VA Proficiency Nurse III Frustration & Appeal

[Sarah918]

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

[etabueno]

Could you send me a copy of your proficiency. I due to do my proficiency too.

[email protected]

[jetMA96]

I left the VA in December 2018 after going into private practice as a PMHNP. I no longer have this proficiency to share. Good luck to you all.

[HSmith MSN RN]

Hi EricaR202,

I would appreciate a copy too, please. This process is very frustrating! Thank you! [email protected]

[Informatics]

Please send my your level III review: [email protected]

Thanks

[WyoCowgirlnurse]

Hi. I have not got my proficiency review back. We are on a new trial system, eperformance. We have to submit our proficiency through this system. It literally sucks. It is hard to use and has limited characters and I had to add multiple attachments because of the limited characters. I hope I touched all of the bases for station wide.

Jenean

[Bookworm419]

I have been trying to reach out for a copy Nurse 3 for the past year with no luck. Is anyone willing to share, please? [email protected]

Thank-you, sooooo much!

[Hlk2019]

Hello,

I am looking for help to submit for my Nurse 3. Currently I am a Nurse 2 step 8. I have tried for several years and have not been successful. I have worked for the VA 13 years. ICU and PACU. I have had my MSN for 5 years now and been a nurse for 15 years. Could someone send me a copy of an proficiency that i could use as a guide.

[duschafe]

Hello everyone,

So I just received my evaluation back today and let me say that my manager and myself were none too pleased by it. My manager stated that the areas they dinged me on were clearly marked in my submission packet and she has no reason as to why they would have not accepted it. This is the second year in a row I have had a new hospital wide project go into action along with being on 2 committees and the chair of one of them. I am about to lose all hope and interest in being a RN here at the VA. IF there is anyone out there who has achieved their Nurse III and would be willing to share what got them there, I would forever be in debt to them. My email is [email protected]. We have a new Chief of Nursing and she is a hard *** when it comes to picking and choosing who gets this "coveted" increase for all of us hard working RN's!

[athomas009]

Can someone send me a sample Nurse 3 at [email protected] please?

[forevernurseII]

Hi there I am new to this group and have been denied promotion to Nurse III four times. I am so frustrated at the lack of continuity of the submission format that it is hard to know why criteria has not been met or even why some things meet certain criteria. I am open to any and all suggestions

[JPN17, BSN, MSN, RN]

Hi, I am in the process of writing my proficiency for my nurse 3. If anyone already have their nurse 3 your help will be greatly appreciated to guide me through this process.

[JPN17, BSN, MSN, RN]

My name is Jacqueline Patton. I have 17 years of experience in the operating room. I have a job in SPS where I am the RME Coordinator. I will receive my MSN in November. I want to start working on my proficiency for my nurse 3. I am in need of guidance and would be very appreciative for your help.