Npsb Va Details

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.

QuestionAnswer
Form NameNurse Professional Standards Board
Form Length99 pages
Fillable?No
Fillable fields0
Avg. time to fill out24 min 45 sec
Other namestemplate for va npsb, nurse professional standards board write up, va professional standards board, technical review of board actions npsb

Form Preview Example

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 Co-Chairs are consistent in the Board process and application of the

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 non-promote letter from the NPSB.

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

 

 

 

 

 

Nurse I /

Associate Degree in Nursing (ADN)

None

 

Level 1

or Diploma in Nursing

 

 

 

 

 

 

Nurse I /

Bachelor of Science in Nursing (BSN)

None

 

Level 2

 

 

 

Bachelor’s degree in a related field

None

 

 

 

 

with ADN or Diploma

 

 

 

 

 

 

 

ADN or Diploma

Approx

 

 

 

1 year

 

 

 

 

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 knowledge-based care to assigned clients while developing technical skills.”

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. Self-directed in goal setting for managing complex client situations.”

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

 

 

 

Practice

 

Practice, Ethics, Resource Utilization

 

 

 

Professional

 

Performance, Education / Career

Development

 

Development

 

 

 

Collaboration

 

Collegiality, Collaboration

 

 

 

Scientific Inquiry

 

Quality of Care, Research

 

 

 

29

Four Career Paths

CAREER PATH

ROLES

 

 

Clinical

Direct Care Nurse,

Clinical Nurse Leader (CNL)

 

 

 

Supervisory

Nurse Manager, Nurse Supervisor

 

 

Advanced Practice

Clinical Nurse Specialist (CNS),

Nurse Practitioner (NP)

 

 

 

All other roles not specifically listed

 

above: Education, Recruiting, Quality

Consultant

Management, Research, Utilization

Management, Informatics, Infection

 

 

Control, etc.

 

30

 

 

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

 

 

 

 

 

 

Recognizes when patient self-determination is

 

 

threatened

 

NI/L2

Clinical

 

 

 

 

Makes patient care assignments that reflect

 

 

use of available staff and priority care needs

 

 

 

 

 

 

Orients New Staff

 

NI/L3

Clinical

Gives directions to others to practice patient

 

 

 

 

safety initiatives

 

 

 

 

 

 

Describes a patient care situation that shows

NII

Clinical

shared expertise on behalf of all patients in the

 

 

practice area

 

 

 

 

 

 

 

Developed a program-wide performance

 

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 specialty-related area and 35

 

 

 

 

 

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

 

 

 

 

 

 

 

Describes care plan demonstrating care

NI/L3

Clinical

coordination for continuity between different

 

 

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

 

 

 

 

 

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

 

 

nurse manager

 

 

 

 

 

Advance

Reads and evaluates research-based literature

NII

related to identified problems in area of

 

Practice

 

 

specialty.

 

 

 

 

 

 

 

Provides leadership as a Co-Principle

 

NIII

Supervisory

Investigator or Co-Investigator in a formal

39

 

 

research project.

 

 

 

 

 

 

 

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

“performance-driven” and not “project-driven.”

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 one-time waiver of a Degree requirement, if all other Practice and Administrative standards are met.

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 (“double-waiver”) for him

to be promoted to Nurse III.

However, if Dave earns a Bachelor’s degree, the NPSB can recommend a one-time waiver of the Master’s degree for

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 non-promote actions reviewed by the Board should produce a letter that the supervisor will issue to the RN in a meeting.

Supervisory notification is outlined in VA Handbook 5005, Chapter 4.

51

Notice of Decision (Cont.)

In the event of non-promotion, the supervisor must meet with the RN and issue a letter outlining specifically what standards were not met.

The responsibility of communicating the non-promote and a discussion of related performance issues to an RN rests with the supervisor.

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 non-promotion within Nurse I and to Nurse II.

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 non-promote letter the supervisor issues to the RN to sign and date starts

the 14-day clock ticking.

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 14-day clock starts ticking when the RN signs and dates receipt of the local Reconsideration non-promote letter).

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 non-promote decision by VACO is final.

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

Full-time, part-time, and intermittent RNs may be advanced within the grade from 1 to 5 steps on the basis of professional achievement provided they have demonstrated excellence in performance above that expected for the grade level or assignment and potential for assumption of greater responsibility and meet 1 of the following 3 criteria

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 pro-rated for part-time or intermittent RNs?

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 first-time attainment of an approved national board certification; includes second and subsequent first-time certifications, but does not include recertification or renewal of previously held certifications. Includes first-time advanced certification, provided the requirements for advanced certification are clearly in addition to

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 “RN-BC”).

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 within-grade increases (WIG).

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 non-promote recommendation occurs. The Chair can suggest to the supervisor that s/he might consider recommending an SAP.

The NPSB cannot automatically act upon an SAP when a non-promotion occurs, because an SAP would negate the Reconsideration process.

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?

 

 

Awards?

 

 

 

 

 

 

 

Special

 

 

Yes, with different

Advancement for

1 to 5 steps

No

justification

Achievement (SAA)

 

 

 

 

 

 

 

 

 

Special

 

52 weeks

 

 

(Supervisors in ECF should

Yes, with different

Advancement for

1 step

receive SAP only at end of

justification

Performance (SAP)

 

 

rating period)

 

 

 

 

 

 

 

 

Specialty

Cash OR

 

Yes, with different

1 to 5 steps (SAA) + cash

No

Certification

justification

(depends on local policy)

 

 

 

 

 

 

 

 

Exemplary Job

 

No

Yes, with different

Performance /

Cash

 

justification

Achievement (EJP)

 

 

 

 

 

 

 

 

80

In Summary

81

Synopsis of Changes in

Nurse Qualification Standards

(Handbook 5005)

Eliminated the need to re-board someone who has already received an education waiver when they change positions.

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 -- Summary Reviews

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 2006-012, Content of Vacancy Announcements and Utilization of Registered Nurses at Nurse I through Nurse III

85

NPSB References (Cont.)

Title 38 Assignments

VA Handbook 5005, Part III, Appendix N, Utilization of Title 38 Employees (Appointment/Assignment to Non-Clinical Duties)

Content of Title 38 Functional Statements

Human Resources Management Letter No. 05-08-05, Guidance for the Preparation of Title 38 Functional Statements

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

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