Medical/Surgical unit specializes in general medicine and cardiac telemetry monitoring. M/S RN responsibilities & duties include but are not limited to: · Provides bedside cares to patients who are preparing for or recovering from a surgical procedure or for acutely ill adults, often with complex health conditions. Medical conditions include cardiac, respiratory, infectious, renal, hematology, endocrine, psychiatric, and oncology disease processes. See Duties section for more. Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12591598. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. ["Medical/Surgical unit specializes in general medicine and cardiac telemetry monitoring. M/S RN responsibilities & duties include but are not limited to: · Provides bedside cares to patients who are preparing for or recovering from a surgical procedure or for acutely ill adults, often with complex health conditions. Medical conditions include cardiac, respiratory, infectious, renal, hematology, endocrine, psychiatric, and oncology disease processes. · Performs and documents ongoing assessments including observation, physical examination, laboratory and other diagnostic results, and patient response to procedural intervention. · Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, implement, and evaluation to achieve optimal patient outcomes. · Implements, reviews and revises plan of care according to any change in the patient's status. · Evaluates the patients' medical history, diagnostic test results and treatment plan, working in collaboration with the patient, patient's family members and healthcare team to meet the patients' needs and plan of care. · Prepares, administers, and documents administration of scheduled, and as needed medications via all routes; (IV (Intravenous), IVP(Intravenous push), PO (Per Os), SQ (Subcutaneous) and IM (Intramuscular). · Follows up on PRN( Pro Ra Nata) administered medications, timely (within 4 hours) of administration, to assure patient's resolution of the complaint. · Monitors and adjusts medication rates for medication drip ordered protocols, such as heparin and diltiazem drips. · Transfuses blood and blood component products. · Provides broad range of skilled nursing cares such as, complex wound dressing changes, inserting Foley and SP (Suprapubic) catheters, NG (Nasogastric) tubes and IVs. · Safe use of specialized medical equipment such as telemetry, patient lifts, IV and Tube feeding pumps, evacuation equipment and other medical equipment. · Monitors and interprets patients' vital signs and cardiac rhythms (as ordered), documenting the same. · Reporting abnormal readings, findings or change in the patients' condition to the provider, in a timely manner. · Answers questions and educates patients and their families on their primary admission diagnosis, surgical procedures, test results, healthcare plan and goals. · Maintains and updates patient health records, competent in the use of electronic health record management systems such as CPRS and BCMA. · Facilitates safe discharge planning and patient education, collaboratively with the healthcare team. · Functions independently, handles multiple priorities through time management and communication and must be able to adapt to the constant changing turbulent environment. · Collaborates with members of the surgical team and multi-disciplinary team in assessing, planning, implementing, and evaluating patient care for the scheduled, unscheduled, or emergent surgical procedures. · Demonstrates knowledge and competencies in acute care nursing and implements nursing protocols, per policy to expediate patient care needs accordingly. · Completes an admission physical, psychosocial, and spiritual assessments, offering counseling for positively screened alcohol or tobacco use. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Typically work straight Nightshift: 1930-0730, 1930-0330 or 2330-0730. Will work every other weekend, rotating assigned holidays and possibly dayshift , due to rare staffing and census needs. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
