Registered Nurse (Emergency Department)

Summary Recruiting for multiple RNs in the Emergency Department. The Emergency Department (ED) is a level I unit with 27 beds, 2 triage rooms, and 4 beds designated for high‑risk psychiatry patients. The incumbent(s) will provide nursing care and monitoring of Emergency Department patients seeking care, as well as those admitted and waiting for bed assignment. 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 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 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 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 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 Reference: For more information on this qualification standard – please visit Physical Requirements: This position requires visual acuity – keen hearing Clear distinctive speech – and manual dexterity This position requires potentially long periods of continued walking – standing – stooping – sitting – bending – pulling – lifting and pushing Transferring patients and objects may be required Mechanical inpatient lifts are provided The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations – operative/invasive procedures – or home settings The incumbent may occasionally be exposed to patients who are combative secondary to delirium – dementia – or psychiatric disorders Must be a mature – flexible – sensible individual capable of working effectively in stressful situations – able to shift priorities based on patient needs Must complete annual Employee Health requirements – such as annual TB screening or testing – as a condition of employment The incumbent who provides care in home settings or other off‑site locations may be required to drive and/or ride in a GSA‑vehicle. Duties Delivers fundamental knowledge‑based care to assigned clients while developing technical skills 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 procedures per established policies and guidelines Influences care outcomes by collaborating with members of the interdisciplinary team Identifies individuals and groups of Veterans in need of care management services Assesses patients to identify needs, issues, resources, and care goals – identifies resources and critical factors for achieving desired outcomes for discharge, post‑hospitalization recovery and/or health maintenance/improvement Investigates complex patient care problems and promptly seeks consultation and/or mobilizes resources to meet care needs Assesses critical factors and/or barriers to care for goal achievement across the continuum of care services within and between organizational entities Evaluates outcomes and documents and reports findings as needed Assumes a leadership role in utilizing problem‑solving methodologies in system and/or process problems that impact patient care, staff performance, and/or system improvements Displays leadership in identifying and evaluating issues and implementing processes to improve clinical programs and administrative systems Analyzes ethical/care issues – applies appropriate theoretical principles and ensures application of institutional policy Initiates referrals based upon the patients' healthcare needs, eligibility, and resources available Complies with use and maintenance of RME devices according to VA Policy and follows standard operating procedures in cleaning and/or reprocessing reusable medical equipment The Nurse I – Level 1 Emergency Department (ED) Registered Nurse (RN) is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care They delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel Provides urgent and emergent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions The Nurse II Emergency Department (ED) Registered Nurse (RN) is responsible for providing competent, evidence‑based care to assigned patients They delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel The nurse will assist in directing the provision of nursing education, orientation, competencies, and providing quality improvement and outcomes utilization Provides urgent and emergent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions The Nurse III Emergency Department (ED) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines Preferred Qualifications Minimum of 2 years successful practice in Medical Surgical Nursing Minimum of 1 year of current critical care or emergency nursing Minimum of 1 year of recent experience in psychiatric nursing Demonstrated ability to work effectively with patients, families and other members of the interdisciplinary team Demonstrated skills in decision‑making, sound clinical judgment and critical‑thinking abilities Demonstrated ability to use computer systems in support of patient care delivery Preferred Level of Education: BSN Preferred Certifications: ANCC for Emergency Nursing, ANCC for Psychiatric Nursing, ANCC for Medical Surgical Nursing, ACLS, BLS Compensation and Benefits 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 per year (26 days of annual leave – 13 days of sick leave – 11 paid Federal holidays) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% 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: Days/Evenings/Nights – 8 or 12‑hour tours with rotating weekends Telework: Not available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not authorized #J-18808-Ljbffr