Assistant Nurse Manager-SICU (Registered Nurse)

Duties include but are not limited to:

• Responsible for executing duties in a manner that demonstrates leadership clinical expertise and creative approaches to the management of patient care for adult and geriatric patients in accordance with the NC Nurse Practice Act Medical Center and VAHQ standards of practice.
• Planning work to be accomplished by subordinates setting priorities and preparing schedules for completion of work;
• Assigning work to subordinates (RNs LPNs) based on priorities selective consideration of difficulty and the requirements of the assignments and the capabilities of subordinates;
• Evaluating the performance of subordinates;
• Making recommendations for appointments advancements or reassignments of subordinates;
• Giving advice counsel or instruction to subordinate personnel on work and administrative matters;
• Mediating and resolving complaints of subordinates and referring more serious complaints not resolved to higher level supervisors;
• Recommending disciplinary action where appropriate;
• Identifying developmental and training needs of subordinates and providing or making provision for such development and training (VA Handbook 5007 Part III Chapter 8);
• Work cooperatively with leadership and will adhere to EEO principles;
• Maintain competency/proficiency in practice on their assigned unit and remain current with required certification for their unit i.e. basic life support (BLS) and/or advanced cardiac life support (ACLS).
• Approving leave
• Time and attendance
• Assumes role in coverage/ staffing 80% of the time.
• Assesses plans implements and evaluates delivery of care based on age specific components.
• Assumes responsibility for the coordination of care focused on patient education self-management and customer satisfaction throughout the continuum of care.
• Makes sound fiscal decisions when requesting supplies approving time off and authorizing overtime in compliance with unit and hospital financial goals.
• Provide coverage for other ANMs as needed.
• Function as a role model educator practitioner and supervisor providing leadership to the team.
• Contributes to the development of care delivery models and environmental design ensuring evidence-based accessible affordable and equitable patient care.
• Ensures compliance with accreditation and regulatory standards.
• Maintains knowledge and ensures compliance with all regulatory and accreditation standards Directives policies and standard operating procedures (SOP).

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

Work Schedule: 6-12 hour shifts 1 8-hour shift in a 2 week pay rotate off tour & weekends
Telework: Not Available
Virtual: This is not a virtual position.

Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• 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.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the Required Documents section of this announcement.

Qualifications

Basic Requirements:

• 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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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 that 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) of the United States 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: I Level IDelivers 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 IIDemonstrates 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 IIIDemonstrates 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 Masters degree in nursing (MSN) and no additional professional nursing experience; OR a Masters degree in a *related field with a BSN and no additional professional nursing experience.Nurse IIDemonstrates 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 Masters 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 additional professional nursing experience.Nurse IIIExecutes 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 Masters 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.

Preferred Experience:

• Minimum of 5 years successful nursing practice including intensive care experience.
• Minimum of 2 years in leadership roles of charge nurse committee chair or other counsel leader support staff etc.
• Demonstrated ability to work effectively with patients families and other interdisciplinary team members.
• Documented evidence of knowledge and skill including (but not limited to): Change management problem solving customer relations decision making priority setting organization critical thinking.
• Knowledge of JCAHO standards and Patient Safety Goals

Preferred Education & Certifications

• BSN
• ANCC for Critical Care Nurses
• ACLS
• BLS

Reference: For more information on this qualification standard please visit Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking standing and sitting lifting carrying pushing reaching above shoulder use of fingers both hands both legs and repeated bending. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium dementia or psychiatric disorders; Emotional and Mental Stability: 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.