The registered nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being 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. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Financial Disclosure Report: Not required
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.