The High-Reliability Office, Systems Redesign (SR) Registered Nurse (RN) functions collaboratively clinically to integrate nursing science, patient safety, data, process information, knowledge, High-Reliability principles, and experience in clinical/nursing practice to analyze and promote process improvement in the clinical service/discipline to influence the organizational mission for health care. Delivers fundamental knowledge-based care to the program while developing technical skills. 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. 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/12596618. 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. Preferred Experience: A minimum of 3 to 5 years of hands-on clinical experience is required. This should include direct involvement in patient care and an understanding of clinical workflows. Process Improvement Experience: Candidates must have established experience in process improvement initiatives, with a strong preference for those who hold a Green Belt Certification in a recognized quality improvement methodology, such as Lean or Six Sigma. Knowledge of High-Reliability Concepts: A solid understanding of high-reliability organization (HRO) principles and tools is critical. This includes familiarity with strategies that enhance organizational safety and quality outcomes. Performance Improvement Methodologies: Candidates should be well-versed in various performance improvement frameworks. Data Analysis Skills: Proficiency in working with clinical and administrative databases is essential. The candidate should have the ability to perform thorough data analysis to inform and guide multiple process improvement projects across different departments. Leadership Abilities: Effective leadership skills are crucial for collaborating with diverse teams, which may include clinical staff, administrative personnel, and other stakeholders. The individual should be able to guide teams through problem-solving and decision-making processes. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position potentially requires flexibility in schedule and assignments. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The position requires potentially long periods of combined walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be a mature, flexible, sensible individual capable or working effectively in stressful situation, able to shift priorities based on needs of the organization. ["HRO/SR RN and will focus on individual growth and development in practice with increased levels of self-direction in quality of care outcomes. They participate in the exploration of outcomes within the department. The HRO/SR RN is responsible for their assigned administrative area activities for the Medical Center and off-site locations if applicable. The HRO/SR RN collects data, monitors staff compliance with relevant policies, directives, and standards, provides reports detailing trends, and provides direct staff support to the service. The HRO/SR RN participates in a number of facility councils, committees, and workgroups. This HRO/SR RN RN brings principals and theory with limited application of critical thinking skills. This individual facilitates, implements, and evaluates clinical/process outcomes with an emphasis on clinical/nursing related direct provision of care and effective clinical/administrative system processes. He/she combines professional experience, personal study, creative communication skills and sound clinical expertise in developing and enhancing the facilities clinical processes in various specialty areas such as, but not limited to: acute medical/surgical care; cardiology; family health; oncology; critical care; interventional; and mental health environments. Collaboratively works with the professional clinical staff and provides process improvement consultation and systems redesign facilitation. The HRO/SR RN assumes the role in the oversight of clinical improvement processes used by nursing or in the provision of patient care. The incumbent will provide vision, establish strategic goals, and directly impact the development of facilitys' high reliability concepts and principles to ensure zero harm. Plan and create processes with staff which promote health and safety. Develops teaching plans based on assessment of clinical needs. Role models the nurse as a professional who maintains a high standard of practice in impacting direct care process for patients with complex needs. Participates in interdisciplinary process development to ensure safe care processes in place. 5. Mutually with professional colleagues, monitors the patient outcomes and makes needed revisions to care processes in place. Demonstrate working practices that include adherence to Infection Control Standards and the safe use and operation of equipment. Serves as a consultant throughout the Medical Center for clinical care problems related to zero harm and clinical processes. Attends in-services and continuing education activities and continued progression in knowledge and skills in medicine/surgical care nursing practice. Participates in continuing quality improvements, having membership to various committees in accordance to committee governance per facility guidelines. Performing Care/Treatment Planning. Other duties as assigned, 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 Telework: Not Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized"]

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