Emergency Department Registered Nurse

Summary

The Emergency Department (ED) nurse is a professional Registered Nurse who provides high-quality - evidence-based care for Veteran patients who are admitted to the ED. 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.

Qualifications

Basic Requirements:

• 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
• 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 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 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 that 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 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
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: Pushing
• Straight pulling
• Pulling hand over hand
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 6 hours)
• Standing (up to 6 hours)
• Kneeling (Intermittent);Repeated bending (up to 6 hours)
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13" to 16"
• Far vision correctable in one eye to 20/20 an to 20/40 in the other
• Ability to distinguish shades of colors
• Hearing (aid permitted)
• Emotional and Mental Stability.**If 10 hours shifts hours of moving - bending - standing - walking will be 10 hours.

Duties

• The 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
• Nursing care ranges from basic nursing care to stabilization - resuscitation - and life-support measures
• Emergency nursing practice is independent and collaborative
• The ED RN practice includes the roles of direct care provider - educator - administrator - researcher - consultant - leader - and advocate
• 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 an evidence-based-practice culture
• The ED RN is responsible and accountable for all elements of the nursing process when providing care
• They assess the patient by collecting pertinent data or information - including the triage of patients based on the five-level triage system to prioritize patients that require more immediate care
• They use the assessment data to determine diagnoses - problems - or other concerns
• They will identify expected outcomes to develop a collaborative and individualized plan for each patient
• The ED RN will implement that plan - including care coordination - health teaching - and health promotion
• They evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary
• Preferred Experience: BSN 1 year of Emergency Department Nursing Experience
• American Heart BLS/ACLS certifications
• Critical Care certificate (CEN - CCRN) - NIH Stroke Scale
• Work Schedule: 6:30pm- 7:00am Telework: Not Available Virtual: This is not a virtual position 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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