The Emergency Department has 25 rooms with 2 triage rooms, 2 psychiatry "low stim" rooms, 2 negative airflow rooms and 3-4 rooms are run as 'Fast Track"/urgent care rooms. Most frequent presenting problems are chronic illness with acute exacerbation's and acute problems are mainly of cardiac, respiratory, and gastrointestinal origin. This is a temporary position, not to exceed 09/2024. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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: 1 - 2 years of Registered Nurse Emergency 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. 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: Heavy lifting, 45 pounds and over; straight pulling (up to 6 hrs); pushing (up to 2 hrs); reaching above shoulder; Use of fingers; walking (6 hrs); standing (2 hrs); repeated bending (up to 6 hrs); ability to distinguish basic colors; hearing (aid permitted); mental and emotional stability; visual acuity 20/30 corrected Environmental Factors: Working with hands in water, Working closely with others ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse provides care to Veterans for acute and urgent medical problems and referrals to primary care for Veterans requesting primary care. Psychiatric emergencies are triaged and referred to psychiatric specialty as PES (Psychiatric Emergency Services). Duties include: Consistently performs comprehensive physical, psychological and social assessments. Detects early clinical changes in patient's condition. Effectively prioritizes actual and potential problem/needs. Develops realistic and measurable outcomes for identified patient needs and evaluates patient's progress toward outcomes. Revises the plan of care when appropriate. Is self-directed in providing and managing safe, therapeutic care for groups of patients. Effectively intervenes in critical patient care situations. Demonstrates knowledge and/or required safety skills in area of assignment and, when appropriate, in the following: emergency preparedness plan, hazardous materials, fire plan, equipment failure emergency plans, and utility outage response procedures for this area. Consistently documents and reports patient care that reflects the critical thinking process. Effectively guides all levels of nursing and ancillary staff assigned to the work unit. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nWork Schedule: Days (7:30am - 8:00pm), Mid (11:30am - 12:00am), Swing (3:30pm - 4:00am), Nights (7:30pm - 8:00am), ED operates 24 hours a day with multiple shifts. Availability is dependent on department need and to be determined by Nurse Manager.\nTelework: Not Authorized\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.