Registered Nurse Acute Care Inpatient

This position works in 5 East Inpatient - Acute Care.

Duties include but are not limited to:

• Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurses obligation to provide optimal care.
• Delivers safe care to assigned patients while developing technical competencies.
• Responsible for maintaining competencies and required job duties such as reading email attending in-services and actively participating in staff meetings.
• Completes mandatory trainings including but not limited to Prevention and Management of Disruptive Behavior (PMDB) Safe Patient Handling (SPH) Basic Life Support (BLS) NIHSS and RALS.
• Safely and effectively uses patient care equipment.
• Correctly and safely performs nursing procedures.
• Recognizes overt abnormal signs and symptoms and/or changes in patients condition and responds appropriately.
• Implements physicians/providers orders in a timely and complete manner.
• Implements nursing interventions/orders in a timely and complete manner.
• Requests assistance from co-workers when needed; knows when to ask for help.
• Formulates a plan of care based on nursing assessments using the nursing process based on the ANA Standards of Nursing.
• Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed.
• Includes the patient and family/significant other in developing the initial plan of care and establishing goals
• Updates plan of care with assistance as needed.
• Assesses patients learning needs learning preference and readiness to learn.
• Develops and implements a plan to meet learning needs instructing patients and families in basic health teaching and discharge planning.
• Documentation is consistent accurate concise and timely.
• Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes.
• Revises plan of care according to evaluations of patients responses and outcomes.
• Uses the Electronic Health Record (EHR) software per policy.
• Work in a team format with NAs and LPNs and delegates follows up on tasks.
• Delivers medications using BCMA.
• Provides complex wound care.
• Administers blood products as ordered.
• Administers IV Fluids TPN Lipids PCA and manages multiple IV medications while checking compatibility.
• Documentation of training must be completed prior to performing any specialty skills such as continuous bladder irrigation epidural medication administration peripheral nerve catheter medication administration chest tube care blood product transfusions and tracheostomy care.
• Completes cardiac telemetry monitoring training and passes exam with 80% or greater within first 6 months of working on an Acute Care unit.
• Monitors telemetry and responds to rhythm changes timely.
• Adheres to remote telemetry procedures and policies outlined in SOP T-046 Remote Telemetry Monitoring.
• Prior to administering ordered chemotherapy/biotherapies completes chemotherapy/biotherapy training and passes exam with 80% or greater.
• Prior to monitoring EEG complete EEG monitoring training.
• Performs other duties as assigned

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: Night Shift. Six 12s and One 8 hour shift. 7:30 PM - 8 AM and 11:30 PM - 8 am. Rotating weekends and holidays
Compressed/Flexible: Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized

• 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 medical evaluation.
• 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.

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.

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.

Reference: For more information on this qualification standard please visit Experience: 2 years of experience in Med-Surg BSN preferred

Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care and potentially long periods of walking standing sitting moderate lifting repeated bending or kneeling. Examples may include but are not limited to:

• Significant amounts of time standing assisting assigned patients
• Utilization of safe patient handling and mobility protocols