RN-Medical Surgical Intensive Care Unit (MSICU)

Summary This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Qualifications English Language Proficiency: in accordance with 38 U.S.C. 7403(f) – 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 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) OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to 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 upon successful completion and graduation from the bridge program (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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program Credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD) 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 Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required 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). NOTE: Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification Grade Determinations: The following Scope – Education and Dimension criteria must be met in determining the grade assignment of candidates – and, if appropriate, the 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: Grade/Level Scope Education Nurse I – Level I: Delivers fundamental – knowledge‑based care to assigned clients while developing technical competencies An Associate Degree (ADN) or Diploma in Nursing – with no additional professional nursing required Grade/Level Scope Education Nurse I – Level II: Demonstrates integration of biopsychosocial concepts – cognitive skills and technically competent practice in providing care to clients with basic or complex An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level I; or a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required Grade/Level Scope Education Nurse I – Level III: Demonstrates proficiency in practice based on conscious and deliberate planning – self‑directed in goal setting for managing complex client situations An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level II OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I – Level II OR a Master’s degree in nursing (MSN) and no additional professional nursing experience OR a Master’s degree in a related field with a BSN and no additional professional nursing experience Grade/Level Scope Education Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others A BSN with 2 years of professional nursing equivalent to Nurse I – Level III OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level III OR a Master’s degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level III OR a Doctoral degree in Nursing with no professional nursing experience OR a Doctoral degree in a related field with a BSN with no professional nursing experience Grade/Level Scope Education Nurse III: Executes position responsibilities that demonstrate leadership – experience and creative approaches to management of complex client care beyond the immediate practice setting MSN and 2 years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III OR a Master’s degree in a related field with BSN and two years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III OR a Doctoral degree in Nursing with one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III OR a Doctoral degree in a related field with BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III Preferred Criteria: Current ALS & BLS provider certification, Minimum 2 years current Intensive Care RN and/or an intra‑aortic balloon pump – ventilator – continuous renal replacement therapy and Impella ECG interpretation training/certification Current National certification-CCRN Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position – with or without reasonable accommodation – without hazard to themselves or others. Depending on the essential duties of a specific position – usable vision – color vision – hearing or speech may be required. However – in most cases – a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid. This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care and potentially long periods of walking – standing – sitting – moderate lifting – repeated bending – or kneeling. Examples may include – but are not limited to: significant amounts of time standing assisting assigned patients utilization of safe patient handling and mobility protocols Duties The Inpatient Staff Registered Nurse (RN) is responsible for: providing competent – evidence‑based care to assigned patients and oversight of licensed vocational nurses/nursing assistants – as appropriate to the setting The nurse will assist in directing the provision of nursing education – orientation – competencies and providing quality improvement and outcomes utilization consultation Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others Provides direct care for acutely/critically ill patients who are at high risk for actual or potential life‑threatening health problems – regardless of the setting for nursing care Provides high intensity care and vigilance – while refining assessment skills and blending in data obtained from a variety of invasive/non‑invasive monitoring technology Evaluates practice in an ongoing process – based on best evidence Provides peers with informal constructive feedback for improvement Fosters a safe and supportive environment conducive to the professional development of healthcare professionals Contributes professional nursing perspective in discussions with the interdisciplinary team Partners with others to effect change and produce optimal outcomes Supports colleagues through knowledge sharing to provide safe – quality nursing care Shares educational findings – experiences – and ideas with peers Questions clinical practices for the purpose of providing evidence‑based care Participates in activities and strategies to sustain evidence‑based‑practice This nurse has experience with the situations in which they are ultimately expected to perform – integrating theoretical concepts – strong critical thinking skills – and exhibits a robust technically skilled practice Demonstrates clinical competency in the management of critically ill patients in the ICU that includes – but not limited to: Proficient in assessment skills – critical thinking – time management and organization Functions as an integral member of the acute interdisciplinary team and is responsible for accurate clinical assessments – interventions – evaluations and documentation of the critical care patient Knowledgeable in – but not limited to the following critical care procedures: Cardiac/hemodynamic monitoring Adherence to sterile technique – infection control and safety practices Accurate usage of emergency/resuscitative equipment and treatments Adherence to documentation standards and MSICU policies Wound care of the critical care patient All other duties required for the critical care patient VA offers a comprehensive total rewards package: Va Nurse Total Rewards Pay: Competitive salary – regular salary increases – potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave – 13 days of sick leave – 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long‑term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full Time – Variable Tours with Rotating Weekends and Holidays Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive Application Information Contact View email address on click.appcast.io – the EDRP Coordinator for questions/assistance. #J-18808-Ljbffr U.S. Department of Veterans Affairs