Assistant Nurse Manager - Palliative Care

The Assistant Nurse Manager is a registered professional nurse accountable to the Community Living Center (CLC) Nurse Manager. In collaboration with the Nurse Manager, functions as a supervisor and assumes accountability for the coordination of nursing care and programs within Geriatric and Extended Care (GEC) services for the Saginaw Veterans Affairs Medical Center (VAMC).

This position requires the nurse to have recent knowledge, experience, and demonstrate competence in care of adult and Geriatric Veterans. This nurse executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross service and/or discipline lines and influence organizational mission and health care. This nurse provides communication between Veterans, VAMC staff, and providers. This nurse executes leadership that is characterized by substantial and continuous responsibility, and facilitates System Redesign principles throughout GEC Services. The Registered Nurse (RN) understands and promotes an interdisciplinary team approach to Veteran care. The nurse must demonstrate

leadership in delivering and improving holistic care to the adult and geriatric population through collaborative strategies and in compliance with American Nursing Association Standards, in addition to Medical Center and Department standards. This nurse will be expected to be an active member of GEC Committees in addition to other assignments and projects This nurse will be expected to coordinate their schedule to provide coverage for the Nurse Manager of CLC and will require supervision from designated, covering Nurse Manager in the absence of the CLC Nurse Manager and will require minimal supervision when covering in line with Nurse capabilities. Duties of this position

include, but are not limited to:

• Provides leadership in the application of the nursing process to patient care, organizational processes and/or systems improving outcomes at the program or service level.

• Develops and monitors an educational plan to meet changing programs or service needs for self and others.  Maintains knowledge of current techniques, trends, and professional issues.

• Coaches colleagues in team building. Makes sustained contributions to health care by sharing expertise in and/or external to the Medical Center.

• Initiates interdisciplinary projects to improve organizational performance.

Work Schedule: 7:30 AM to 4:00 PM (Monday through Friday, may be required to work some evenings, nights and weekends)

Compressed/Flexible Schedule: No

Telework: Not available

Virtual: Not a virtual position.

Functional Statement Title: Registered Nurse Assistant Nurse Manager VN-0610

Relocation/Recruitment Incentives: Not Authorized

Financial Disclosure Report: Not required

Travel Required Not required

Supervisory status  Yes

Physical Requirements:

Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about on feet to accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies. This position requires exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects. This position requires writing or otherwise working with fingers and/or hands, including one or both hands frequently. This is done when taking a patient's pulse, utilizing a stethoscope, administering medications, entering information into the computer, etc.

Note: Must have Basic Life Support (BLS) certification and Advanced Cardiac Life Support (ACLS) prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). The ACLS requirement is satisfied by attaining, and maintaining, current status through an approved AHA Advanced Cardiac Life Support Course. BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted.

Selected applicants may be required to complete an online onboarding process.

(1) United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

(a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. [NOTE: See exception in subparagraph (b) below for candidates who are enrolled in a MSN

Bridge Program.]

1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the 33rd National League for Nursing located at 61 Broadway, Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional

information may be obtained from the NLNAC web site; or

2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202)

463-6930. Additional information may be obtained from the CCNE web site.

(b) 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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded.

• (c)] In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing.

(3) Registration

(a) Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e.,Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA.

(b) Impaired Registration. An impaired registration is any registration(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status. A registered nurse who has or ever had any such impairment to their registration as listed above may be appointed only in accordance with the provisions of chapter 3, section B, paragraph 15 of this part.

English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).

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 (http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf), Part II, Appendix G-6 Nurse Qualification Standard.

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/ (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

(http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html)

See job announcement for further details and instructions on applying.