The registered nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being. 1. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care (ANA Code of Ethics for Nurses). 2. Delivers safe care to assigned patients, while developing technical competencies. 2.1. Safely and effectively uses patient care equipment. 2.2. Correctly and safely performs nursing procedures. 2.3. Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately. 2.4. Implements physician's/provider's orders in a timely and complete manner. 2.5. Implements nursing interventions/orders in a timely and complete manner. 2.6. Requests assistance from co-workers when needed; knows when to ask for help. 3. Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing Practice. 3.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed. 3.2. Includes the patient and family/significant other in developing the initial plan of care and establishing goals. 3.3. Updates plan of care with assistance as needed. 3.4. Assesses patient's learning needs, learning preference and readiness to learn. 3.5. Develops and implements a plan to meet learning needs, instructing patients and families in basic health teaching and discharge planning. 4. Documents the nursing process. 4.1. Documentation is consistent, accurate, concise, and timely. 4.2. Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes. 4.3. Revises plan of care according to evaluations of patient's responses and outcomes. 4.4. Uses the Computerized Patient Record System (CPRS), Eccentric, Clinical Procedures, and Bar Coded Medication Administration (BCMA) software per policy, as well as any future patient documentation programs. 5. Demonstrates grade-appropriate and consistent critical thinking skills. 5.1. The nurse can recognize the patient has a problem. 5.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice. 5.3. The nurse has a relative sense of urgency. 5.4. The nurse takes the right action for the right reason (del Bueno). 6. Position-specific Competency Checklist is completed annually and is rated competent in all measured areas. Work Schedule: 0800-1630 with shift rotation 0900-1730 Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.