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Veterans Affairs, Veterans Health Administration Registered Nurse (Medical-Surgical Telemetry) in Fayetteville, Arkansas

Summary

The RN for will perform clinical duties as directed by the Associate Director for Patient Care Services through the Associate Chief Nurse, Acute Care through the Nurse Manager (NM) and Assistant Nurse Manager (ANM) of the unit by providing care for a team of Veterans within the Medical/Surgical/Telemetry Units carrying out tasks independently without specific instructions but refers problems or deviations not covered by instructions to the Charge Nurse/NM/ANM.

Responsibilities

RN provides care for a team of Veterans within the medical/surgical/telemetry units. Responsible for recognizing and reporting physiology and/or psychological deviations such as symptoms of hemorrhage, shock, obstructed airway and/or anaphylaxis. Responsible for maintaining up to date all mandatory training and attending required in-services as well as maintaining current ACLS and BLS certification. Must possess effective communication skills and customer service practices. Must be competent in the standards of nursing, incorporating evidence based care. Must be able to initiate care independently base on the department operating standards. Expected to communicate timely and effectively with all members of the Interdisciplinary Team as well as relate courteously and appropriately to all internal and external customers. Expected to work in a collaborative, team-oriented environment working as a patient advocate and build strong teams within multi levels of interdisciplinary staff. Function of assigned duties include but not limited to: Utilizes critical thinking skills and clinical decisional authority, prioritizes patient care by assessing the needs of the unit as a whole and assigning staff appropriately Proficient in providing nursing care for patients placed on cardiac monitors and proficient in the identification of cardiac dysrhythmias including but not limited to: symptomatic bradycardia, frequent or paired or multifocal PVCs, ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, and asystole Assesses clinical data for neurological, cardiac/vascular, respiratory, gastrointestinal, genitourinary, and skin and documents findings and reports abnormalities Incorporates assessment findings into treatment plan (e.g., cardiac monitor, pacemaker, glucometer, etc.); safely provides assessment and care for patients undergoing surgeries, procedures and treatments Administers medication safely and accurately Identifies patients at high risk for harm to self or others related to mobility issues, disturbed/disruptive behavior, elopement risk, or withdrawal complications Establishes and maintains effective communication with patients, family members, and the interdisciplinary team (including surgical team)\ Identifies learning needs of the patient/family (diagnosis, medication, surgery, etc.) and implements teaching strategies or provides alternate methods of communication (e.g., dry erase boards, picture charts, etc.) to patients with learning difficulties Adheres to infection control principles/protocols to prevent nosocomial infections in patients Administers blood according to physicians order following medical center memorandum and documents appropriately Work Schedule: 07:30am - 8:00pm or 7:30pm - 8:00 am, with rotating holidays and and weekends. This may change at the discretion of the agency.

Functional Statement Title/#: Registered Nurse/000000

Recruitment/Relocation Incentive: Not authorized

Financial Disclosure Report: Not Required

Requirements

Conditions of Employment

Qualifications

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. 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: BLS certified 1-2 years acute care experience preferred 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. 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 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. The incumbent may be exposed to infected patients and contaminated material and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional Information

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.

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