Registered Nurse- Staff Float Intermittent NTE 1 year

The Registered Nurse executes position responsibilities that demonstrate leadership experience and creative approaches to management of complex patient care.

The RN Staff Float will function as a Staff Nurse in the ER ICU MED/SURG Psychiatry and Community Living Center. The RN Float is accountable to the NCC for providing the highest quality of nursing care possible for patients. This responsibility includes the utilization of general clinical nursing skills and knowledge in the area of care and patient safety coordination of patients and education of patients/significant others as indicated.
The responsibilities of the RN Staff Float:

• Delivers nursing care and assessment consistent with the standards of practice in the units assigned.
• Accurately and completely documents assessment finding any changes in patient Status and nursing interventions in a timely manner following established unit procedure/ protocol utilizing electronic medical record.
• Successfully performs bedside monitoring (EKG & remote telemetry) per hospital/unit policy & procedures recognizes common cardiac rhythms/arrhythmias and processes the knowledge and skill to take appropriate action.
• Accurately and safely administers and documents all forms of medication per routes ordered including sedation medications by following approved protocols orders.
• Demonstrates proficiency in venipuncture/IV start techniques maintenance of vascular access sites and the infusion of parental infusions consistent with facility policy.
• Demonstrates appropriate cares for pre and post-operative Med/Surg. and ICU patients recognizing possible complications and acts to prevent these developments.
• Demonstrates proficiency / knowledge in in the application of Oxygen support equipment / devices consistent with facility policy.
• Demonstrates the skill and knowledge to manage the care of a patient with artificial airways and mechanical ventilation assessing the changes in status and intervening to resolve actual or potential problems.
• Demonstrates knowledge and skill in deferent modalities of invasive/ non-invasive hemodynamic monitoring including but not limited to arterial and central venous pressure.
• Demonstrates the skills and knowledge required to safely assist the medical providers in the performance of routine bedside procedures including the performance of moderate sedation.
• Effectively cares for pre and post-operative patients recognizing possible complications and acts to prevent these developments.
• Demonstrates the ability to recognize impending or actual cardiac and/or respiratory arrests and initiates appropriate actions in an organized and efficient manner consistent with the policies of the hospital. Operating Procedures governing Remote Telemetry program.
• Assures own professional development through certification ongoing continuing education activities and involvement in professional organizations.
• Maintains up to date competencies for the ED ICU Med Surg CLC and Mental Health units.
• Maintains current and active BLS and ACLS certifications.
• Demonstrates professional behavior and effective communication skills that enhance working with others.
• Uses interpersonal communication strategies with individuals or groups that results in the achievement of the intended outcomes.
• Demonstrates positive team building skills.
• Demonstrates ability to adapt to rapid changes in acuity and workload and is flexible in changing assignments when needed.
• Participates in Performance Improvement opportunities to improve patient care through monitoring analyzing and assessment.

Work Schedule: Intermittent-Float Pool/ Multiple schedules (Will be discussed during interview process) PerDiem
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
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 physical evaluation/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.

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.

Reference: For more information on this qualification standard please visit Requirements: This position requires visual acuity keen hearing clear distinctive speech and manual dexterity. This position requires potentially long periods of continued walking standing stooping sitting bending pulling and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations operative/invasive procedures or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium dementia or psychiatric disorders. 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.