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RN (4NW) Telemetry/SDU

The 4NW Telemetry and/or Step Down Unit (SDU) nurse is a professional Registered Nurse who provides high-quality, evidence-based care for Veteran patients who are admitted to the Telemetry and/or SDU.
Registered Nurses who work in the Telemetry and/or SDU must currently possess and maintain ACLS certification. They follow ACLS and AACN protocols when treating arrhythmias and appropriately intervene when there are significant changes in patient's condition(s). The RN is responsible for the delivery of nursing care to the Veteran population with medical and surgical diagnosis; as well as providing emotional support for patients and families.
Incumbent must pass Basic Arrhythmia Recognition and Treatment (BART) exam within 90 days of start date as a condition of continued employment. This patient population requires continuous EKG monitoring, vital signs monitoring and neurological checks as frequently as every two to four hours. The types of patients include but are not limited to the following:

  • Post-operative patients with co-existing medical conditions that require monitoring and/or who have the potential to develop arrhythmias that would necessitate treatment
  • Stable post - operative patient that have EKG changes requiring non-titrating antiarrhythmic medications and closer observations
  • Patients discharged from the PACU/SSU who require continuous cardiac monitoring
  • Neurological patients who have experienced a CVA or TIA
  • Patients requiring respiratory support with use of CPAP
  • Post Cardiac Cath Patients
  • ICU patients that are transitioning to acute care but still require more frequent monitoring
Work Schedule: : Full time- Monday to Sunday, 12 hour shift with rotational weekends and holidays. 80 hours per pay period required with an 8 hour shift. Tour of duty may change based on the needs of organization.
Financial Disclosure Report: Not required
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.
  • 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: Requires certification in Basic Arrhythmia and ACLS/BLS upon entry to this position; -2-3 years practice providing care for med/surf, telemetry and Step Down Unit (SDU) patients
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.
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: Heavy lifting (45 lbs. and over); Moderate Carrying (15-44 pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required.

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