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VA proficiency nurse III frustration & appeal

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by Sarah918 Sarah918 (New Member) New Member

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RN4KU has 11 years experience and specializes in Utilization Review.

7,250 Visitors; 275 Posts

1 minute ago, erin0990 said:

Hi guys!  Basically, you just need to do a TON outside your job duties.  Join committees, get involved in research projects and QI stuff, offer to detail somewhere else, etc.  I came in as a nurse 2 step 3 last year and got promoted to nurse 3 this year after throwing myself into everything I could. I became a PMDB instructor, volunteered in Puerto Rico after the hurricanes,  joined education, research, and ethics committees and was actively involved in their projects, presented at a grand rounds, represented the VA with a poster presentation at a national conference, etc.  Unfortunately, the promotion isn’t based on how well you do your job, it’s based on your involvement above and beyond what your job requires.  Good luck to everyone!!!

That is really great work you should like you would make an amazing leader in the VA nursing system.  I am glad you had those opportunities, some of us can only make changes in our local systems and attempt to promote outside the local facility, due to schedules, but based on who you are boarded by makes a difference.  If the board you are sent to has no idea the type of position you are doing, key words are basically all they can go by.  I know nurses who work hard, take manager positions, change, and create policies, with no luck.  It is not possible for all nurses to travel or afford travel to conferences, travel budgets have been slashed for most. I personally say I already go above and beyond what is expected, compared to many that I work with, I see so many nurses try to create changes and policies, but many of our managers lack true leadership skills.  After 8 years leadership, policy development, and education is only viewed as a threat.  I am supervised by Associate level Nurse 1 and 2's.  Education is highly discouraged, and work volume due to low morale and high turn over prevents many from going above and beyond.  It is different for each of us on on our career path.  I pray I can find a place my education, experience, and passion is valued and needed in order to better serve the deserving veterans. 

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48 Visitors; 2 Posts

RN4KU, I just sent you an email to your hotmail acct. Thx in advance!

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canchaser has 20 years experience as a BSN, RN and specializes in ICU.

1 Article; 12,616 Visitors; 440 Posts

I’m on boarding now. Seeking advice as I got a low offer, making less than I made 5 years ago. So I told them that and they asked for paychecks. I’ve not been asked for anything but a resume. Do they do proficiency for onboarding? 

 

Also, can I get proficiency information emailed to lsummers88@yahoo.com

 

 

thanks so much. 

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95 Visitors; 8 Posts

Yes.   My recrutier gave me the proficency outline for nurse III.  This was after the intial HR paperwork.  And at the same time as they had me put info in VETPRO.  5 days later they called with the salary offer and set up physical and fingerprints. Which im doing mondau

 

The nurse recruiter  told me the best way to address them was to give examples so I did but I knew that I'd lack in any kind of mgmt/organizational wide activities.   I have leadership type roles to draw on though. so I wasn't surprised to get a nurse II, step 4.  Its only a little more, but because its a 40 hr week i will make more.

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magnolia nurse has 40 years experience and specializes in ICU, ER, RESEARCH, REHAB, HOME HEALTH, QUALITY.

5,456 Visitors; 146 Posts

If they give you the proficiency outline for nurse III, you need to write to them individually .. 

That is how your information is rated..

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katydidit1964 has 17 years experience as a MSN.

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I went to a proficiency training today.   They stressed to utilize the Nurse 3 guidelines and use the language that is provided when answering how you met the goal.  Also to make sure you wrap the section up with how it benefitted the organization/facility. Along with data or % of change/improvement.

I submit again next year and we will see if it helps.  I'm involved in everything from policy updates, nursing note creation to nurses week. I'm exhausted 😋

Edited by katydidit1964

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magnolia nurse has 40 years experience and specializes in ICU, ER, RESEARCH, REHAB, HOME HEALTH, QUALITY.

5,456 Visitors; 146 Posts

You are on the right track!

Good Luck!

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15 Visitors; 2 Posts

Hello everyone I am a 15 year veteran of the VA system. In May I will be maxed out as a Nurse II step 12. In August I will have worked 2 years as an ANM in the Psych ER. Does anyone have any Nurse III proficiencies that I could take a look at to help guide me that are also fellow ANMs in mental health or related areas?

 

 

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canchaser has 20 years experience as a BSN, RN and specializes in ICU.

1 Article; 12,616 Visitors; 440 Posts

What is an ANM?

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Tneo8385 has 5 years experience as a BSN, RN and specializes in ICU.

2,007 Visitors; 62 Posts

Assistant nurse manager 

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katydidit1964 has 17 years experience as a MSN.

619 Visitors; 37 Posts

Sorry I am still working on obtaining my NIII... But if the God's prevail and I'm blessed to write well enough.. I will definitely share....

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