Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex situations. Delivers a fundamental understanding of adult learning principles and a lifelong learner that can practice with flexibility to adapt or change learning strategies based on the assessment of learning needs within the healthcare organization. Areas primarily to include outpatient settings however, may include inpatient depending on hospital needs. 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: MSN Home Based Primary Care Outpatient Care Specialty Certifications 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/12659351. 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: Heavy Lifting (45 lbs. and over); Moderate Carrying (15-44 lbs.); Pushing; Straight pulling; Pulling hand over hand; Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 6 hours); Standing (up to 6 hours); Kneeling (Intermittent);Repeated bending (up to 6 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 " to 16"; Far vision correctable in one eye to 20/20 an to 20/40 in the other; Ability to distinguish shades of colors; Hearing (aid permitted); Emotional and Mental Stability. ["Duties include but not limited to:The Practice and Development Nurse Educator is responsible for providing competent, evidence based education to staff. Provides educational instruction and training for nursing staff in clinical and outpatient units. The Practice and Development Nurse Educator understands instructional design, implementation, and application related to education and training. Performs learning needs assessments, develops educational trainings for clinical staff within organization. Assists with the orientation of new employees, evaluation of their progress in the orientation process, and development and implementation of a learning plan for improving identified deficiencies. Serves as a trainer and consultant for Resuscitation Education Initiative (Redi) Program including certification as Basic Life Support (BLS) instructor. Monitors and tracks BLS/Advanced Life Support (ALS) compliance within the organization. Collaborates with interdisciplinary team to support and evaluate responses to emergency responses in the facility to include BLS and ALS. Organizes, participates, and evaluates mock codes. Supports nurse residency programs including the development of curriculum utilizing strategic learning methodologies such as simulation, lecture case studies and virtual reality. Develops advanced basic level coaching and mentoring skills. Systematically evaluates current practice, formulate outcomes for groups of patients and/or organizational processes within area of expertise. Collaborates with other Practice and Development Nurse Educator and interprofessional healthcare teams in the ongoing clinical education activities including in-services, training, competency assessment, and evaluations of both current and new staff nursing skills. Reviews current nursing literature for new trends and changes based on evidence-based research with the ability to propose practice and documentation revisions based on evaluation of outcomes. Collaborates with leadership and unit managers to identify educational training needs for staff, while supporting activities that foster competence, critical thinking, and decision making. Provides consultation and collaboration through the participation within organizational committees. Ability to analyze, interpret, and evaluate data to determine outcomes and changes related to educational programs. PRACTICE: Delivers self-directed, professional nursing practice using the nursing process(assessment, diagnosis, outcome identification, planning, implementation, and evaluation) for complex patients based on conscious and deliberate planning with occasional supervision. Expectations: 1. Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice. 2. Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed. 3. Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs. 4. Collaborates with the interdisciplinary team to ensure the plan of care is achieved. VETERAN/PATIENT DRIVEN CARE: Provides and directs others in Veteran/patient driven care by optimizing the patient experience, satisfaction, and/or safety for a team of patients. Expectations: 1. Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients. 2. Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Role models and displays ethical behavior. 3. Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses. 4. Models' high reliability principles and I CARE values to improve patient outcomes. LEADERSHIP: Communicates and collaborates as an effective member of the interprofessional team demonstrating leadership responsibilities such as team leader/charge nurse. Expectations: 1.Demonstrates knowledge over a wide range of job responsibilities, effectively communicating with individuals and groups to build a strong sense of teamwork and purpose. 2. Actively contributes to the collaboration process and clearly communicates ideas to promote team success. Makes meaningful and challenging contributions for the betterment of the work group. 3. Demonstrates compassion for self and others. Makes sound decisions under pressure. 4.Effectively handles multiple demands, anticipates, and resolves conflicts. Work Schedule: To be determined"]

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