Community Living Center (CLC) Registered Nurse
San Francisco, CA
ABOUT THIS ROLE
<p>The Community Living Center (CLC) Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned residents and oversight of licensed vocational nurses/nursing assistants at the San Francisco VA Medical Center Community Living Center. The nurse will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation for Geriatrics and Extended Care.</p><h3>Major Duties</h3><p>**This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V21CCOEEDRP@va.gov for questions/assistance. Learn more Duties and responsibilities include: Coordinates and provides resident care in a culturally and ethnically sensitive manner. Performs nursing assessment using the nursing process and evaluates effectiveness of medications and/or treatment regimens. Demonstrates knowledge of and utilizes MDS process including Care Plan, updates and maintains 802, timely documentation and various MDS documentation system reports. Demonstrates knowledge of residents and computer skills to effectively navigate residents' computerized record daily and during unannounced surveys. Utilizes Truth Point data to improve resident outcome on the neighborhood by reviewing resident satisfaction results in the unit base council (UBC). Promotes resident self-determination utilizing the least restrictive methods possible to deliver resident-center, ed care. Supports and values the autonomy, dignity, and rights of residents. Accurately documents change in condition and monthly summaries. Conducts assessments per nursing service protocol such as: Braden Scale, Weekly Skin Assessment, Pain Assessment and Reassessment, Admission/Annual Assessment, and Morse Scale to name a few. Initiates resident care plan on admission, and updates care plans with each change in condition. Monitors completeness and accuracy of medical record entries. Manages worktime effectively, efficiently, safely and productively. Educates residents and families how to achieve/maintain wellness, meet continuing care needs and manage end stage of illness. Collects, analyzes, and interprets data in a systematic, ongoing manner, utilizing the MDS assessment and Interdisciplinary team input. Utilizes available resources (prosthetics and other services) to improve resident care and enhance quality of life. Demonstrates strong team leadership and critical thinking skills to promote quality resident care standards. Serves on and participates in Extended Care Committees and hospital wide Nursing Committees such as: (Medication Safety, Nursing Board, Fall Champion, Skin Champion, Safety Coordinator, Restorative Care, etc.). Implements facility fall prevention guidelines. Utilizes preventive measures to maintain resident's skin integrity. Supports and participates in Quality Improvement activities such as: Hospital Acquired Pressure Injuries (HAPI), Falls, Minimum Data Set (MDS) - Quality Indicators, Consistent Assignment, Pain Management, Hand Washing, Catheter Acquired Urinary Tract Infection (CAUTI), and Artifacts of Culture Change related to home environment. Uses a body of research to validate and/or uses the results of quality improvement activities to initiate changes in nursing practice and in the health care delivery system. Presents evidence-based articles and participates in neighborhood and/or hospital Journal Club. Incorporates new knowledge to initiate changes in nursing practice if desired outcomes are not achieved. Conducts rounds during the shift, observing safety of the environment and cleanliness, removes safety hazards, enters work orders to correct deficiencies and/or problems, and follows fire and safety protocol. Assigns duties to LVN and CNA staff according to their scope of practice, utilizing consistent assignment model. Completes the 24-hour Nursing report and other required event reporting documentation. Adheres to neighborhood HPPD when assessing shift staffing. 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: 1930-0800, compressed tours may be considered, varies on department needs. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.