran may be taking to convey to the PCP for further evaluation.
Provides interventions as indicated in the home including lab draws, specimen collection, INR monitoring, Foley catheter changes, dressing changes and other treatments as indicated.
Makes referrals to prosthetics for appropriate equipment.
Monitor use of oxygen therapy and safe use of oxygen in the home.
Interface with community providers of service such as hospice agencies, medical equipment companies, meals on wheels, home health aids and homemakers as needed.
Evaluate the effectiveness of the services provided, identify gaps in SCI/D HBPC related care services; develop and utilize alternative resources to provide needed care and service.
Exercise professional nursing judgment and advanced communication skills to network with a variety of professionals, agencies, and systems throughout the catchment area.Act as a cohesive member of the interdisciplinary team facilitating patient care and treatment through face/face, telephone, tele-health, and electronic encounters.
Provides clinical coverage for other HBPC Nurse Case Managers,SCI/D Nurse Case Managers, ALS Nurse Case Manager, SCI/D Clinic Triage Nurse/PACT Nurse, and/or SCI/D Outpatient Nurse Case Managers as needed.
Demonstrate ongoing mandatory and clinical competencies of the position.
Participates in related workgroups and sub-committees related to the SCI/D HBPC program.
Documents care appropriately in CPRS, completes clinical reminders, documents admissions and discharges in the Austin system.
Participates in performance improvement activities as determined by the HBPC NM and Medical Director, participates in team meetings.
Maintains compliance with Joint Commission and CARF standards and participate in the ongoing continuous readiness activities related to the various accrediting bodies.
Other duties as assigned.

Spinal Cord Injury/ Disorder and/or Rehabilitation experience is preferred?

Work Schedule: M-F 7:30 AM - 4:00 PM








graph of estimated pay ranges
$70,899

$114,406





Job Details



Application Open Date

1/13/2018



Application Close Date

1/26/2018




Organization

Veterans Affairs, Veterans Health Administration



Who May Apply

United States Citizens



Status

Full-Time




























  • More About VAOpen More About VA SectionClose More About VA Section

    • Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

      This job opportunity announcement may be used to fill additional vacancies.

      It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

      This position is in the Excepted Service and does not confer competitive status.

      United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

      VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

      Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

      If you are unable to apply online view the following link for information regarding an Alternate Application.





  • QualificationsOpen Qualifications SectionClose Qualifications Section

    • 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.
      • 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: SCI/D or rehab experience

      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.
      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.




  • BenefitsOpen Benefits SectionClose Benefits Section





  • How To ApplyOpen How To Apply SectionClose How To Apply Section

    • All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 10:59 PM (ET) on 01/26/2018 to receive consideration.

      1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
      2. Click Submit My Answers to submit your application package.

      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

      To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.




  • Additional DetailsOpen Additional Details SectionClose Additional Details Section

    • Series: 0610-Nurse


      Job Pay Type: Per Year


      Job Openings: 1


      Job Position: CBDO-10116907-18-PSS




      The SCI/D Home Based Primary Care (HBPC) Nurse utilizes the nursing process and evidence-based practice to collaborate with the Core Team (Patient, Specialty/Primary Care Provider, Social Work, Pharmacy, Therapists, and other SCI/D Team Members) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient) in managing the primary care needs of the SCI/D HBPC veterans in the home setting. S/he is also responsible and accountable for maintaining training required and may be assigned additional duties that reflect the educational, experiential and competency requirements outlined in the Nursing Professional Standards Board nine (9) Dimensions of Practice.
      Duties:
      Receive referral from the Nurse Manager, review CPRS and outside records, consult with inpatient discharge coordinators, and care team to facilitate transition to home care.
      Make initial home visit for assessment for veterans in their home within a 35 mile radius as stated in the Assessment of the home environment includes the patient's risk factors; physical, psychosocial, emotional and mental status; medications; home environments and safety; caregiver/support system; and educational needs.
      Develop and initial plan of care, and review and update with the Interdisciplinary team every 90 days and as needed.
      The SCI/D HBPC nurse makes home visits on a frequency determined by the Veterans level of need, usually weekly or every other week. Services are provided Monday through Friday from 0730 to 1600. During off duty hours, patients are instructed on how to obtain care if needed by contacting the call center, Urgent Care at the MVAHCS or by calling 911 in case of emergency.
      Coordinate care among services and across the continuum for veterans with complex, physical and psychosocial needs assigned to staff SCI/D providers, HBPC providers, or other specialty providers. This includes coordinating patients' home care needs in a variety of areas including but not limited to; chronic disease management, bowel, bladder, and respiratory needs.
      Facilitate use of preventative, wellness and health promotion activities to enhance overall health status and educate patient and family regarding current risk factors. Develop a plan in case of emergencies or natural disasters.
      Management of medications is an important part of the HBPC nurse's role. The nurse reviews the medications the Veteran has in the home to ensure they are correct and match the current orders from VA physicians. They are examined for correct storage and expiration dates. The nurse educates the Veteran regarding their medications and provides a current Medication Instruction Sheet for use in the home.
      Works closely with the pharmacist to ensure patient safety and assess for any over the counter medications or supplements the Veteran may be taking to convey to the PCP for further evaluation.
      Provides interventions as indicated in the home including lab draws, specimen collection, INR monitoring, Foley catheter changes, dressing changes and other treatments as indicated.
      Makes referrals to prosthetics for appropriate equipment.
      Monitor use of oxygen therapy and safe use of oxygen in the home.
      Interface with community providers of service such as hospice agencies, medical equipment companies, meals on wheels, home health aids and homemakers as needed.
      Evaluate the effectiveness of the services provided, identify gaps in SCI/D HBPC related care services; develop and utilize alternative resources to provide needed care and service.
      Exercise professional nursing judgment and advanced communication skills to network with a variety of professionals, agencies, and systems throughout the catchment area.Act as a cohesive member of the interdisciplinary team facilitating patient care and treatment through face/face, telephone, tele-health, and electronic encounters.
      Provides clinical coverage for other HBPC Nurse Case Managers,SCI/D Nurse Case Managers, ALS Nurse Case Manager, SCI/D Clinic Triage Nurse/PACT Nurse, and/or SCI/D Outpatient Nurse Case Managers as needed.
      Demonstrate ongoing mandatory and clinical competencies of the position.
      Participates in related workgroups and sub-committees related to the SCI/D HBPC program.
      Documents care appropriately in CPRS, completes clinical reminders, documents admissions and discharges in the Austin system.
      Participates in performance improvement activities as determined by the HBPC NM and Medical Director, participates in team meetings.
      Maintains compliance with Joint Commission and CARF standards and participate in the ongoing continuous readiness activities related to the various accrediting bodies.
      Other duties as assigned.

      Spinal Cord Injury/ Disorder and/or Rehabilitation experience is preferred?

      Work Schedule: M-F 7:30 AM - 4:00 PM







Categories

  • Healthcare
  • Management
  • Home health
  • Palliative care
  • Nursing - Management
  • Physical Medicine/Rehabilitation
  • Therapy - Others
  • Emergency Medicine
  • Pharmaceutical
  • Respiratory care

Best Care / Best Careers

To care for him who shall have borne the battle and for his widow and his orphan." These words, spoken by Abraham Lincoln during his Second Inaugural Address, reflect the philosophy and principles that guide VA in everything we do, and are the focus of our endeavors to serve our Nation's veterans and their families.

 The Department of Veterans Affairs (VA) has one of the most diverse, challenging, and rewarding missions in the United States Government. We strive to meet the needs of the Nation's veterans and their families today and in the future.

VA manages one of the largest health care systems in the world and the nation's leading employer of registered nurses. Nurses in Veterans Health Administration (VHA) are engaged in a variety of roles and have multiple opportunities for career and professional development. The VHA provides veterans and their dependents with many other services such as benefits and education, and also provides burial benefits.

Our goal is to provide excellence in patient care, veterans' benefits and customer satisfaction. We can provide you with challenging, interesting, meaningful work to care for the veterans who have risked their lives to protect our freedom.

 As the Department of Veterans Affairs heads into the 21st century, we will strive to meet the needs of the Nation's veterans today and tomorrow. We are a more customer-focused organization, functioning as "One-VA" and delivering seamless service to our customers.

We benchmark our service with the best in business. We use innovative means and high technology to deliver "World-Class Customer Service". We foster partnerships with our customers and stakeholders, making them part of the decision-making process.

Department of Veterans Affairs is an Equal Opportunity Employer.

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Spinal Cord Injury/Disorder Home Based Primary Care RN

VA Medical Center
Minneapolis, MN

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VA Medical Center
Minneapolis, MN
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