Healthcare Inspection Evaluation of Contracted/Agency Registered Nurses in Veterans Health Administration Facilities

The purpose of this evaluation was to determine whether registered nurses (RNs) working in Veterans Health Administration (VHA) facilities through contracts or temporary agencies met the same entry requirements as RNs hired as part of VHA facility staff. From January 1–December 31, 2009, we performed this review as part of Combined Assessment Program review visits at 23 facilities that used contracted/agency RNs. VHA facilities generally met requirements regarding contracted/agency RNs. However, not all facilities completed all required verifications, evaluations, and training prior to contracted/agency RNs caring for patients and accessing medical records. We recommended that the Under Secretary for Health, in conjunction with Veterans Integrated Service Network and Facility Directors, ensure that: (1) credentialing documentation, including licensure and background checks, is completed prior to contracted/agency RNs providing patient care; (2) contracted/agency RNs comply with necessary competency evaluations; and (3) all required training is completed and certifications are current prior to contracted/agency RNs providing patient care and accessing medical records.