Registered Nurse (Telemetry)

Summary The Telemetry Registered Nurse will manage the care of patients requiring cardiac monitoring and more frequent observation than can be provided in the acute care setting - Patients are primarily those with cardiac disease or heart rhythm disorders - but can also include patients with a variety of diagnoses that may require cardiac monitoring during their treatment and recovery. 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 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 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 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 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: The Registered Nurse (RN) must be able to perform all activities of the position without restriction This position involves considerable standing - walking - stooping - bending - reaching - lifting and turning It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers Mechanical devices when available are required to be used for heavy or difficult to lift patients The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs The position requires visual and auditory acuity at a level to provide safe and effective nursing care The position requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures The RN may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders The RN must be mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities - based on patient needs. Duties The Telemetry Unit operates 24/7 - 365 days a year - requiring consistenet staffing coverage - including nights - weekends - and holidays Telemetry nurses must be capable of managing the care of telemetry patients and are accountable for supporting scheduling needs to ensure safe and appropriate staffing levels Major Duties: Duties and responsibilities include - but are not limited to - the following: Provide individualized - complex - patient care for critcally ill patients - consistent with diagnoses - standards of scope of practice - which may inlcude the following: Cardiac monitoring and EKG interpretation Hemodynamic monitoring Identify potential crisis situations and respond appropriately in emergent situations using standard ACLS guidelines Initiate referrals and/or consultations as appropriate to achieve an interdisciplinary plan of care Function independently when performing more complex treatments - procedures and advanced technologies specific to the scope of care in the Telemetry Unit Perform procedures within his/her scope of practice and the unit based competencies Promote and provide health care teaching to patients and significant others Complete admission assessment on assigned patients within 24 hours of admission Conduct reassessments every shift and PRN to determine rapidly changing conditions Transcribe physician's orders using CPRS Take verbal and telephone orders per policy Complete patient care plans according to policy Document vital signs and assessments using CPRS/approved format Document medications using BCMA (Bar Code Medication Administration) Plan for discharge/transfer including completion of discharge/transfer note Function competently as a charge nurse making patient assignments and communicating shift report Demonstrate the ability to manage the daily routine operations related to patient care (delegate - supervise - troubleshoot - and evaluate) Participate in clinical supervision of nursing staff - nursing students - and new hires through role modeling and communication objectives and expected competencies of orientee's and students 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: Rotating (Including Nights/Weekends/Holidays) Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr Direct Jobs