The staff nurse demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Position may entail other duties as assigned. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. Physical Requirements: Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 4 hours); Standing (up to 4 hours); Repeated bending (up to 2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). ["Duties include but not limited to the following: Monitors patient conditions when held over in the life support room. Triages all unscheduled patients in accordance with Emergency Severity Index. Responds to Outside Emergencies and implements appropriate interventions. Provides immediate nursing intervention in emergency situations. Implements patient safety practices with regard to medication administration, patient identification, fall risk assessment and prevention, hand-off reports using the SBAR (situation, background, assessment and recommendations) format. Is responsible for ordering/maintaining supplies for the clinical area. Provides appropriate hand-off report communication using the SBAR format. Demonstrates/maintains competencies in accordance with the Core Competencies of the High Performance Development Model (HPDM). Provides assistance to other nursing units such as ICU/Telemetry. Has knowledge and expertise in the following: Tranvenous and external pacemaker, Automated External Defibrillator (AED)/Cardioversion/Defibrillation, Treatment of acute MI/ACS, CHF, acute seizure activity, and Respiratory Distress Syndrome Chest tubes, Foley catheters/CBI, IV thrombolytics, IV pain management, Expanders Vasoactive. Is able to assess and implement care of patients with Dx of overdose, acute psychotic episodes including but not limited to suicide, violence, and hallucinations. Is capable of providing care to patients with fractures, altered mental state and acute stroke. Is capable of providing initial care to trauma as necessary. Assesses patients' needs on admission with respect to developmental stage, age, sex, religion, ethnicity, socioeconomic status and illness. Provides patient health education to patients and families with regard to current treatment, health issues, and patient/family concerns in accordance with educational level of patient/family. Work Schedule: Full-Time, 12pm - 12am (6 shifts in a bi-weekly period) and one 8 hour shift in a bi-weekly period (12p-8p or 4p-12a) with rotating weekends and holidays\nCompressed/Flexible: Not Available.\nTelework: Not Available.\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not authorized.\nPermanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.