Nurse Professional Standards Board Form (NPSB) is a regulatory tool that nurses use to provide safe and quality care to their patients. By completing the form, nurses can identify any issues or potential problems that may occur in the delivery of patient care. The NPSB form also helps nurses document their clinical decision-making process, which can be used for Continuing Nursing Education (CNE). Additionally, the form assists hospitals and other healthcare organizations in meeting accreditation standards. Finally, the NPSB form protects nurses from allegations of malpractice. Completing the form is an important part of being a responsible nurse professional.
You will find details about the type of form you want to submit in the table. It will tell you the time it will require to finish nurse professional standards board, what fields you will have to fill in and a few other specific details.
Question | Answer |
---|---|
Form Name | Nurse Professional Standards Board |
Form Length | 99 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 24 min 45 sec |
Other names | template for va npsb, nurse professional standards board write up, va professional standards board, technical review of board actions npsb |
Nurse Professional Standards
Board (NPSB) Overview
(National Partnership Council)
Developed by:
Alan Bernstein, RN, MSN and Jane Hebb, RN, MN
Department of Veterans Affairs
Veterans Health Administration
December 2009 |
1 |
Purpose of Training
To provide an overview of the changes in VA Handbook 5005/27 (Change 27), Appendix G6, regarding the VA Nurse Qualification Standard, effective March 17, 2009.
2
Objectives
Participants will have an understanding of the changes in VA Handbook 5005/27, Appendix G6, regarding:
(1)The revised Dimensions of Nursing Practice and related criteria
(2)Career Paths and their application to various nursing roles, and
(3)The use of the Career Path Workbooks with examples for meeting the Qualification Standards at grades Nurse I thru Nurse III3 .
Responsibilities Related
to the NPSB
4
Responsibilities /
Nurse Executive
♦The Director may delegate approval authority to the Nurse Executive for:
--promotions to Nurse III or below
--advancements (Special Advancement for
Achievement and Special Advancement for Performance)
at Nurse III or below.
The Nurse Executive signs the Board Actions as the Approving Official.
VA Handbook 5005, Part III, App. K.
5
Responsibilities /
NPSB Chairperson
♦Orients new Board members and encourages active participation.
♦Ensures new RNs receive orientation to the NPSB process.
♦
♦
Chairs Board meetings and keeps the Board consistent and on track during deliberation.
Ensures the Board upholds the integrity of the Qualification Standard.
6
Responsibilities /
NPSB Chairperson (Cont.)
♦Assures
♦
♦
♦
Qualification Standard.
Excuses anyone with obvious bias.
Creates an environment for members to express differing opinions and to recuse themselves.
Ensures NPSB actions are completed timely.
7
Responsibilities /
NPSB Members
♦Provides unbiased opinions based on available information or recuses self from the Board meeting.
♦Maintains confidentiality: does not discuss Board actions outside Board meetings, except seeking answers or guidance from the Board Chair or Nurse Executive.
Confidentiality and Integrity are the cornerstones of the NPSB 8
Responsibilities /
HR Tech Advisor
♦Does not deliberate or vote.
♦Ensure technically the process is followed.
9
Approval Authority for Board Actions
NPSB is a recommending body; all Board Actions are recommendations only.
Approving Official for all NPSB actions at the local level is the Medical Center Director, as delegated by the Under Secretary for Health.
The Director can delegate Approving Authority to the Nurse Executive for promotions or advancements at Nurse III
or below. |
10 |
|
Three Levels of NPSB
Local facility:
Nurse I, Nurse II, Nurse III actions.
Initial local promotional reconsideration requests.
VISN/regional:
Nurse IV actions for local facilities.
Nurse I, II, and III actions for VISN RNs.
VA Central Office:
Nurse Executive actions.
Nurse IV, Nurse V actions for VISN RNs.
Final promotional reconsideration requests for Nurse I, Nurse II, and Nurse III from local facilities.
11
Approval Authority for Board Actions (Cont.)
Local Boards Medical Center Director or Nurse Executive
VISN Boards Medical Center Director of requesting facility
Central Office Boards
Chief Nursing Officer, VACO Office of Nursing Services / designee
12
Supervisor's
Responsibilities
♦Ensures each RN receives a copy of his/her Functional Statement, the VA
♦
♦
Nurse Qualification Standard, and the appropriate Career Path workbook.
Coaches RNs to develop and grow. Appraises RNs with honesty and integrity.
♦Meets with the RN for an open discussion when he/she is receiving a
13
NPSB References:
Web Links
VACO Office Of Nursing Services:
http://vaww1.va.gov/nursing/
will connect you to site for NPSB information and samples
VA Handbooks:
http://vaww1.va.gov/ohrm/Directives- Handbooks/Direct_Hand.htm
underscore
14
Nurse Qualification Standard
15
Nurse Qualification Standard
Includes:
Four (4) Dimensions.
Nine (9) Criteria.
Improves the effectiveness of patient care through the use of more complex skills.
Applies scholarly knowledge to practice.
Assumes greater responsibility for the improvement of patient care.
Steady progress towards professional goals for the improvement of patient care.
16
Qualification Standard Exists
To Support VA RNs
1.Provide high quality care to Veterans in range of clinical roles and settings.
2.Evolve professionally as the VA transforms.
3.Provide a basis for peer review process (NPSB) to be appointed, retained, promoted, and/or advanced/rewarded.
17
Education and Experience
|
GRADE |
EDUCATION |
EXPERIENCE |
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Nurse I / |
Associate Degree in Nursing (ADN) |
None |
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Level 1 |
or Diploma in Nursing |
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Nurse I / |
Bachelor of Science in Nursing (BSN) |
None |
|
Level 2 |
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Bachelor’s degree in a related field |
None |
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with ADN or Diploma |
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ADN or Diploma |
Approx |
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1 year |
|
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|
|
18
Education and Experience
GRADE |
EDUCATION |
EXPERIENCE |
|
|
|
Nurse I / |
Master’s degree in Nursing |
None |
Level 3 |
or a related field with a BSN |
|
|
or Bachelor’s degree in a related field |
|
|
|
|
|
MSN from bridge program; |
None |
|
no BSN required |
|
|
|
|
|
BSN |
Approx |
|
|
1 - 2 years |
|
|
|
|
Bachelor’s degree in a related field |
Approx |
|
with ADN or Diploma |
1 - 2 years |
|
|
|
|
ADN or Diploma |
Approx |
|
|
2 - 3 years |
|
|
|
19
Education and Experience
GRADE |
EDUCATION |
EXPERIENCE |
|
|
|
Nurse II |
Doctoral degree in Nursing |
None |
|
or in a related field |
|
|
(and meets basic requirements for appointment) |
|
|
|
|
|
Master’s degree in Nursing |
Approx |
|
or a related field with a BSN or |
1 - 2 years |
|
Bachelor’s degree in a related field |
|
|
|
|
|
MSN from bridge program; |
Approx |
|
no BSN required |
1 - 2 years |
|
|
|
|
BSN |
Approx |
|
|
2 - 3 years |
|
|
|
|
Bachelor’s degree in a related field |
Approx |
|
with ADN or Diploma |
2 - 3 years |
|
|
20 |
|
|
|
Education and Experience
GRADE |
EDUCATION |
EXPERIENCE |
|
|
|
|
|
Nurse III |
Doctoral degree in Nursing or in a |
Approx |
|
|
related field |
2 - 3 |
years |
|
|
|
|
|
Master’s degree in Nursing or a related |
Approx |
|
|
field with a BSN or Bachelor’s degree in |
2 - 3 |
years |
|
a related field |
|
|
|
|
|
|
|
MSN from bridge program; |
Approx |
|
|
no BSN required |
2 - 3 |
years |
|
|
|
|
21
Education and Experience
GRADE |
EDUCATION |
EXPERIENCE |
|
|
|
|
|
Nurse IV |
Doctoral degree in Nursing |
Approx |
|
|
or in a related field |
3 - 4 |
years |
|
|
|
|
|
Master’s degree in Nursing |
Approx |
|
|
or a related field with a BSN |
4 - 5 |
years |
|
(BSN required for Nurse IV) |
|
|
|
|
|
|
|
MSN from bridge program; |
Approx |
|
|
no BSN required |
4 - 5 |
years |
|
|
|
|
22
Education and Experience
GRADE |
EDUCATION |
EXPERIENCE |
|
|
|
|
|
Nurse V |
Doctoral degree in Nursing (preferred) |
Approx |
|
|
or in a related field |
4 - 5 |
years |
|
|
|
|
|
Master’s degree in Nursing |
Approx |
|
|
or a related field with a BSN |
5 - 6 |
years |
|
(BSN required for Nurse V) |
|
|
|
|
|
|
|
MSN from bridge program; |
Approx |
|
|
no BSN required |
5 - 6 |
years |
|
|
|
|
23
Nurse I / Level 1
Scope
“Delivers fundamental
Practice focused on direct care of clients.
24
Nurse I / Level 2
Scope
“Demonstrates integration of bio- psychosocial concepts, cognitive skills, and technically competent practice in providing care to clients with basic or
complex needs.”
Practice includes directing other providers.
25
Nurse I / Level 3
Scope
“Demonstrates proficiency in practice
based on conscious and deliberate
planning.
Practice includes guiding and directing others who provide care.
26
Nurse II
Scope
“Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.”
Practice affects unit, team, or work group.
27
Nurse III
Scope
“Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care.”
Practice affects programs or service level.
28
|
The Dimensions of |
|
|
|
Nursing Practice |
|
|
|
DIMENSION |
|
CRITERIA |
|
|
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Practice |
|
Practice, Ethics, Resource Utilization |
|
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Professional |
|
Performance, Education / Career |
Development |
|
Development |
|
|
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Collaboration |
|
Collegiality, Collaboration |
|
|
|
Scientific Inquiry |
|
Quality of Care, Research |
|
|
|
29
Four Career Paths
CAREER PATH |
ROLES |
|
|
|
|
Clinical |
Direct Care Nurse, |
|
Clinical Nurse Leader (CNL) |
||
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||
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Supervisory |
Nurse Manager, Nurse Supervisor |
|
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Advanced Practice |
Clinical Nurse Specialist (CNS), |
|
Nurse Practitioner (NP) |
||
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|
|
All other roles not specifically listed |
|
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above: Education, Recruiting, Quality |
|
Consultant |
Management, Research, Utilization |
|
Management, Informatics, Infection |
||
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||
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Control, etc. |
|
|
30 |
|
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Four Career Paths (Cont.)
The Qualification Standards for each of the Dimensions are the same in all four Career Paths.
Outcome examples used to
demonstrate meeting the Dimensions will be specific to the RN’s Career Path and position.
31
Dimension: Practice
The effective use of the nursing process to make practice decisions in an ethical manner in varied practice settings.
Considers factors related to safety, effectiveness, and cost in planning and delivering care.
32
Dimension: Practice
GRADE |
CAREER PATH |
EXAMPLE |
|
|
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|
|
Recognizes when patient |
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threatened |
|
NI/L2 |
Clinical |
|
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Makes patient care assignments that reflect |
|
|
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use of available staff and priority care needs |
|
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Orients New Staff |
|
NI/L3 |
Clinical |
Gives directions to others to practice patient |
|
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||
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safety initiatives |
|
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|
Describes a patient care situation that shows |
|
NII |
Clinical |
shared expertise on behalf of all patients in the |
|
|
|
practice area |
|
|
|
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|
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|
Developed a |
|
NIII |
Clinical |
improvement project to increase staff |
33 |
|
|
compliance with hand hygiene |
|
|
|
|
|
|
|
|
|
Dimension: Professional
Development
Seeks learning opportunities for self and others.
Evaluates his/her own nursing practice and the performance of others.
34
|
Dimension: Professional |
||
|
|
Development |
|
|
|
|
|
GRADE |
CAREER PATH |
|
EXAMPLE |
|
|
|
|
|
|
|
Creates a professional development plan with |
|
|
|
feedback received from annual proficiency |
NI/L2 |
Clinical |
|
|
|
|
|
Describes discussion with experts about |
|
|
|
patient care problem |
|
|
|
|
|
|
|
Serves as a service council member |
NI/L3 |
Clinical |
|
|
|
|
|
Percepts new staff or students |
|
|
|
|
|
|
|
Acquires knowledge and skills appropriate to |
NII |
Consultant |
|
the specialty area, practice setting and role or |
|
|
|
situation |
|
|
|
|
|
Advance |
|
Identifies learning needs, plans and provides |
NIII |
|
formal and informal education to nursing |
|
Practice |
|
personnel on |
|
|
|
||
|
|
|
performance improvment |
|
|
|
|
Dimension: Collaboration
Creates an atmosphere in which nurses collaborate and build professional relationships with patients, families, and colleagues in the interdisciplinary team.
Provides and opportunities for nurses to share knowledge through coaching and mentoring and contributing to the professional development of others.
36
Dimension: Collaboration
GRADE |
CAREER PATH |
EXAMPLE |
|
|
|
|
|
NI/L2 |
Clinical |
Documentation of situations where assistance |
|
and support were provided to others |
|||
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||
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Describes care plan demonstrating care |
|
NI/L3 |
Clinical |
coordination for continuity between different |
|
|
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levels of service for patient / family |
|
|
|
|
|
|
|
Partners with other disciplines to enhance the |
|
NII |
Supervisory |
delivery of patient care through |
|
|
|
interdisciplinary activities |
|
|
|
|
|
NIII |
Consultant |
Chair of a VISN level or national level |
|
committee or task force |
|||
|
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||
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37
Dimension: Scientific
Inquiry
The extent to which the RN systematically evaluates and improves the quality and effectiveness of nursing practice and health care delivery based on research.
38
|
Dimension: Scientific |
|
|
|
|
Inquiry |
|
|
|
|
|
GRADE |
CAREER PATH |
EXAMPLE |
|
|
|
|
|
|
|
Participates in journal club |
|
NI/L2 |
Clinical |
Able to identify and utilize accepted |
|
|
|
institutional standards of care and standards of |
|
|
|
practice |
|
|
|
|
|
|
|
Identifies a practice problem for a performance |
|
NI/L3 |
Clinical |
improvement project in consultation with the |
|
|
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nurse manager |
|
|
|
|
|
|
Advance |
Reads and evaluates |
|
NII |
related to identified problems in area of |
|
|
Practice |
|
||
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specialty. |
|
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Provides leadership as a |
|
NIII |
Supervisory |
Investigator or |
39 |
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research project. |
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Promotions
Promotions
A Promotional Review should be conducted as soon as possible after the RN signs the annual Proficiency Report.
A Nurse I or Nurse II RN under ECF will be reviewed by the NPSB at their anniversary date. If the ECF narrative is greater than 6 months old, an interim memo can be written by the rater, providing updated performance information.
41
Promotions (Cont.)
Promotional Review consists of:
Review of Administrative Requirements.
-Education requirement of the next grade.
-Total years RN experience.
Dimensions of Nursing Practice.
Criteria for Consideration of Advancements.
42
Promotions (Cont.)
VA Handbook 5005, Part III, Chapter 4 Criteria for Consideration of Advancements
RNs who meet the administrative requirements and the Dimensions of performance for the grade they are being considered for, become eligible for promotion once the following four criteria are met:
43
Promotions (Cont.)
Criteria for Consideration of Advancements
Have improved the effectiveness of patient care through the use of more complex skills and application of scholarly knowledge to practice;
Have assumed greater responsibility for the improvement of patient care;
Have made steady progress toward professional goals for the improvement of patient care; and
44
Promotions (Cont.)
Criteria for Consideration of Advancements
Have demonstrated the ability to perform at the level of professional nursing practice as required in the qualification standard for appointment to the grade to which the RN is being considered for promotion to a higher grade level or advancement within the grade.
45
Promotions (Cont.)
Remember that Promotions are
It is the totality of the performance with progression in practice.
46
Promotions (Cont.)
Dimensions of Nursing Practice
The NPSB is looking for a minimum of one specific example of how each Dimension is met at the next grade/level:
What was done? |
ACTION |
For whom? |
POPULATION |
What difference |
OUTCOME |
did it make? |
|
When? |
SUSTAINABILITY |
47
Promotions to Nurse III
Demonstrate performance and leadership that is broad enough to improve the care for a group of patients.
Responsible for documented outcomes at any level that impacts the organization.
Documented outcomes must be broad and complex.
48
Board
Recommendations
Waiver of Degree requirement:
Can recommend a
Only one degree requirement can be waived one time.
49
Board
Recommendations (Cont.)
Degree waiver example:
Dave is a Nurse I/Level 3 ADN meeting all the standards for promotion to Nurse II except the Education requirement
(Bachelor’s required). The NPSB can recommend a waiver of the Bachelor’s degree requirement for promotion to Nurse II.
Then Dave becomes a Nurse Manager, but the NPSB cannot recommend a second waiver of the Bachelor’s degree
and a waiver of the Master’s degree
to be promoted to Nurse III.
However, if Dave earns a Bachelor’s degree, the NPSB can recommend a
promotion to Nurse III, provided he meets all the other
standards.50
Notice of Decision
RNs will be advised by their supervisor of the approved Board recommendation and the reason for the decision.
Promote and
Supervisory notification is outlined in VA Handbook 5005, Chapter 4.
51
Notice of Decision (Cont.)
In the event of
The responsibility of communicating the
52
Notice of Decision (Cont.)
The RN signs and dates receipt of this letter and the signed receipted copy is filed in the event the RN wants to request formal reconsideration.
The signature indicates receipt and not necessarily agreement.
53
Informal Discussion
RNs will discuss their concerns with their immediate supervisor prior to submitting a request for Reconsideration.
RNs can also be offered the opportunity to seek further clarification from the Board Chair.
If the employee is not satisfied with the explanation, the supervisor will inform the RN of their right to request Reconsideration.
54
Reconsideration
Applies only to RNs for
Includes reconsideration of promotion when Educational requirement is not met.
Does not extend to Temporary promotions or cash awards and Special Advancements.
Reference: VA Handbook 5005, Part III, Chapter 4.
55
Local Reconsideration
The RN may request reconsideration by the local NPSB of the decision not to promote within 14 calendar days of being notified of the Decision.
The
the
56
Actions by the
Approving Official
RN is notified in writing from the Nurse Executive of the Director's decision. Supervisor issues the letter to the RN in a meeting for the RN to sign and date receipt.
57
VACO Reconsideration
The RN may request VACO review within 14 calendar days of being notified of the local Reconsideration decision not to promote (a new
58
VACO Reconsideration
The final decision will be made by the Under Secretary or designee: the Chief Nursing
Officer/designee is the approving authority for nurses.
Action is forwarded back to the facility.
Decision letter is generated from the Nurse Executive and is shared with the RN by their supervisor.
A
59
Special Advancements
and Cash Awards
Overview
Special Advancement |
1 to 5 steps |
for Achievement (SAA) |
|
Specialty Certification |
cash up to |
|
$2,000 (or) |
|
1 to 5 steps |
|
SAA + cash |
Special Advancement |
1 step |
for Performance (SAP) |
|
Exemplary Job |
cash |
Performance (EJP) |
61 |
|
Special Advancement for Achievement (SAA)
Reference: VA Handbook 5017, Part V
62
Special Advancement for Achievement (SAA) (Cont.)
Examples of professional achievement are:
Recognition of professional groups such as certification by the appropriate national certifying body (except where certification is required as a condition of employment, such as APRN, CNL, or CS certificates) or election to an office in a national professional society; or
(Cannot grant any RN an award for one or multiple Nurse Practitioner, Clinical Nurse Specialist, or Clinical Nurse
Leader certification(s), regardless of assignment. |
|
Certification for NP, CNS, and CNL is required for |
|
employment.) |
63 |
|
Special Advancement for Achievement (SAA) (Cont.)
Professional attainment in research or contributions to the advancement of health sciences and patient care worthy of national or international recognition; or
Receipt of professional awards at the state or national level in recognition of significant and distinguished contributions to nursing or health care delivery.
64
Special Advancement for Achievement (SAA) (Cont.)
There is no time interval requirement between SAAs.
An SAA can be granted at any time after the previous SAA, provided the justification is different.
RNs on the ECF rating system are eligible for SAAs.
65
Specialty Certification Award
Reference: VA Handbook 5017, Part V
By regulations, the facility Director must grant a cash award, up to $2,000. Can grant only cash or can combine cash and an SAA of one to five steps (up to local policy).
It is up to local policy whether the Board
Certification has to be related to RN’s current assignment for an award.
66
Specialty Certification Award
(Cont.)
Other factors to be considered for local policy:
Does NPSB review if only granting cash?
(must go to NPSB if SAA is part of the Specialty Cert Award)
Is amount of award is
Is employee performance factor involved?
Is facility recruitment and retention a factor?
Any other criteria considered appropriate.
67
Specialty Certification Award
(Cont.)
A Specialty Certification Award can be granted for
basic certification (i.e., Nursing Administration to Nursing Administration, Advanced).
68
Specialty Certification Award
(Cont.)
A table of VACO Office of Nursing Services (ONS) “approved” and “not approved” national board
certifications is located on the ONS website.
Only VACO “approved” certifications are eligible
to be considered for Specialty Certification Awards or SAAs for certification.
VA RNs can only use the credentials from VACO “approved” certifications (such as
69
Specialty Certification Award
(Cont.)
70
Special Advancement for
Performance (SAP)
Reference: VA Handbook 5017, Part V
An advancement of 1 step may be granted to full- time, part time, and intermittent RNs who have demonstrated a sustained high level of performance and professional competence over and above that normally expected of employees in the particular grade and profession and meets 1 of the following 3 criteria
71
Special Advancement
for Performance (SAP) (Cont.)
Reference: VA Handbook 5005, Part III, Chapter 4, Criteria for Consideration of Advancements
Note: For advancement to a higher step within the grade, the documentation must meet at least one of the following three criteria:
Have improved the effectiveness of patient care through the use of more complex skills and application of scholarly knowledge to practice; or
72
Special Advancement for Performance (SAP) (Cont.)
Have assumed greater responsibility for the improvement of patient care; or
Have made steady progress toward
professional goals for the improvement of patient care.
73
Special Advancement for Performance (SAP) (Cont.)
An SAP cannot be granted at an interval less than 52 weeks since the effective date of the last SAP.
An SAP does not affect routine
When an RN is at the top step of the grade, a cash amount equal to one step is granted, however, the request is still reviewed first by the NPSB as an SAP.
74
Special Advancement for Performance (SAP) (Cont.)
The NPSB cannot recommend an SAP when a
The NPSB cannot automatically act upon an SAP when a
75
Exemplary Job Achievement and Job Performance (EJP)
Reference: VA Handbook 5017, Part V
Facility Directors may grant a cash award of up to $2,000 to RNs who demonstrate both exemplary job performance and exemplary job achievement.
Latest proficiency rating must be at least High Satisfactory (or at least Excellent for ECF rating) or above and meet 1 of following 5 criteria
76
Exemplary Job Achievement and Job Performance (Cont.)
Significant and distinguished contributions in some phase of health care as evidenced by original research, writings, and publication in professional media of stature (e.g., reference journals); or
Special recognition in the fields of teaching or professional practice; or
77
Exemplary Job Achievement and Job Performance (Cont.)
Special competence in the occupation as evidenced by service with professionally recognized committees or groups, responsible office in professional societies above the local level, or consultative services within the profession. The competence must be supported by achievement of renown on a regional or wider basis; or
78
Exemplary Job Achievement and Job Performance (Cont.)
Expertise in specialized treatment modalities, outstanding competence as a clinical practitioner, or significant contributions concerning some aspect of the profession; or
Other appropriate evidence of professional stature equivalent to the above.
79
Summary of Special
Advancements and Cash Awards
|
|
Time Interval Required |
Can Be Given with |
|
Action |
Award Amount |
Between Subsequent |
||
Other Awards? |
||||
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Awards? |
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Special |
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Yes, with different |
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Advancement for |
1 to 5 steps |
No |
||
justification |
||||
Achievement (SAA) |
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||
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Special |
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52 weeks |
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(Supervisors in ECF should |
Yes, with different |
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Advancement for |
1 step |
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receive SAP only at end of |
justification |
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Performance (SAP) |
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rating period) |
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Specialty |
Cash OR |
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Yes, with different |
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1 to 5 steps (SAA) + cash |
No |
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Certification |
justification |
|||
(depends on local policy) |
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Exemplary Job |
|
No |
Yes, with different |
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Performance / |
Cash |
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|
justification |
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Achievement (EJP) |
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80 |
In Summary
81
Synopsis of Changes in
Nurse Qualification Standards
(Handbook 5005)
Eliminated the need to
Authority to hire nurses in an MSN bridge program who haven’t graduated but completed the equivalent
Bachelor's coursework.
CNSs and NPs must now be certified in the specialty for appointment or transfer.
RNs with previous LPN experience receive half (.5) credit for each year of LPN experience (up to 5 years). Note: Effective for appointments on/after March 17, 2009.
Waiver of two degrees is not authorized.
The definition of “program” means at any level of the organization. For the Nurse IIIs, the scope must be broad and complex.
NPSB References
Professional Standards Boards
VA Handbook 5005, Part II
Appointments/ Career Paths/ Promotions
VA Handbook 5005/27, Part II,
Appendix G6 (NEW)
Probationary Period
VA Handbook 5021, Part III
83
NPSB References (Cont.)
Special Advancement for Achievement
VA Handbook 5017, Part V
Special Advancement for Performance
VA Handbook 5017, Part V
VA Handbook 5005, Part III
Cash Award: Specialty Certification Award
VA Handbook 5017, Part V
Cash Award: Exemplary Job Performance / Achievement
VA Handbook 5017, Part V
84
NPSB References (Cont.)
Higher Rates of Pay for Assignment as Head Nurse
VA Handbook 5007, Part III
Posting Title 38 Nurse Grades (Nurse I Through Nurse III) on Vacancy Announcements
VHA Directive
85
NPSB References (Cont.)
Title 38 Assignments
VA Handbook 5005, Part III, Appendix N, Utilization of Title 38 Employees (Appointment/Assignment to
Content of Title 38 Functional Statements
Human Resources Management Letter No.
86
Accessing NPSB Resources
Office of Nursing Services
Web Page:
http://vaww1.va.gov/nursing/pa
ge.cfm?pg=13
Getting Started
Click on the Nursing Qualification tab to access the link
Nursing Qualification Standards / Dimensions of
Practice Page
Click Here for PSB
Resources and
Contacts
PSB Resources Page
Access to RN
Educational Resources
NPSB (RN) Resources Page
Access to
Educational
Presentations
Access to Sample
Board Actions &
Proficiencies
NPSB (RN) Resources Page (cont.)
Click here for a listing of
Approved National
Certifications
National APPROVED RN
Certifications List
PSB Resources Page (cont.)
Click Here to Access
LPN/LVN PSB Resources
LPN/LVN PSB Resources Page
Click Here for Educational
Powerpoint Presentations
Nursing Qualification Standards / Dimensions of
Practice Page
Click here for Handbooks
and Directives
Policy Handbooks & Directives
Important Handbooks and Policy Directives
Nursing Qualification Standards / Dimensions of
Practice Page
Access to Printable “Career
Paths” Brochures and
Workbooks