The Diabetes Educator RN is a member of the Specialty Medicine Service whose role is to provide safe, prompt, and skillful nursing care for patients with health complaints related to pre-diabetes, metabolic syndrome, diabetes, and endocrine disorders. Care is provided to patients with the goal of achieving quality patient care by improving clinical outcomes, increasing continuity of care, and minimizing health care costs. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/19/2022. Basic Requirements: United States Citizenship. Education: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. [NOTE: See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program.] The Accreditation Commission for Education in Nursing (ACEN), previously known as the National League for Nursing Accrediting Commission (NLNAC) OR The Commission on Collegiate Nursing Education (CCNE). The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded. OR In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. Registration: A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA. English Language Proficiency: RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR An ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR A Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR An ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR A BSN with approximately 1-2 years of nursing practice/experience; OR A Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR A Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR A Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR A Doctoral degree in nursing or related field and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. S/he may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. S/he must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on patient needs. Applicants must possess the mental and physical ability to satisfactorily perform the duties of the proposed assignment. Physical requirements may involve lifting, carrying, pulling, pushing, reaching above shoulder, walking, standing, sitting, kneeling, and repeated bending. S/he must complete annual Employee Health requirements, such as TB screening or testing on hire, as a condition of employment. In the performance of duties, s/he may be required to drive and/or ride in GSA-vehicles. See Form OF-178 for detailed job specific requirements. ["The Certified Diabetes Educator RN is a member of the Specialty Medicine Service whose role is to provide safe, prompt, and skillful nursing care for patients with health complaints related to pre-diabetes, metabolic syndrome, diabetes, and endocrine disorders. The Certified Diabetes Educator RN possesses the ability to provide a comprehensive assessment and triage through direct encounters, virtual video clinics, and telephone. Care is provided to patients with the goal of achieving quality patient care by improving clinical outcomes, increasing continuity of care, and minimizing health care costs. The acuity of patients is within the range of those appropriate for outpatient ambulatory care scheduled for office visits for consultation, diagnostic tests and procedures, education and rehabilitation, and treatments. The Certified Diabetes Educator RN focuses on both knowledge and skills to create individualized self-management plans, coordinate care, interpret personal data, conduct focused and/or complete educational assessments and promote successful self-management through adaptation. S/he functions within a nursing process framework for problem-solving and care facilitation: assessment of patient's specific education needs, planning with patient to develop specific diabetes management goals, implementation of education plan and behavioral interventions directed toward helping the patient achieve identified self-management goals. The DSMT process is guided by the American Association of Diabetes Educators (AADE) 7 Self-Care Behaviors and is used for pre-intervention and post-intervention measure. Job duties are focused on achieving optimum mental and physical health and illness prevention. S/he is expected to perform data collection and analysis for the purpose of improving care to patient groups, maximizing utilization of resources, and enhancing the Specialty Medicine Service. Continuity of care is promoted through collaborative relationships. Care hand-off is communicated using SBAR (Situation/Background/Assessment/Recommendations) communication technique. The Certified Diabetes Educator RN uses established principles of teaching and learning theory (Bloom's taxonomy: Applying, Analyzing, and Evaluating). S/he has the knowledge, skill and ability to provide individualized assessment of learning needs and deliver content specific to these needs. The Certified Diabetes Educator RN maintains knowledge of current technology that supports diabetes care, i.e. insulin pumps, continuous glucose monitoring devices. S/he also is alert to the arrival of new technology to aid in management of diabetes and seeks information that may assist the population served. The Certified Diabetes Educator RN promotes safe patient care by initiating active patient identification with every patient and does not use passive confirmation. The patient's full legal name, including middle name, and either full Social Security number or full date of birth is privately requested by verbal response for each care encounter and compared to the electronic medical record. In situations where the patient cannot provide correct responses themselves, family members, legal guardians, or conservators verbally provide the patient's identifiers. This RN is required to hold a CDE/CDCES Certification Experience in Home Health, Geriatrics and/or Hospice is preferred. The RN will adhere to all current directives of VHA, and meet current Joint Commission standards, State licensure standards, and VA-OIG expectations. The RN will intentionally create opportunities to leverage virtual care technology to support the mission of the facility and VA at large. Work Schedule: Monday through Friday, 8-4:30 possible weekends and holidays.\nCompressed/Flexible: None.\nTelework: None.\nVirtual: This is not a virtual position.\nFunctional Statement #: CBSR-11491962-22-JD/Registered Nurse - Certified Diabetes Educator.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Discloser 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.