This is a temporary position, not to exceed 08/31/2024. 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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: Two years experience in Emergency Department 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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 (6 hours); pushing (2 hours); reaching above shoulder; use of fingers; both hands required; walking (6 hours); standing (2 hours); repeated bending (6 hours); ability to distinguish basic colors; hearing (aid may be permitted); visual acuity 20/30 corrected. Environmental Factors: working with hands in water; working closely with others. ["Duties include but are not limited to: Consistently performing comprehensive physical, psychological and social assessments. Detecting early clinical changes in patient's condition. Effectively prioritizing and completing tasks and interventions safely and quickly. Being self-directed in providing and managing safe, therapeutic care for groups of patients. Effectively providing interventions in emergent critical patient care. Timely documentation of interventions, patient status and reporting change of patient status or concerns with care team. Delegating appropriate task to ancillary staff assisting in nursing care. Demonstrating 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. Maintaining competencies, skill sets, and knowledge required to provide full spectrum care for a variety of patient conditions across the lifespan. Being able to quickly adapt to a constantly changing environment utilizing appropriate personal protection equipment when necessary. Having the ability to articulate educational discharge instructions to patient and/or caregivers. Collecting current symptoms, as well as a detailed patient history and then consulting and coordinating with health care team members to assess, plan, implement and evaluate patient care plans. Performing triage, while considering both physical and psychosocial elements. Managing basic life support needs and stabilizing patients until the attending physician is available, based upon nursing standards and protocol. Initiating corrective action whenever information from monitoring equipment shows adverse symptomatology. Recording patients' current vital signs. Working directly under physicians, assisting them during exams, diagnostic testing and treatments. Preparing and administering (orally, subcutaneously, through an IV) and recording prescribed medications. Reporting adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse. Maintaining proper supplies and appropriate medical equipment to care for patients. Providing a full range of nursing care to ER patients with a variety of physical and/or behavioral problems. Performing other duties as assigned. Work Schedule: 7:30PM to 8:00AM (night shifts) Compressed/Flexible: Available Telework: Not available Virtual: This is not a virtual or remote position. Education Debt Reduction Program (EDRP): Not Authorized. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized PCS Appraised Value Offer (AVO): Not authorized Financial Disclosure Report: Not required Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: Paid annual leave based on hours worked - accrual starting on first day Paid annual sick leave based on hours worked - accrual starting on first day (no limit on accrual) Paid federal holidays dependent on work schedule Insurance: Federal health/vision/dental/term life/long-term care Licensure: 1 full and unrestricted license from any US State or territory VA offers a comprehensive total rewards package: VA Nurse Total Rewards"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.