VA Proficiency Nurse III Frustration & Appeal

Published

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

Specializes in Clinical Nurse Triage.

Hi

I can help you.  

Reach out to: [email protected]

RN4KU I submitted my proficiency for nurse III and was denied twice. Now I am submitting it to VACO.  Any help would be appreciated. Does anyone know what a VETPRO summary for VACO proficiency review is?

Specializes in Revenue Utilization Review.

Speak to someone in your HR department about updating your VetPro profile with any new information.  They will open it like they did when you were hired so you can add, correct, or update information

Specializes in Cardiac Cath Lab.

RN4KU I would also really appreciate if you could send me your proficiency example, that got you the grade 3!    I'm having the worse time with my resubmission process right now at my facility.  Thank you for offering to help others !

Specializes in Operating Room.

RN4KU if you are willing to share you nurse III proficiency I would be forever grateful.

If someone could email me a copy of their nurse 3 as a sample it would be greatly appreciated. 

Specializes in RETIRED Cath Lab/Cardiology/Radiology.

RN4KU if you are willing to share your nurse III proficiency I would be appreciate it. 

Specializes in ER.

I'm curious when you get promoted fron a nurse II to nurse III, do you go up to the same step?

No, I actually went down a step in the new grade.

Specializes in Presently in Primary Care Clinic in Ca. also CCRN.

Yes, I went up 2 steps the board look at the present salary places you slightly at the step which is higher than your salary and then they gave me an additional step. I went from Nurse 2/Step 12 (after stuck there for 5 years) to a 3/11. I just completed the 2022 proficency & promoted to Nurse 3/Step 12.

Specializes in Family Practice.
RN4KU said:

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.

RN4KU,
I would appreciate it if you send me a copy of your of your proficiency that got you promoted to Nurse 3. 

+ Join the Discussion