Registered Nurse - Intensive Care Unit - Incentive Authorized
Veterans Affairs, Veterans Health Administration
Location: Sioux Falls, South Dakota, South Dakota
Internal Number: 747993600
Recruitment Incentive Authorized, see "Duties" Section for details!The Intensive Care Unit (ICU) Registered Nurse (RN) provides direct care and meets the needs of patients of high acuity and requiring a high level of care based on a variety of illnesses, ailments, acute injury, exacerbation of a chronic condition and/or preparing/recovering from surgery. The RN must have a broad scope of understanding a variety of cares required for and pathophysiology of all body systems. 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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: Previous Intensive Care or Critical Care experience preferred. CCRN certification preferred. BLS and ACLS certification required. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. ["The Intensive Care Unit (ICU) Registered Nurse (RN) provides direct care and meets the needs of patients of high acuity and requiring a high level of care based on a variety of illnesses, ailments, acute injury, exacerbation of a chronic condition and/or preparing/recovering from surgery. The RN must have a broad scope of understanding a variety of cares required for and pathophysiology of all body systems. The RN will initiate ICU protocols based on the patient's assessment, chief complaints, and symptoms. The RN documents frequently based on routine and acute change in conditions. RN's will advocate patient needs, support decisions, clarify options and collaborate with members of the interdisciplinary team to facilitate discharge planning, communicate transfer needs, and assist with arranging continuity of care with other facilities. Advocate and provide support, answer questions, and educate patients and their families on surgical procedures, post-surgery care and other pertinent diagnoses. The RN demonstrates competency with knowledge and skills related to specific functions including but not limited to the following: mechanical ventilation, cardiac monitoring, tele-ICU, airway management, acute pain management, wound care, dressing changes, initiating pressure injury prevention and hemodynamic monitoring. The RN can identify cardiac arrhythmias and initiates appropriate action in accordance with ACLS standards. The RN maintains Advanced Cardiovascular Life Support (ACLS) certification. Frequent tasks carried out by the ICU RN involve admitting new patients, monitoring vital signs and clinical status of the patient, administering medications, and reporting adverse reactions to medications in a timely manner. Operating, maintaining, and programming equipment such as IV pumps, tube feeding pump/ tubes, chest tubes, and patient lifts. RN's will participate in core elements of performance including knowledge and active participation in unit/program level quality improvement processes, competencies, initiatives, as well as customer service programs. ICU RN is required to respond and team lead all facility wide events such as Rapid Response Team, Code Blue, and Code Stroke. Provides specialized nursing care to critically ill patients with complex comorbidities by utilizing critical care nursing knowledge to provide interventions consistent with health team plan and projected optimal outcomes. Performs cardiac and hemodynamic monitoring for critically ill patients. Maintains a safe environment by anticipating and responding to changes in patient condition and emergency situations. Utilizes sound judgment to prioritize work assignment based on patient needs, prioritizing patients according to urgent needs. Functions independently in the complex environment and must be able to adapt to the constant changing environment. Collaborates with members of the multi-disciplinary team in assessing, planning, implementing and evaluating patient care. Assures detailed observations, assessments and changes in patient condition, are documented in the patient medical record and / or other pertinent records. Demonstrates knowledge and competencies in technical and operational knowledge in nursing, able to adhere to unit-based protocols. Demonstrates knowledge of mandatory and annual competencies for equipment and procedures Treats all Veterans, families, and other healthcare providers with dignity and respect. Listens to and acknowledges Veteran and family perspectives and choices. Veteran and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care in a non-judgmental, non-discriminatory manner Utilizes knowledge and skills necessary to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting. VA 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: Nights - Alternate Work Schedule may be available (72/80) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized - $10,000 with 2-year service agreement. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.