The Emergency Department (ED) Registered Nurse provides urgent and emergent care to patients that present to the emergency department The RN will provide triage and nursing care to patients which includes cardiovascular disease, pulmonary disease, diabetes, GI conditions, renal conditions, substance abuse, psychiatric illness, and minor trauma with or without extenuating co-morbidities. Based on education, experience, and competencies the RN may be assigned as a preceptor or charge nurse. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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. Preferred Experience: CEN preferred; 2 years current ED 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. This can be found in the local Human Resources Office. Physical Requirements: This position is required to meet the physical standards as outlined on the OF 178 Certificate of Medical Examination. The position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The position requires long periods of continued walking, standing, stooping, sitting, bending, pulling, pulling, assisting with transferring patients to wheelchairs/stretchers, cars, and transporting to other departments. The ED RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing/equipment in isolation situations or during day-to-day department functions and procedures. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Utilizes protocols to initiate diagnostic tests. Independently initiates consults to Diabetes Clinic, Education, Dietary, Pharmacy, Psychology, Smoking Clinic, and Social Work Service. Manages Triage, Evaluation/Processing and Emergency Department with collaborative support from the physician. Maintains emergency department unit specific competencies (POC testing, ESI, Phlebotomy, EKG recognition, etc.) Maintains working knowledge of EMTALA. Teaches patients by establishing patient care goals; teaching individuals and families to understand condition, medication, and self-care skills, answering questions and by promoting patient independence. Identifies needs for care at home, or alternatives such as outpatient treatment, extended care facility with discharge planner. Implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures. Intervenes with proper technique, procedure and safety precautions to meet individual needs of patient. Demonstrate ability to prioritize. Utilizes SBAR tool for transitions of care for patients being admitted or transferred. Responds and provides leadership during medical codes and rapid responses. Remain with the patient during emergency support. Work Schedule: Full-time\nCompressed/Flexible: Not available\nTelework: Not authorized\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Authorized\nPermanent Change of Station (PCS):Not authorized\nPCS Appraised Value Offer (AVO): Not authorized\nFinancial Disclosure Report: Not required *Incentives: Recruitment Incentive: RNs - $10k recruitment incentive for 3 year service agreement authorized for highly qualified candidates."]
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.