Registered Nurse- Critical Care
SummaryThis position is located at the Wilmington VAMC in the Intensive Care Unit.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/12962406Grade/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 degreesPreferred Experience: At least 3 years nursing Intensive Care (ICU) experienceCurrent Basic Life Support/Advanced Cardiovascular Life SupportCCRN At least 4 years PCU Experience Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterityThis position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushingThe incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs.DutiesCritical Care Registered Nurse (RN) is responsible for providing competent - evidence-based care to assigned patients and oversight of nursing assistants - as appropriate to the settingMajor duties include - but are not limited to: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersThe nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation Assist in the orientation and training of new staff - precept nursing students - newly hired RNs - and contribute to the ongoing development of unit competencies Validates understanding of the rationale for care processes and decisions Demonstrates expanded knowledge base of the nursing process in the care of assigned patientsProvides 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 careProvides high intensity care and vigilance - while refining assessment skills and blending in data obtained from a variety of invasive/noninvasive monitoring technologyEvaluates practice in an ongoing process - based on best evidenceProvides peers with informal constructive feedback for improvementFosters a safe and supportive environment conducive to the professional development of healthcare professionalsContributes professional nursing perspective in discussions with the interdisciplinary teamPartners with others to effect change and produce optimal outcomesSupports colleagues through knowledge sharing to provide safe - quality nursing careShares educational findings - experiences - and ideas with peers Engage in self-development by attending educational programs - maintaining relevant critical care certifications/trainings (such as BLS - ACLS) - and keeping current in evidence-based practic Participates in activities and strategies to sustain an evidence-based-practice cultureExperience with the situations in which they are ultimately expected to perform - integrating theoretical concepts - strong critical thinking skills - and exhibits a robust technically skilled practice Support a culture of safety by promptly reporting errors or near misses - using appropriate event reporting mechanisms - and participating in efforts to prevent hospital-acquired conditions and infection Support mass casualty - disaster - and emergency response as part of surge staffing and hospital emergency operations - including rapid response and code team activities as assigned Other duties as assigned 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 EDRP Authorized: Former EDRP participants ineligible to apply for incentiveContact VHAVISN04HREDRP@va.gov - the EDRP Coordinator for questions/assistanceLearn more? Work Schedule: 2 positions: 7:00AM - 7:30PM1 position: 11:00AM - 11:30PM