Veterans Affairs, Veterans Health Administration Registered Nurse Hospital in Home (HIH) in Syracuse, New York
Summary Hospital in Home is a highly trained group tasked with assisting the Hospital and the emergency room to discharge patients back to their homes in a timely manner. The Hospital in Home RN will need organizational skills and technical skills to operate independently with a Nurse practitioner to provide treatments and interventions that would normally be done in the Hospital. Preferred background would be Home care or community care with background in Emergency medicine or ICU care Responsibilities The Registered Nurse in Home Based Primary Care, inclusive of the Hospital in Home (HIH) program, provides acute care services to patients in their homes. He/she assumes accountability and responsibility for his/her nursing practice and decisions affecting patient care. The position requires frequent home visits, astute clinical assessment skills and independent follow through, aimed at providing enhanced HBPC services to HIH patients. The goals of service include acute care within the Veterans residence, decreased hospital LOS, decreased utilization of emergent services, improved patient satisfaction, and fiscal responsibility. The Registered Nurse is responsible for, but not limited to the following duties: Providing outpatient clinic services to patients in their homes Assumes accountability and responsibility for his/her nursing practice and decisions affecting patient care Administers medications and procedures per established policies, protocols and guidelines. Functions as a member of an interdisciplinary team providing patient care in the home. Providing clinical oversight for LPN's on the team In home physical assessments Point of Care testing. Providing wound care, catheter care, IV therapy and phlebotomy within patient's homes. Planning, intervening and evaluating indicated actions; IV therapy and phlebotomy within patient's homes. Functions as a case manager and coordinates the patient care with interdisciplinary team members and nursing staff Other duties as assigned Work Schedule: The HIH nurse will be assigned a 7:30 AM - 4:00 PM shift including rotating weekend shifts, The Hospital in Home group is responsible for coverage 7 days per week including Holidays. Hospital in Home RN is in the field interacting with patients 75% of the time with 25% spent on timely documentation. TRAVEL: Will travel in a government vehicle (40-mile radius) and perform all duties of the registered nurse. A clean and valid driver's license is required for this position. Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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. 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) 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. BLS - Basic Life Support certification 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. References: 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. Preferred Experience: In addition to meeting one of the educational requirements above, the candidate must have 2-3 years of home care experience, or an MSN and approximately 1-2 years of home care experience; 5 years' experience in an ICU and/or Emergency Department, Masters in a field related to nursing and a BSN and approximately 1-2 years of experience Physical requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. Syracuse VAMC is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires driving to patient's homes, periods of continued walking, standing, stooping, and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. 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. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information 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. 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.