Veterans Affairs, Veterans Health Administration Registered Nurse (Step-Down Unit) in Fayetteville, Arkansas
Summary The RN for will perform clinical duties as directed by the Associate Director for Patient Care Services through the Chief Nurse of Acute Care Services and Nurse Manager/Assistant Nurse Manager (or designee) which is responsible for care of intermediate level adult patients such as: cardiac, medical and surgical patients. Responsibilities The Registered Nurse (RN) Stepdown Unit (SDU) is responsible for care of intermediate level adult patients such as: cardiac, medical and surgical patients. Responsible for recognizing and reporting physiology and/or psychological deviations resulting in blood pressure or heart rate deviations, bleeding, and/or psychological crises. Uses critical thinking to assess, plan, implement, evaluate, and deliver care. Provides nursing care for complex patients, independently carrying out all nursing functions related to cardiac monitoring, treatments, medication, and physiological monitoring modalities. Must possess effective communication skills and customer service practices. Functions of assigned duties include but not limited to the following: Performs skills and techniques necessary to provide safe patient care in the SDU setting Demonstrates knowledge and skill in identification and intervention of dysrhythmias Demonstrates comprehensive understanding of arterial blood gases Demonstrates knowledge of the function, use, and interpretation of monitoring equipment in the SDU Demonstrates performance and knowledge to deliver non-synchronized counter-shock (defibrillation) Demonstrates knowledge and skill in caring for the patient with a chest tube Demonstrates knowledge and skills in airway management Demonstrates knowledge and skill in the identification and prevention of post-surgical complications Expresses knowledge and skills necessary for providing nursing care to patients and their families in Step Down Unit Executes knowledge and skills necessary for providing nursing care to patients and their families in Step Down Unit Executes knowledge and skills necessary to perform during cardiopulmonary emergencies Assesses clinical dates for neurological, cardiac/vascular, respiratory, gastrointestinal, genitourinary, and skin and documents finding and reports abnormalities Safely provides assessment and care for patients undergoing surgeries, procedures, and treatments Administers medication safely and accurately Adheres to infection control principles/protocols to prevent nosocomial infections in patients Administers blood according to physicians order following medical center memorandum, and documents appropriately Work Schedule: Nights, 7:30pm - 8:00am., including rotating weekends and holidays. This may change at the discretion of the agency. Functional Statement Title/#: Registered Nurse/000000 Recruitment/Relocation Incentive: Not Authorized Financial Disclosure Report: Not Required Requirements Conditions of Employment Qualifications Basic Requirements: 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: BLS/ACLS Certification 1-2 years acute care experience Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. 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, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated material and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Testing Designated Position: All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.