Registered Nurse - Cardiac Catheterization

Summary

The Cardiac Catheterization RN is self-directed in goal setting for managing complex caret to the patients undergoing diagnostic - interventional - coronary - peripheral - and electrophysiology studies. The Cardiac Catheterization Nurse is responsible for assuring that the patient is correctly identified using the organization's two patient hemodynamic monitoring of a patient undergoing procedures and sedation along with cardiac rhythm monitoring and interpretation.

Qualifications

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 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)
• The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration
• 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
• 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
• 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 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• 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 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• 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
• 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 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• 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 *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 and 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 a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Preferred Experience: Two years of experience in cardiac procedures and monitoring equipment preferred
• Prior two years of critical care - catheter lab RN or similar 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: See VA Directive and Handbook 5019.

Duties

• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major Duties include - but are not limited to: The Registered Nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the ANA Code of Ethics for Nurses to provide optimal patient care
• Patient Care Delivery Delivers safe - effective care to assigned patients while developing technical competencies
• Safely and effectively operates patient care equipment
• Correctly and safely performs nursing procedures
• Recognizes overt abnormal signs - symptoms - and changes in the patient's condition and responds appropriately
• Implements provider orders and nursing interventions/orders in a timely and complete manner
• Requests assistance from co-workers as needed and recognizes when to seek help
• Nursing Process and Plan of Care Formulates a plan of care based on nursing assessments using the nursing process and ANA Standards of Nursing Practice
• Completes initial assessment of patient condition and response to treatment - initiating follow-up as needed
• Includes the patient and family/significant other in developing the initial plan of care and establishing goals
• Updates the plan of care with assistance as needed
• Assesses the patient's learning needs - learning preference - and readiness to learn
• Develops and implements a plan to meet learning needs - instructing patients and families in basic health teaching and discharge planning
• Documentation Documents the nursing process in a consistent - accurate - concise - and timely manner
• Evaluates and documents patient response to interventions and progress toward attainment of goals and expected outcomes
• Revises the plan of care based on evaluation of patient responses and outcomes
• Uses the Computerized Patient Record System (CPRS) - Essentris - Clinical Procedures - and Bar Coded Medication Administration (BCMA) software per policy - as well as any future patient documentation programs
• Critical Thinking and Professional Practice Demonstrates grade-appropriate and consistent critical thinking skills
• Recognizes when a patient has a problem and manages the problem safely and effectively within the scope of practice
• Demonstrates a relative sense of urgency and takes the right action for the right reason (del Bueno)
• Completes the position-specific Competency Checklist annually and is rated competent in all measured areas
• Performs other duties as assigned pertaining to this occupation to meet the needs of the Agency - Department - Facility - and/or Service
• 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: Work schedule will be determined by the Supervisor
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized
• Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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