The Patient Safety Program is a collaborative effort, shared by the health care system's Patient Safety Program Managers within our High Reliability Service at the San Francisco VA Health Care Facility. The Patient Safety Manager/Registered Nurse will demonstrate leadership and expertise in formulating creative and effective approaches to the analysis and management of safety and reliability issue within complex clinical and administrative systems. 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/12637318. 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. Salary for this position ranges dependent upon applicant qualifications Grade 1: $149,816-$199,250 annually Grade 2: $172,288-$221,900 annually Grade 3: $189,516-$221,900 annually Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: 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. The incumbent may be required to travel occasionally. This position potentially requires flexibility in schedule and assignments. Telework is position dependent and appropriate approvals are required; telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements, policies, and processes. If a position requires driving, incumbent is required to maintain compliance with all relevant policies and processes. ["Patient Safety Manager/Registered Nurse duties include but not limited to: Designs/redesigns, implements, evaluates and collaboratively maintains the Medical Center's Patient Safety Program and High Reliability Organization (HRO) Program. Collects, monitors, analyzes, and reports patient safety data and makes recommendations for performance improvement. Manages the patient safety reporting system; reporting system; reporting trends, outliers, concerns, and appropriately referring reports for follow up. Appropriately follows up on reported events, using the Patient Safety tools of Focused Review, RCA, local survey, audits, and facilitates problem solving and process improvement. Provides expert leadership and facilitation for Root Cause Analysis (RCA) and Healthcare Failure Mode and Effect Analysis (HFMEA) teams and other groups that have the objective of improving organizational reliability and patient safety. Ensures that RCAs and HFMEAs are complete, timely, technical requirements are met and all implementation requirements are accurately identified. Tracks completion of action items identified by RCA and HFMEA teams. Works with service chiefs to ensure timely completion of all proposed actions and outcomes and evaluation of their effectiveness. Demonstrates thorough knowledge of patient safety standards and requirements of external accrediting and regulatory bodies, e.g. Joint Commission, OIG etc. Communicates and interacts appropriately and courteously with internal and external partners. Monitors organizational Patient Safety activities using the National Patient Safety Goals as defined by the Joint Commission. Maintains confidentiality of patient/employee information at all times and in all forms. Integrates both systems improvement and HRO principles into his/her professional practice. Utilizes current evidence-based literature and research on organizational reliability and patient safety science in daily practice. Demonstrates excellent group management skills, including the ability to facilitate stakeholders through conflict and toward mutually agreeable solutions. Guides and supports staff development from a leadership perspective, using scientific evidence and practice to evaluate programs and/or services and their safety and effectiveness. Participates in continuing education and achieving and maintaining certification. Sets a high standard for professional achievement. Looks for opportunities to acquire and/or teach new skills and functions as a clinical/program expert. Acts as a resource to ancillary staff and facilitate their function as it affects the patients' outcome. Contributes to program and organizational success by developing and participating in performance improvement activities. Promotes staff involvement in planning, decision-making and evaluating outcomes because it facilitates a supportive environment for all staff to best meet the patient's individual needs. Identifies, analyzes, and resolves care problems. Uses advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making and evaluating outcomes, contributes to organizational success as they improve patient care systems. Acts as a resource for practice standards and oversight body requirements. Provides expert leadership and facilitation of Clinical Team Training (CTT) and baseline HRO training. Leads HRO systems improvement projects and mentors a subset of HRO project champions from diverse services. 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: M-F, 8:00-4:30pm Telework: Available, at the discretion of the hiring manager Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized"]

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