Registered Nurse (Clinical Nurse Specialist)

Location
Kansas City, MO
Salary
Competitive
Posted
Apr 16, 2019
Closes
May 16, 2019
Specialty
Med / Surg
Contract Type
Permanent
Hours
Full Time
The Kansas City VA Medical Center has one opening for a Clinical Nurse Specialist (CNS). The position is in Critical Care and Emergency Service, which serves the Surgical Intensive Care (SICU), Medical Intensive Care (MICU), Progressive Care (PCU) and the Emergency Department (ED).

The role specific functions for both positions include:
Patient Sphere - working with complex patients with multiple co-morbidities to ensure safe and effective care/outcomes of care, developing protocols/policies to assist with efficient care that meets the needs of patients and their families
Nursing Sphere - working with our nursing staff and educators/clinical nurse leaders to assist in learning complex patient care protocols, defining barriers to care, assisting with orientation and identification of needs of the nursing staff across the inpatient areas.
Systems Sphere - identification and resolution of systems level barriers to efficient and effective care through work with multidisciplinary process improvement.

The CNS works collaboratively with other interdisciplinary teams throughout the health care system including outpatient, home health, and transitional care, supporting a Patient Centered Medical Home Model by improving patient-driven, quality care, and education. Other functions include program and protocol development, implementation, evaluation of activities, including chronic disease management, highly complex patient cohorts with focus on population management, and care and transitional care coordination. They serve as an expert clinician and consultant to nurses, medical staff, and other healthcare providers for patients with complex treatment needs. They also serve as a consultant for system issues, outcome measurement and product evaluation. They share in the development, evaluation, and communication of standards, plans of care policies and procedures and informatics. They serve on designated committees and task forces, and participates in research and promotion of evidence based practice.

Work Schedule: Monday - Friday 7:30 a.m. - 4:00 p.m., with alternating tours as needed
Functional Statement Title/#: Clinical Nurse Specialist
Financial Disclosure Report: Not required

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Education: Graduation from School of Nursing - 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. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd 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 The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and master's 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. 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. 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.
Licensure: 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.
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).
Qualifications: Clinical Nurse Specialists: Hired after March 17, 2009, registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before March 17, 2009, who obtain such qualifications on or after March 17, 2009.
Certification: Clinical Nurse Specialist must possess a Masters degree from an academic program accredited by the NLNAC or CCNE and maintain full and current certification as a clinical nurse specialist from the American Nurses Association or another nationally recognized certifying body. The certification should be AGCC-BC - Adult-Gerontological Critical Care Clinical Nurse Specialist.
Preferred Experience: Two to three years' experience as a Critical Care or ED setting.

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 years of nursing practice/experience; OR a Doctoral degree in nursing or related field and approximately 2-3 years of nursing practice/experience. 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.

Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

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. Transferring patients/residents and objects may be required. The incumbent may be exposed to infected patients/residents 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/residents 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 Veteran needs.None

To apply for this position, you must provide a complete Application Package which includes:
  • Resume

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
  • Cover Letter
  • DD-214
  • Executive Core Qualifications (ECQs)
  • OF-306
  • VA Form 10-2850a
  • Veterans Benefit Letter
  • Resume
  • SF-15
  • SF-50
  • Transcript

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