Registered Nurse - Patient Safety Performance Improvement Nurse

Des Moines, IA
Aug 29, 2017
Sep 27, 2017
Contract Type
Full Time

Registered Nurse - Patient Safety Performance Improvement Nurse

The Patient Safety PI nurse works in an administrative capacity, but is routinely involved with the evaluation of systems and point of care processes involved at the direct patient care level. The Patient Safety PI nurse is an integral component of the VA Central Iowa Health Care System Patient Safety Program, working to ensure systems are in place that result in safety, high quality services to Veterans throughout the health care system. The Patient Safety PI nurse provides support and services to service chiefs, product line managers, and staff in implementing the facility Patient Safety Program. Overall responsibilities and duties include, but are not limited to the following list.

*Systematically evaluates current practices and SOP's - all disciplines and clinical areas - to identify opportunities to prevent potential harm.

*Demonstrates knowledge of human factors, systems, and safety engineering principles, incorporating those issues into program and system changes.

*Uses a variety of cues to obtain data on operations and care delivery that potentially impact patient and staff safety. Assists staff in discriminating among multiple issues to better focus on recognizing areas for improvement in safety.

*Identifies problem areas for monitoring and evaluation and initiates appropriate action.

*Engages staff during safety rounds to observe care delivery activities and to educate staff on safety at the bedside. Serves as a subject matter expert in recognizing potential harm and intervening to prevent harm in the immediate situation and in the overall work processes.

*Performs comprehensive analyses, such as root cause analysis, cause and effect analysis, and failure mode and effects analysis

*Educates and supports staff regarding the purpose and use of the patient event reporting system(s).

*Evaluates all reports in conjunction with the Patient Safety Manager or other patient safety staff: Collaborates with staff on assessing actions already taken, providing expertise in, determining interventions, prioritizing and initiating subsequent actions, which might include recommendations toward Performance Improvement (PI) Team, HFMEA/RCA, Executive or Management interventions. Conducts this work within organizational systems designed to create a just culture.

*Provides timely feedback to reporters and impacted areas.

*Analyzes the outcomes of clinical emergency situations through membership or participation on select committees.

*Facilitates and monitors follow-through on actions, and evaluates effectiveness.

*Aggregates and analyzes system/reported data; shares the findings and lessons learned with staff and leadership; utilizes information to identify needed changes and reinforces evidence-based practices.

*Partners with services and positons throughout the organization to develop processes for patients/families to alert staff to potential harm/safety hazard situations or practices.

Work Schedule: 40hr work week, flexible work tour


*U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

*Full unrestricted Licensure, Certification, or Registration required

*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.

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 in nursing or related field and approximately 2-3 years of nursing practice/experience.

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, Skills, and Education:

*Patient Safety program experience

*Systems engineering experience or education

*Process improvement experience or education

*MSN or related field

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Must be able to lift at least 45 pounds. 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.

Below is a list of documents that an applicant could attach to their application. All applicants should attach a resume outlining their education and experience for purposes of qualification. If you are a current VA Central Iowa Health Care employee, a resume is sufficient. If you are an external applicant, please attach a resume and all other document types that may apply to you.

* Cover Letter

* DD-214 (Certificate of Release or Discharge from Active Duty)

* OF-306 (Declaration of Federal Employment)

* Other

* Other Veterans Documents

* Resume

* SF-15 (Application for 10-Point Veteran Preference)

* SF-50 (Notification of Personnel Action)

* Transcript(s)

Please Note: The VA Form 10-2850a - Application for Nurses and Nurse Anesthetists is a required document for all external applicants. An applicant may complete the application and attach it to their application package at the time of submission or at a later date; however a job offer cannot be extended without a complete and signed application. Please attach the application under the "Other" category when attaching the document. If you are a current VA Central Iowa Health Care employee, this requirement does not apply.

Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit

Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2005382.

NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.

More searches like this