Registered Nurse (RN) - Critical Care / Progressive Care- SIGN ON BONUS
Veterans Affairs, Veterans Health Administration
Location: Indianapolis, Indiana
Internal Number: 680310300
Applicants will be referred every 2 weeks until the closing of the this announcement. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: 2years ICU/Stepdown experience Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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: This position involves considerable amount of standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused clients, repositioning patients, assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position and the ability to physically control or defend against emotionally ill clients. The position also requires ability to work on computers for extended periods of time. ["Duties include but are not limited to: The Effective use of the nursing process to make practice decisions in an ethical manner. Considers factors related to safety, effectiveness and cost in planning and delivering care. Safely administers and documents all forms of medication administration. Calculates and titrate intravenous drips and IVP medications. Demonstrates acceptable venipuncture technique in accordance with hospital policy. Assembles equipment and assists medical providers with invasive procedures. Cares for pre and post operative ICU patients recognizing possible complications and acts to prevent these developments. Recognizes common cardiac rhythms/arrhythmias and demonstrates the understanding to take appropriate action. Demonstrates the skill to safely care for patients with arterial pressure monitoring with use, care and maintenance of the line. Demonstrates understanding and use of bedside central cardiac monitoring systems. Demonstrates skill and knowledge for patients with pulmonary artery catheter pressure monitoring/cardiac output. Utilizes these parameters to care for the patient and use/maintenance of the line. Demonstrates the care of the patient with temporary and permanent pacemaker and skill to connect/set controls/and troubleshoot. Demonstrates ability to recognize impending or actual cardiac and/or respiratory arrest and initiate appropriate actions in and efficient manner. Possesses the skills and knowledge to assist with open chest procedure. Demonstrates the ability to utilize oxygen support equipment (ambu bag, nasal cannula, venti mask, rebreather mask, suction equipment, oximeter, portable oxygen cylinders. Safely administers sedation medications intravenously by following approved protocols, orders and MCM's. Demonstrates the ability to manage and care for patients on mechanical ventilation. Recognizes abnormal vs. normal arterial blood gases and mixed venous oxygen saturation values and follow up appropriately. Provides care for patients with intracranial pressure monitoring calculating cerebral perfusion pressure and caring for the transduce Possess the skill and knowledge in caring for the patient with intra aortic balloon pump. Provides care for patient with CRRT. Accurately and completely documents assessments, findings and all changes in patient status in a timely manner, following established unit policy utilizing critical care charting and hospital approved charting systems. Adapts to rapid changes in acuity and workload and is flexible in changing assignments and floating to other units when needed. Effectively and willingly functions in the charge nurse role when assigned. Accurately performs hand-off communication needed at change of shift to oncoming staff and from staff to staff with transfers. Takes lead in collecting data, analyzing data for the monitors and implementing changes to make improvements. Work Schedule: Night shift, 7:30p-8:00a, 3:30pm-Midnight, 11:30pm-8:00am Compressed work tour with weekend and holiday rotation Recruitment/Relocation: Approved Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.