Summary

The Registered Nurse - Risk Management position is with the Central Texas Veterans Health Care System at the The Olin E. Teague Veterans' Medical Center - 1901 Veterans Memorial Drive in Temple - TX.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate 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)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• 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
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Preferred Experience: Evidence of Belt/Systems Redesign training/experience/certification SNT/GNT/RNTTP completion <5 years Professional Governance participation Preceptor/charge nurse experience/training (combination of experience and training is acceptable) Evidence-Based Practice experience/training (combination of experience and training is acceptable) Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12948393
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The position requires moderate to heavy lifting (15-45 pounds and over) - light to heavy carrying (up to 45 pounds and over) - straight pulling (1-2 hours) - pushing (1 hour) - reaching above shoulders - use of fingers - walking (8-10 hours) - standing (8-10 hours) - repeated bending (0.5 hours) - both legs required - ability for rapid mental and muscular coordination simultaneously - near vision correctable at 13" to 16" to Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other - both eyes required - depth perception - ability to distinguish basic colors - ability to distinguish shades of colors - hearing (aid may be permitted) - mental and emotional stability - simple grasping (2-4 hours) - sitting (8 hours) - fine manipulation (4-8 hours) - twisting (2 hours).

Duties

• The Risk Management Registered Nurse will be responsible for ensuring the implementation of a successful risk management program that minimizes the probability of adverse risk to patients - personnel - and visitors - and protecting the assets of the facility by proactively - accurately identifying - reporting - trending - reviewing - and correcting problems leading to incidents through risk identification and analysis
• Partner with QSV staff and function to integrate readiness activities (Accreditation - Patient Safety - EPRP - OPPE - System Redesign).Critical functions include:-Coordinate the CTX Risk Management (RM) process: conducting occurrence screen reviews to monitor and evaluate the quality of health care
• evaluating episodes of care to determine opportunities for improvement in readmissions and return to surgery during the same episode of care
• identifying significant deviations from morbidity/mortality data
• identifying negative outcomes that merit peer review
• coordinating record review findings with CTX Suicide Prevention team
• coordinating the CTX Peer Review (PR) process
• performing chart reviews to identify PR cases that meet national VHA criteria
• identifying suicide cases for peer review consideration
• ensuring referred PRs comply with applicable CTX/VHA policies
• collecting - aggregating - and reporting PR related data in accordance with local and national mandates
• serving as subject matter experts (SME) to the Chief of Staff and all levels of leadership in the PR process.-Coordinate the CTX Tort process: meeting with Veterans to explain their rights and Tort related processes
• providing requisite VHA/VA forms to claimants
• comply with \"Guidebook for Processing Small Claims Under the Federal Tort Claims Act\" (9/2000)
• At No time will the RN share information from CPRS or any other record source with the claimant - express an opinion regarding the legitimacy of the claim nor potential outcome - offer any direction/inferences/guidance regarding acquisition of legal representation - or share history of similar - or any - previous tort activities.-Office of Medical-Legal Affairs: notifying practitioners involved in an episode of care that led to a claim
• ensuring compliance with VHA Directive 1083(2)
• ensures data is captured and reported between CTX and OMLA
• providing documents to OMLA as requested (e.g. - medical records - Medical Center Director's notifications to providers - etc.)
• following OMLA guidance in document organization and timelines
• coordinating with Credentialing in completing the NPDB notification process
• coordinating Institutional and Clinical Disclosure process
• ensuring compliance with VHA Directive 1004.08 Disclosure of Adverse Events to Patients
• tracking Adverse occurrences and associated disclosure activity
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday-Friday - 0730-1600 or 0800-1630 Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Bargaining Unit: This position is part of the Bargaining unit.