Registered Nurse- Emergency Department

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 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) 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 Preferred Experience: Prior experience in an Emergency Department or other acute-care setting experience with high acuity patient populations Trauma center experience (Level I - II - or III) Previous charge nurse or leadership experience Strong triage assessment skills Proficiency with rapid patient stabilization Familiarity with ED-specific equipment (e.g. - defibrillators - vents - bedside ultrasound) Experience with EKG interpretation Ability to administer emergency medications and manage IV drip 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 *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: The physical requirements of this position are concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and may include requisite laboratory and other screening as required by Federal regulatory agencies. Duties 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 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 ED RN practice includes the roles of direct care provider - educator - administrator - researcher - consultant - leader - and advocate Provides peers with formal or informal constructive feedback for improvement Supports colleagues and other nurses through knowledge sharing to provide safe - quality nursing care Fosters a safe and supportive environment conducive to the professional development of health care professionals Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations Responsible for the documented outcomes at the program or service level Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility Leads and develops unit based meetings - able to teach and support novice leaners in the 5-Tier Emergency Severity Index (ESI) system for sorting of patient care priorities Nurse is able to reconcile and communicate staffing needs on the unit and across the local facility Fully responsible for the department resources - recognizes equipment and supply needs - and communicates to the leadership ED RN is responsible and accountable for all elements of the nursing process when providing care 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 Use the assessment data to determine diagnoses - problems - or other concerns Will identify expected outcomes to develop a collaborative and individualized plan for each patient Implement that plan - including care coordination - health teaching - and health promotion Evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary Recognizes patient changes and able to activate the appropriate level of care for the 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 Recruitment/relocation incentives: Not authorized Permanent Change of Station: Not authorized Work Schedule: Varied scheduled days with weekend and holiday - requirements - based on the needs of the unit Tour: 1930-0800 Virtual: This is not a virtual position. #J-18808-Ljbffr Direct Jobs