Registered Nurse - Critical Care

SummaryThe Registered Nurse - Critical Care is responsible for providing competent - evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting; demonstrates leadership in delivering and improving holistic care through collaborative strategies with others; and provides high intensity care and vigilance - while refining assessment skills and blending in data obtained from a variety of invasive/noninvasive monitoring technology.QualificationsBasic Requirements:English Language ProficiencyIn 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 EnglishGraduate 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 master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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: https://apply.usastaffing.gov/ViewQuestionnaire/12960163Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR a Master's 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Preferred Experience: At least 2 years nursing Intensive Care (ICU) experienceBasic Life Support/Advanced Cardiovascular Life SupportExperience with Ventilator - Arterial lines - and TelemetryAt least 2 years minimum Medical Surgical experiencePhysical Requirements: Physical aspects associated with work required of this assignment are typical for the occupation - see Duties section for essential job duties of the positionMay require standing - lifting - carrying - sitting - stooping - bending - puling - and pushingMay be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment.DutiesDuties for this position include - but are not limited to: Provides direct care for acutely/critically ill patients who are at high risk for actual or potential life-threatening health problems - regardless of the setting for nursing careEvaluates practice in an ongoing process - based on best evidenceFosters a safe and supportive environment conducive to the professional development of healthcare professionalsContributes professional nursing perspective in discussions with the interdisciplinary teamProvides high intensity care and vigilance - while refining assessment skills and blending in data obtained from a variety of invasive/noninvasive monitoring technologySupports colleagues through knowledge sharing to provide safe - quality nursing careParticipates in activities and strategies to sustain an evidence-based-practice cultureLeads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing PracticeApplies clinical knowledge/judgment to lead staff involvement in planning - decision-making - and evaluating outcomes within the immediate practice settingImproves Veteran/patient driven care by resolving experience issues such as coordination of care - timeliness or process issues - common themes of dissatisfaction - or environment of care concerns for the immediate practice settingApplies patient - family - and caregiver knowledge - values - and beliefs into care delivery without judgement or discriminationServes as an advocate for patients - families - and caregivers - improving outcomes for the immediate practice settingApplies evidence-based practice/research resulting in improved outcomes in the immediate practice settingVA 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: 7:30 AM - 8:00 PM - rotating tours with weekends and holidaysSubject to change based on the needs of the facilityTelework: Not AvailableVirtual: This is not a virtual positionRelocation/Recruitment Incentives: Not AuthorizedPermanent Change of Station (PCS): Not Authorized.