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Registered Nurse (Emergency Department)

The RN is responsible for the delivery of nursing care to the Veteran population with urgent and emergent needs; as well as providing emotional support for patients and families. They must successfully pass a telemetry exam upon hire/before entry to into this position and annually thereafter in order to work in the ED. This patient population may require continuous EKG monitoring and frequent monitoring of vital signs and commonly neurological signs as well (every two hours). The types of patients include but are not limited to, the following:

  • Ranging from non-urgent to acutely ill.
  • Stable patients that have EKG changes requiring antiarrhythmic medications and closer observation
  • Patients requiring continuous cardiac monitoring
  • Neurological patients who have experienced a CVA or TIA
  • Patients requiring respiratory support with use of BIPAP or CPAP
  • ICU patients that are transitioning to acute care but still require more frequent monitoring
  • Documents initial and ongoing patient assessment.
  • Uses the nursing process to formulate safe and effective care based on each individual's unique needs(including psychosocial, spiritual, cultural, bio-physical, educational, and age specific needs)
  • Responsibility and accountability for care of a group of patients.
  • Coordinates, delegates, and directs both professional and non-professional personnel.
  • Prioritizes care based on patient/family needs, available resources of time, personnel, supplies, and equipment;
  • Documentation is timely, accurate, and concise.
  • Effective communication with patient and family members in crisis situations;
  • Involves patient/family in care decisions and provides education based on identified needs.
  • Effective working relationships with all health care team members, patient and family members.
  • Protects and respects patients' rights and confidentiality;
  • Uses self-directed learning to acquire and maintain current knowledge in nursing practice.
  • Participates in development of unit goals, standards, protocols, policies, and flexible scheduling patterns.
  • Safe and effective nursing practice in emergencies.
  • Appropriate patient/family teaching.
  • Protection and respect of patient's right and confidentiality.
  • Self-directed learning and continuing education as evidenced by initial and ongoing competencies.
Work Schedule: 12 Hours Shifts; 6:30 p. m. To 7:00 a. m. and every other weekend.
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:
  • Acute Care experience, within past year, preferred.
  • Certification in Basic Dysrhythmia and ACLS upon hire/entry into position and successfully pass a dysrhythmia/telemetry exam annually thereafter.
  • Psychiatric experienced preferred.
  • BSN preferred. Minimum of 3 years current/continuous RN experience in an Emergency Department or Critical Care setting required.
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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