Registered Nurse-Cardiac Catheterization/Electrophysiology Laboratory

U.S. Department of Veterans Affairs; Johnson City (TN); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Paid time off

Federal pension

Federal health/vision/dental insurance

Job summary

U.S. Department of Veterans Affairs like James H. Quillen Veterans Affairs Medical Center seeks a skilled registered nurse to provide and supervise direct patient care across the continuum.

The role emphasizes patient education, self-management, and satisfaction, with strong adherence to policy and safety standards. The RN will administer medications, assist with procedures, and collaborate with the interdisciplinary team to optimize care outcomes for veterans.

Qualifications

• English language proficiency required for direct patient care per VA policy.
• Graduates must have an approved nursing program and state licensure to practice as a nurse.

Responsibilities

• Provides and coordinates nursing care for patients in procedural and cardiovascular settings.
• Delivers patient education, health promotion, and coaching across the care continuum.
• Collaborates with interdisciplinary team to ensure safe transitions and quality outcomes.
• Maintains equipment, supports staff, and participates in quality improvement activities.

Skills

English Proficiency

Education

Graduate of an approved nursing program (ACEN/CCNE)

State nursing license (active)

GNT bridge option (if applicable)

Job description

Summary

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Administers medications and assists in the performance of procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.

Summary

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Administers medications and assists in the performance of procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.

Qualifications

Basic Requirements:

• English Language Proficiency
• In 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 English
• Graduate 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 program
• Upon 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 program
• Credit 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 Columbia
• Graduate 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/certification
• Grade 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 grade
• The 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/13071975
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An 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 required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR 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 III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR 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 degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: One or more years of experience in the last two years in Cath Lab - including Electrophysiology Lab
• Physical Requirements: The population of male and female veterans served ranges from the adult - age 18 - to the elderly adult - age 65 and over
• James H
• Quillen Veterans Affairs Medical Center (JHQVAMC) is a major interdisciplinary teaching facility - serving medical - surgical - and neurological inpatients and outpatients
• There is a large outpatient psychiatric population - with admissions for medical co-morbidities
• 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 - lifting 10 pounds or more and pushing
• Transferring patients and objects may be required
• The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
• The RN may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The APRN must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• Basic Life Support (BLS) certification is required for all clinically-active staff employed by JHQVAMC not identified for the Advanced Cardiac Life Support (ACLS) training.

Duties

• Duties include: -Responsible for providing competent evidence based procedural care assigned to patients and oversight of staff included but not limited to license vocational/practical nurses and/or health technician/nursing assistants - as appropriate and the pre/post procedural setting
• -Provides patient care - care coordination - health promotion - health education and coaching
• -Assist in directing the provision of nursing education - orientation - competencies - and providing quality improvement and outcomes utilization
• -Delivers and manages the care of patients undergoing therapeutic and diagnostic cardiology procedures including both inpatient and outpatient
• -Assess the patience physical and mental status prior to procedures - educates on procedural pre/post procedural care - and documents responses to interventions - bindings - and reports any changes
• -Partners with the patient - family - and interdisciplinary team to promote effective and safe transitions across the healthcare continuum - including the veterans goals of care
• -Provides peers with informal constructive feedback for improvement
• -Fosters a safe and supportive environment conducive to the development of hair care professionals
• -Shares educational findings - experiences - and ideas with peers
• Integrates evidence based practice with clinical expertise
• -Participates in activities and strategies to sustain and improve evidence based practice
• -Maintain proficiency on the maintenance - cleaning - and preparation of cardiology specific equipment
• 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: M-F - 7:30am-4:00pm Functional Statements: 61424F-61428F Pay scale: NG42