The Registered Nurse Transition to Practice (RNTTP) Residency is a comprehensive developmental program developed to support the new graduate RN during the first year of clinical practice in a variety of inpatient and outpatient settings. To enter the program the new RN graduate must have passed the NCLEX prior to start date. Available to start full -time position for the Fall Cohort 2023 on or before August 14, 2023. Possess or obtain non-restricted RN license no later than July 31, 2023. Additional expectation for RNTTP: Available to start full -time position for the Fall Cohort 2023 on or before August 14, 2023. Possess or obtain non-restricted RN license no later than July 31, 2023. Able to attend and complete 12 month residency program Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). 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. OR 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. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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. VHA Directive 2011-039, VHA Registered Nurses (RN) Transition-To-Practice Program, November 23, 2011. Physical Requirements: Registered Nurse must possess the mental and physical ability to satisfactorily perform the duties of the proposed assignment. Physical requirements include visual acuity, keen hearing, clear distinctive speech, and manual dexterity. May involve potentially long periods of lifting, carrying, pulling, pushing, reaching above shoulder, walking, standing, sitting, kneeling, and repeated bending. Transferring patients and objects may be required. Safe patient handling equipment is provided. The Registered Nurser may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The Registered Nurse may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health as a condition of employment. The Registered Nurse who provides care in home settings or other off-site locations may be required to drive, sit and/or ride in GSA-vehicles for long periods of time. In-direct patient care work is mostly sedentary. Typically the employee sits comfortably to complete the work. However, there may be some walking, standing, bending and carrying of light items such as patient records and supplies. In-direct care staff may be assigned to work in direct care areas as needed. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The new graduate RN will participate in the program and be assigned a qualified preceptor/preceptors who will work closely with them during unit based clinical orientation and throughout the program. The length of clinical orientation will vary according to assigned unit/units, learning needs, competence, and progress of the new graduate RN. Clinical experiences and didactic sessions are scheduled during the yearlong program to facilitate transition and achieve competency in key knowledge, skills, and responsibilities of a registered nurse. RN Transition to Practice Registered Nurses are required to attend all scheduled learning experiences (or an alternate assignment based on the facility level RNTTP Residency Program Directors' direction), complete required projects and written assignments. The area of assignment at completion the yearlong RNTTP Residency Program will vary based upon facility need, transition to practice model at a facility level, individual new graduate RN learning needs and competence. The direct supervisor for the new graduate RN in the Transition to Practice Residency Program is determined by the facility and is dependent upon the transition to practice model utilized at the facility. The RN in the Transition-to-Practice Residency Program reports to the Nurse Manager, Designated Learning Officer (DLO), RN Transition-to-Practice Residency Program Director or supervisory nurse assigned by the VA medical center with second line reporting to the Chief Nurse and/or Associate Director for Patient Care Services/Chief Nurse Executive. The Registered Nurse in the Transition-to-Practice Residency Program is required to attend the 12 month program that includes completion of program surveys, hands-on clinical training, classroom training, simulation training, preceptorship, mentorship, shadowing experiences, and individual and/or group project assignments; including an evidence based or quality project. The Registered Nurse is required to attend or complete alternate assignment for all trainings/activities to successfully complete the program. At completion of the yearlong RNTTP Residency Program the RN will be assigned a specific practice area based on facility needs. The RN Transition to Practice Residency Program will include didactic and clinical components designed to support the new graduate RN with the knowledge, skills and ability to perform the role, duties, patient care activities carried out by RNs, including but not limited to: Provide specialized direct and indirect care to patients. Observe, interview, and assess patients to identify care needs. Monitor or evaluate medical conditions of patients in collaboration with other health care professionals. Develop, implement, or evaluate standards of nursing practice in specialty areas. Plan, evaluate, or modify treatment plans based on information gathered by observing and interviewing patients, or by analyzing patient records. Document nursing interventions, therapeutic measures administered, patient's reactions, patient teaching and understanding. Administer therapeutic measures as prescribed by the licensed independent practitioner to include, but not limited to, medication administration, intravenous fluids, blood transfusions, and treatments. Participate in the development, updating and evaluation of standards of care and quality improvement monitoring. Collaborate with other health care professionals and service providers to ensure optimal patient care. 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: Full-Time, Rotating Shifts, Weekends, and Holidays depending on unit assignment. (Must be available to work all shifts, including weekends and holidays; Be available to work as scheduled on assigned units (Shifts may be 12 hours, 8 hours, or a combination of both); Work week will vary, but includes weekdays, weekends and holidays; Shifts vary, but will include nights/days/evenings.) Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be authorized Financial Disclosure Report: Not required"]

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