Enter a job title or keyword

ICU Inpatient Staff RN


Job Location:

Madison, OH - USA

Yearly Salary: USD 75111 - 75111
Posted: 6 October 2026 (20 days ago)
Application Deadline: 3 January 2027
Vacancies: 1 Vacancy

Job Summary

Summary

The Intensive Care Unit (ICU) at the Madison WI VA is a 16-bed geriatric/adult critical care unit which cares for patients of Medical Surgical and Specialty Services. Medical conditions include: Sepsis congestive heart and respiratory failure acute gastrointestinal hemorrhage liver failure drug overdose severe alcohol withdrawal and unstable metabolic problems requiring vasoactive medications and hemodynamic monitoring.


Duties

Surgical Services include:
Cardiovascular Thoracic Transplant Peripheral Vascular Neurosurgical Orthopedic General Surgery Urology ENT and Plastics. Additional conditions include myocardial infarction unstable angina/arrhythmias post PTCA pacemaker placement subdural hematoma post-op cardiothoracic surgery pre/post heart/liver/lung transplant LVAD implant post arrest hypothermia carotid artery and femoral popliteal bypass surgery.

Nursing care is provided on a 24-hour basis by registered nurses and nursing assistants. The nursing process of assessment planning implementation and evaluation is applied in an ongoing systematic manner to all patients. The ICU provides acute level nursing and RNs are intricately involved in the development implementation and evaluation of interdisciplinary care. This requires nursing staff to participate with an interdisciplinary approach in meeting Veteran health care needs including being an active participant in Interdisciplinary rounds consisting of the entire team of Physicians Nurse Practitioners Nutrition Service/Dietician Physical Therapy Occupational Therapy Social Work Pharmacy and other specialty groups as needed; coordinating care of all patients. This systematic process is applied to all patients with
a goal of care to restore the Veteran to maximum function prevent further decline maximize independence and/or provide comfort as necessary. Discharge planning is an essential component of our nursing practice and an interdisciplinary approach for teaching and discharge planning assures continuity of care for the Veterans we serve. RNs respond to Code Blue emergencies and inpatient Rapid Response Calls and recover patients directly from the OR on
off tours.

RNs are required to complete the basic critical care course and/or successfully pass a competency exam (Basic Knowledge Assessment Test). Each RN must complete a period of supervised practice in the ICU. The length of the orientation will be individualized based on assessments of the new employees experience and nursing education as well as preceptor and nurse managers evaluations. No nurse assumes full patient care responsibility or functions as charge nurse until authorized by the nurse manager and completion of the charge nurse classes.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Work Schedule: Night Shift
Telework: Not Authorized
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required


Requirements
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.
    • You may be required to serve a probationary period.
    • Subject to background/security investigation.
    • Selected applicants will be required to complete an online onboarding process.
    • 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).
    Qualifications

    Basic Requirements:

    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.

    Preferred Experience:
    • BSN or Higher preferred
    • 2 years of ICU or Acute Care experience preferred
    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.

    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: Walking bending stooping and some lifting in the direct care of patients. There may also be extended periods of sitting. This position also requires that the staff member be
    able to wear a lead apron for an extended period of time.
    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: 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:

    Additional information

    The William S. Middleton Memorial Veterans Hospital is committed to fostering and sustaining an environment which celebrates diversity provides equitable opportunities for employment and promotion and supports inclusiveness in our culture. Together we strive to create and maintain working and learning environments that promote professional growth and teamwork and are inclusive equitable and welcoming. We embrace our differences as individuals and unite as a team toward a common goal: to serve our nations Veterans.

    This job opportunity announcement may be used to fill additional vacancies.

    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.

    If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.

    Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.

    Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.


    Required Experience:

    IC