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This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Basic Requirements: 1. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 2. 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. 3. 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 CRITERIA: 1. Current BLS provider card 2. 2 years RN experience 3. Recent Ambulatory RN experience 4. Bachelor's Degree in nursing 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. 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. ["This is an Open Continuous Announcement that will be used to fill open vacancies throughout the VA Palo Alto Health Care System and will remain open until 10/18/2022. Applications will be accepted on an ongoing basis and qualified candidates will be considered and referred as vacancies become available. The Registered Nurse uses the nursing process and evidence-based practice to collaborate with the Core Team (Patient, Provider, Nursing, and Support Personnel) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient-driven holistic care plan for life. The Registered Nurse is a member of the core clinical team of ambulatory care. The RN is responsible for collaborating with services internal and external to the VA to facilitate care transition to effectively meet the patients' needs. The RN provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The RN demonstrates leadership by serving as an advocate for patients, team player to colleagues as she/he continues to enhance the own team's professional growth, development, and practice. Duties include but are not limited to:\n* Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care: Recognizing the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient.\n* Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems.\n* Collaborates with patients to assess and identify needs, issues, care goals, and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness.\n* Maintains current knowledge of multidisciplinary resources, programs and services, referring patients for community resources as appropriate.\n* Demonstrates ability to collaborate with all levels of services and disciplines. Collaborates with patient, family and care providers in all settings where care is being provided to evaluate and update changes in the patient-driven life plan and patient management.\n* Reviews options with patients and families, including costs, alternatives, risks/benefits and services.\n* Assists with the navigation of health care systems and intervenes or refers as needed to facilitate the achievement of patient outcomes.\n* Enhances patient self-management by providing information regarding all options, choices, and resources.\n* Provides care, respecting patient's personal values, cultural, and belief system.\n* Actively participates in care delivery with priority attention to patient preference.\n* Maintains confidentiality of all patient information, including electronic, print, and conversations.\n* Provides and promotes patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.\n* Promotes cost effective use of resources; effective least-expensive strategies expected in non-face-to- face approaches (including telehealth)\n* Serves as a resource for patient and family rights, responsibilities, and decision-making information and processes.\n* Applies skills, such as motivational interviewing to promote patient self-management toward patient-driven holistic care plan for life.\n* Supports the facility's EEO/affirmative action programs by executing assigned duties and responsibilities in a professional manner.\n* Provides age and population specific care and education.\n* Guides others in the recognition of and participates in the resolution of ethical issues.\n* Promotes health promotion and risk reduction strategies.\n* Works with interdisciplinary teams on care coordination, disease prevention and population health management.\n* All work assigned by Nurse manager and/or service Chief/Assistant Chief of ACC. Work Schedule: Monday - Friday 8:00 am to 4:30 pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Authorized\nEDRP Authorized: Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]