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. 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. Learn more The Assistant Nurse Manager demonstrates a high level of clinical expertise, leadership, and creative approaches to management of complex care in the dynamic unpredictable setting of the emergency department. In addition, applies skills necessary to identify, coordinate, and/or identify discipline-specific education, as well as training in leadership, professional staff development and emerging needs, to all levels of staff. This RN is a nurse supervisor and provides oversight of unit scheduling and administration of leave, counseling and disciplinary actions in collaboration with the Nurse Manager. Acts as the Nurse Manger during times of Nurse Manager absences. Supports all S&HBS and nursing initiatives and all other duties as assigned. In collaboration with the Nurse Manager: 1. Responsible for administration and evaluation of program implementation, personnel management, and overall operations of the ED unit. 2. Assume direct patient care as needed to maintain quality patient care and unit throughput, up to 50% of scheduled time, and as needed, to support unit. Recognizes patient volume and acuity surge, considers unit capacity and NEDOC score to implement countermeasures. Notifies County of ED and Hospital situations as needed. Communicates with Leadership for situations such as diversion, transfers, elopements and all safety matters. 3. Responsible for training and evaluation of competency of all ED staff. 4. Responsible for ensuring staff annual appraisals/proficiencies are monitored, initiated, communicated to employees, and completed on time as Rater and submitted in a timely manner 100% of the time with the exception of staff on unexpected leave for the 90 days prior to rating period ending. 5. Identifies quality improvement projects for the ED clinic and demonstrates improvement in patient outcomes or resource utilization. Monitor, develop, and implement action plans to improve unit's budget performance, use of overtime, scheduling guidelines, equipment tracking. 6. Ensures patient documentation and reporting requirements are complete, timely, and of high quality. Performs chart review audits and provide performance feedback to staff and process improvement 7. Responsible for direct coordination of staffing, physical facilities, supplies and equipment for the ED. 8. Ensures performance goals for the ED and Specialty clinics are met, and required reports are completed. 9. Designs, modifies, and implements systems to ensure the cost-effective use of resources. 10. Provides leadership in improving and sustaining the quality and effectiveness of services to patients, applying professional practice and the Joint Commission Standards in the management of the ED. 11. Responsible for ensuring continuity of care during emergency or disaster events. 12. Responsible for collecting, analyzing and reporting on performance improvement measures. 13. Participates in local, network or national committees and task forces. 14. Collaborates with services internal and external to the VA to facilitate care transition in order to effectively meet the patients' needs. 15. Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care: Recognizing the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient. 16. Obtains patient histories, obtains and evaluating lab results, administering medications, obtaining vital signs, and documentation of nursing care in VISTA/CPRS. 17. Continually analyzes and evaluates clinic functions and activities in order to improve care / services to patients utilizing the principles of Advanced Clinic Access (ACA). 18. Responsible for staff and patient schedules. Monitors staff leave balances, leave patterns, and vacancies. 19. Familiar with, and ensures staff compliance with, establish policies and procedures, administration of the Unit in accordance with VHA, VAPAHCS, TJC, OSHA, Infection Prevention, HR, CDC, VHA Privacy/HIPPA, National Patient Safety Guidelines, and ED policies and procedures. 20. Adapts the concept of Palliative Care. Ability to integrate an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering. 21. All other duties as assigned. Work Schedule: Monday - Friday with flexibility to meet patient needs Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance Permanent Change of Station (PCS): Not Authorized Financial Disclosure 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.