I am feeling frustrated with the entire VA NPSB proficiency process. At my hospital, it is a good old boys system in which board members promote their friends and the other managers and shut the door on others. I am a staff RN with a MSN and years of experience. I applied for my nurse III after completing a hospital wide project and doing other work that met the 9 dimensions.
This whole process has me frustrated beyond words. My profIciency has been lost by HR multiple times. My initial NPSB review said I didnt meet 7 of the 9 dimensions. Before submitting my proficiency, I had it reviewed by 3 former board members who all said I would meet for a 3. I submitted a request for reconsideration after the initial denial, and suddenly I met 6 out of 9 dimensions. I am now appealing my denial to VACO. Has anyone ever done this? What was he outcome, and how long did your appeal take to be answered after it was sent off?
I have been repeatedly been told by my own manager "you cannot get a 3 without working in management" and "it takes multiple submissions to get approved". I do not think this is correct. It may be harder to find the time and get approval for a project, but staff RNs cannot be essentially "blocked" from promotion. The dimensions are black and white, yet a subjective system is used to approve or deny proficiencies. It seems so unfair at my hospital. I've seen other nurses get promoted who were friends with board members, while other truly deserving RNs who meet the dimensions and make lasting changed within the hospital are shut out.
Any guidance and other nurses experience with this would be greatly appreciated. I love working with our Vets, but the good old boys club and the oppressive bureaucracy had me ready to bash my face into something. I feel defeated. Thanks all
Ryan, do you have your nurse III? I feel like it is an uphill battle. We have a new system that limits characters within the proficiency. The eperformance. It's a horrible system. I have already started writing my next year's proficiency. I plan to make the board aware that I have additional pages attached.
Hello, It seems we're not alone. I have been a nurse for over 25 years. I made the mistake of not knowing the VA system when I came in and I was give a Nurse II. When I realized it should have been a III, it was too late. I've done multiple things. Gotten my DNP, joined the research council and did a project and presented it in a Poster presentation fair. I've volunteer with the homeless program. But my eval has not even been presented to the board and I'm not even sure why. I've asked my Nurse Exec, I've inquired to the Nurse IIIs and no real answer has been given. I'm lost. I feel like I will be stuck here forever. I only have about 8 years left before I retire and I want to start getting paid what I deserve. So anyone with advice. I appreciate.
Hello. I am up for my Nurse III write up and almost completed with my MSN in leadership. I was wondering if anyone here is able to help me with my write up by providing me with an example of there's. I will greatly appreciate any help i can get. @RN4KU or anyone else. Please e-mail to me at [email protected]
i am a nurse 3 step 3 now. I work as a UR nurse at the mid south consolidated patient account center.
I am a BSN, MSN, i came in as a 2 step 2 with 8 years and an MSN. I am more than happy to send you my proficiency that got my promotion to Nurse 3. I don't know how i just basically figured out you need key words. Send me a PM and I will send you anything. IT ALL SUCKS my leadership SUCKS. but my pay is great where I work in south texas.
Can you email me a copy of your three. I work in a clinic and have been trying for several years to get my 3.
It needs to be resubmitted to the local boards with addtional evidence. Make sure you have all the pounts in it. Quote a research article, who you collaborated with, etc. This has to happen within 30 days of your denial. Make sure you really beef it up on the second go round because the next step you can't add anything to it.....which will be VACO. We are using the new worthless program eperformance. This limits characters....even periods. Good luck...still have not got mine.
WyoCowgirlnurse
11 Posts
Ryan, do you have your nurse III? I feel like it is an uphill battle. We have a new system that limits characters within the proficiency. The eperformance. It's a horrible system. I have already started writing my next year's proficiency. I plan to make the board aware that I have additional pages attached.