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
I am a nurse 3 step 3 now. I work as a your 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.
Hi would you please share your proficiency with me as well... [email protected]
Can someone please email a write up example for a nurse 3 proficiency. I am onboarding as a nurse 3 and was asked to write the dimensions and have no clue what to do.
WOW!!, here we sit, at least 3 years after they started discussing getting rid of this joke of a board that it sounds like no HR department knows how to perform. I have an interim chief and she was livid that I did not get promoted to III. She said "It's my budget, if I feel you are doing Nurse III work and I tell that to the board, you get a Nurse III." Needless to say, that's not how it goes at our facility LOL. I have a BSN, a JD, a certification and a consultant type job I've been in about 1.5 years, with 6.5 years total experience in that field and 9.5 years as an RN. Even though we are specialized, my dept's pay scale is less than if you work as a CCU staff nurse, so keeping me at II is really restrictive. Even better, I don't think my original board order was calculated appropriately, and we all know there's NO appeal for that (if you don't like it don't take the job.) I'm highly qualified for some Inspector General type jobs with my past legal experience, but I have to be in a Nurse III spot for a year before I would qualify for that GS level.
Some Nurse Execs will grant a waiver for deficient educational requirements, some will not. You would not get a Nurse III in my facility without an MSN, regardless of your contributions or other degrees.
Some Nurse Execs will grant a waiver for deficient educational requirements, some will not. You would not get a Nurse III in my facility without an MSN, regardless of your contributions or other degrees.
The education section of my promotion consideration was checked “met.” I don’t know if they granted a waiver or considered my doctorate as being in a “related field” (if you saw my duties it would be hard to say a JD isn’t a related field) but now that it’s on paper I don’t care which ? it’s research and collaboration. (Apparently running yourself ragged with investigators from three higher level offices doesn’t qualify as collaborating on a system wide level.)
The education section of my promotion consideration was checked “met.” I don’t know if they granted a waiver or considered my doctorate as being in a “related field” (if you saw my duties it would be hard to say a JD isn’t a related field) but now that it’s on paper I don’t care which ? it’s research and collaboration. (Apparently running yourself ragged with investigators from three higher level offices doesn’t qualify as collaborating on a system wide level.)
OK, that's a little crazy. Honestly, I usually avoid this thread because so many of the posts ask for info that is already out there or complain about not getting a Nurse III when the understanding of what it takes seems lacking. It legit sounds like you're being robbed of appropriate pay and related opportunities.
Our board lowballs everyone onboarding externally -- it seems that Nurse II, Step 6 is the trend for nurses with MSN and experience. It's very, very difficult to get a Nurse III upon hire, despite meeting the criteria. There does seem to be a pay your dues mentality.
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canchaser, BSN, RN
447 Posts
I’d be glad to see a proficiency also.
[email protected]