Registered Nurse (Cardiac Catheterization Laboratory)
U.S. Department of Veterans Affairs
Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses‑plans‑implements‑and evaluates care based on age‑specific components. Assumes responsibility for the coordination of care focused on patient education, self‑management and customer satisfaction throughout the continuum of care. Administers medications and assists in the performance of procedures per established policies and guidelines. Qualifications English Language Proficiency – must be proficient in basic written and spoken English (38 U.S.C. 7403(f)). Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Individuals attending a master’s level bridge program in nursing who have completed coursework equivalent to a bachelor’s level degree may be appointed on a temporary basis and later converted to a permanent appointment upon successful completion of the bridge program. Upon achievement of a State license, the individual may be appointed on a temporary basis and later converted to a permanent appointment. Graduates of foreign schools of professional nursing: possession of a current, full, active, and unrestricted registration qualifies for appointment as a nurse who has completed an associated degree/entry‑level nursing education program. Credit for foreign nursing education higher than an associate degree requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA (e.g., International Consultants of Delaware). Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. State, Territory, Commonwealth, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: candidates who meet basic education requirements but do not possess 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). Grade Determinations: Scope, Education, and Dimension criteria determine grade assignment and 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: Examples of grade qualifications (selected): Nurse I – Level I: fundamental knowledge‑based care, no additional professional nursing required. Nurse I – Level II: integration of biopsychosocial concepts; one year of specialized nursing experience; or a Bachelor of Science in Nursing with no additional professional nursing experience. Nurse I – Level III: proficiency in practice; two years of professional nursing experience; or a Master’s degree in Nursing with no additional professional nursing experience. Nurse II – Leadership: a BSN with 2 years of professional nursing experience; or an MSN with one year of specialized nursing experience. Nurse III – Leadership: MSN with 2 years of specialized nursing experience; or a Doctoral degree in Nursing with no professional nursing experience. Preferred Experience: Two years successful clinical experience assisting in diagnostic and interventional cardiac and vascular catheterization procedures as 1st scrub assistant, cardiac hemodynamic recorder, Cath Lab circulator, single‑plane X‑ray operator, and nurse sedation monitor; or two years successful clinical experience working in the Cardiac Cath Lab as a sedation RN. Physical Requirements: Moderate lifting (15‑44 pounds); light carrying (under 15 pounds); reaching above shoulders; use of fingers; both hands required; walking (12 hours); standing (12 hours); repeated bending (12 hours); both legs required; rapid mental and muscular coordination simultaneously; near vision correctable at 13–16 inches to Jaeger 1–4; far vision correctable to 20/20 and 20/40; depth perception; basic color discrimination; hearing (aid may be permitted). Environmental Factors: Outside and inside; excessive noise (intermittent); constant noise; slippery or uneven walking surfaces; working closely with others; working alone. Duties The Cardiac Catheterization Laboratory (CCL) Registered Nurse (RN) executes position responsibilities that demonstrate expert leadership, experience, and creative approaches to management of complex procedural care. Duties include: coordination of care focused on patient transition through the continuum of patient care, patient and family education, patient self‑management after discharge, and supporting factors that impact customer satisfaction. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and guidelines. Delivers and manages the care of patients undergoing therapeutic and diagnostic cardiology procedures (both inpatients and outpatients). Assesses the patient’s physical and mental status prior to procedures, educates on procedural and pre‑/post‑procedural care, documents responses, findings, and reports any changes. Partners with the patient, family, and interdisciplinary team to promote effective and safe transitions across the health care continuum, including the Veteran’s goals of care. Provides peers with formal or informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the development of health care professionals. Evaluates outcomes of evidence‑based decisions and practice changes for individuals, groups, and populations. Is responsible for documented outcomes at the program or service level. May function in several roles, including pre‑procedure assessments, post‑procedure recovery, and assisting physicians during procedures. Maintains proficiency in the maintenance, cleaning, and preparation of cardiology‑specific equipment and assists in the planning of end‑of‑life equipment replacement and future needs. Recognizes changes in patient care situations and initiates appropriate emergency responses; provides enduring education for common clinical adverse complications and responses. Adapts the daily schedule to maximize efficiency. May be assigned call; the CCL RN will follow all facility policies regarding response time. Other duties as assigned. Benefits Current ACLS and BLS required. VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards. Paid Time Off: 50 days per year (26 days annual leave, 13 days sick leave, 11 paid federal holidays). Retirement: Traditional federal pension (5 years vesting) and federal 401(k) with up to 5% employer contribution. Insurance: Federal health, vision, dental, term life, long‑term care. Licensure: One full and unrestricted license from any U.S. state or territory. Work Schedule: Monday‑Friday, 7 am‑3:30 pm MST (may be assigned call). Telework: Not available; virtual: Not a virtual position. Relocation/Recruitment Incentives: Not authorized. #J-18808-Ljbffr U.S. Department of Veterans Affairs
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