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 determines the award amount (up to $200,000) and eligibility period (one to five years) after review by the VHA Education Loan Repayment Services program office. Former EDRP participants are 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 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). 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 an 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) 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 U.S. 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. 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 – 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 needs. An ADN or diploma in nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level I; 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 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 and 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 a 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 a 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 a 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: Three or more years of emergency nursing experience is preferred. Reference: For more information on this qualification standard – please visit Physical requirements: The population of male and female veterans served ranges from adult age 18 to elderly adult age 65 and over. This position requires visual acuity (glasses permitted), keen hearing (hearing aid permitted), clear distinct speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, lifting, carrying, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures— or home settings. Use of rapid mental and muscular coordination simultaneously. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent 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. Duties Functions or scope of assigned duties: The nurse 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. 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. 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. 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 adjust the plan as necessary. 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 401(k) 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 – One full and unrestricted license from any U.S. state or territory. Work schedule – Day, evening, and night tours available. Telework – Not available. Virtual – This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact View email address on click.appcast.io – the EDRP Coordinator for questions/assistance. Learn more: Permanent Change of Station (PCS) – Not authorized. PCS Appraised Value Offer (AVO) – Not authorized. #J-18808-Ljbffr