Registered Nurse - Community Living Center
Department of Veteran Affairs - Lakewood, WA

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The Community Living Center is a geriatrics and restorative rehabilitation care unit that specializes in gerontology, dementia, restorative rehabilitation, respite, palliative and hospice care. Patient populations include: cardiopulmonary conditions, multiple sclerosis, brain injuries, cancer and patients with conditions that affect their ability to do self-care. The patient population is likely to present with chronic medical conditions especially related to bowel, bladder, skin, mobility, safety and pain issues; change in mental status and/or functional decline. The RN is accountable when assigned as a primary nurse for a defined group of patients for the entire episode of care. As an associate nurse, the RN is accountable for defined groups of patients on his/her shift. Based on education and experience, the nurse may be assigned responsibilities as a preceptor, charge nurse, or unit shift leader.

Duties include but are not limited to:
  • Performsphysical, psychological and social assessments. Demonstrates ability to identify and prioritize care needs.
  • Provides age-specific care for adult, older adult (65-74) and geriatric (over 75) patients/ groups.
  • Provides effective care to groups of patients; assesses, plans, implements, documents, evaluates patient care; manages care for a group of patients.
  • Implements the plan of care, meeting the needs of the patient in a safe, therapeutic manner. Demonstrates accountability for management of patient assignment.
  • Recognizes critical patient care situations and initiates effective actions in emergencies.
  • Demonstrates knowledge and/or required safety skills in area of assignment, and when appropriate, in the following: emergency preparedness plan, hazardous materials, fire plan, equipment failure emergency plans, and utility outage response procedures for the area.
  • Systematically documents/reports patient care using nursing process according to policies and procedures and Resident Assessment Instrument/Minimum Data Set (RAI/MDS).
  • Supervises delegated care based on scope of practice, abilities and limitations of LPNs and NAs and non-nursing personnel with consideration to patient needs and acuity.
  • 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

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  • credited 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) 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.
- Nurse I Level II An ADN or Diploma in Nursing with one year experience or BSN or bachelor in related field with no experience.

- Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience.

- Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master's degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.

- Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience.

Preferred Experience:

- Bachelor of Science in Nursing

- 1 year successful nursing practice in a long-term care or medical/surgical setting

- IV experience

- Hospice-Palliative Care, Restorative, Rehabilitation or Dementia experience

Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

The criteria are as follows:
  • Practice: practice, ethics and resource utilization;
  • Professional Development: performance, education/career development;
  • Collaboration; collaboration, collegiality;
  • Scientific Inquiry: quality of care, research.
Reference: VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard .

Physical Requirements: This position involves considerable amount of standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning. It requires repositioning patients, assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting in excess of 45 pounds and going up and down flights of stairs. The position requires visual (corrected to 20/30 or better with color discrimination) and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position. The nurse may occasionally be exposed to patients who are combative secondary to delirium, dementia or psychiatric disorders. The nurse many 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 must possess sound and logical clinical judgment. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The position also requires ability to work on computers for extended periods of time.

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 review the information for disabled Veterans in the application checklist or visit .

All applicants are required to submit the following supporting document type(s):
*Other(VA Form 10-2850a Application for Nurses and Nurse Anesthetists)

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Cover Letter
*Other Veterans Document

VA Form 10-2850a
- Application for Nurses and Nurse Anesthetists (Available ) (required) . This form must be signed. If you are a current federal employee, submit SF 50.

If you are a veteran, submit member 4 copy of DD 214. If claiming 10-point Veteran preference, submit SF 15 and supporting documents.

Official transcripts will be required if selected for a position.

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, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.

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.

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

If you completed the occupational questionnaire online and are unable to upload supporting document(s):
  • To fax your documents, you must use the following cover page and provide the required information. The Vacancy ID is 1026289.
  • Fax your documents to 1-478-757-3144 .
  • If you cannot complete the Application Package online, you may fax all of your materials. The complete application package must be submitted by 11:59 PM (EST) on Thursday, January 23, 2014 to receive consideration. Keep a copy of your fax confirmation in the event verification is needed.

    To complete the occupational questionnaire and submit via fax:
  • Click the following link to view and print the occupational questionnaire View Occupational Questionnaire .
  • Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items
  • Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144 . Your 1203FX will serve as a cover page for your fax transmission.

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