Registered Nurse (Critical Care)

Veterans Health Administration, Department of Veterans Affairs; Hampton (VA); On-site; USD 70,000 - 105,000; Full time

Job summary

Hampton VA Health Care System is seeking a Registered Nurse to provide and coordinate care in the Critical Care Unit (ICU/SDU) for Veterans in a high-acuity environment. You will collaborate with physicians and the broader care team to deliver evidence-based nursing, support family education, and promote patient safety.

The role emphasizes leadership in clinical practice, adherence to VA standards, and continuous quality improvement within a demanding critical care setting.

Qualifications

• Must be a graduate of an approved nursing program with current RN licensure.
• State licensure in good standing or compact licensure as applicable.

Responsibilities

• Provide direct patient care and supervise nursing staff in the Critical Care Unit (ICU/SDU).
• Coordinate care across the interdisciplinary team to ensure quality outcomes.
• Administer medications, monitor patient status, and document care per policy.
• Lead and participate in unit-based quality improvement and patient education initiatives.
• Ensure safety, compliance with standards, and effective communication with patients and families.

Skills

English language proficiency

Nursing license

Education

Nursing degree

Job description

Summary

Come join our team! The Hampton VA Health Care System Center is a 1-C - teaching facility serving Eastern Virginia and Northeastern North Carolina. The main campus is in Hampton - Virginia with 4 community-based outpatient clinics in Chesapeake - Portsmouth and Virginia Beach - Virginia and Elizabeth City - North Carolina.

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/13052328
• 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 and 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
• The full performance level of this vacancy is Nurse III
• The actual grade at which an applicant may be selected for this vacancy is in the range of Nurse I to Nurse III
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: his 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
• Mechanical inpatient lifts are provided
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• 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
• Must complete- annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.

Duties

• The Registered Nurse within the Critical Care Unit is 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 procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs
• Functions or Scope of Assigned Duties: The Critical Care Registered Nurse is responsible for providing competent - evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting
• The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation
• Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• Provides direct care for acutely/critically ill patients who are at high risk for actual or potential life-threatening health problems - regardless of the setting for nursing care
• Provides high intensity care and vigilance - while refining assessment skills and blending in data obtained from a variety of invasive/noninvasive monitoring technology
• Evaluates practice in an ongoing process - based on best evidence
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Contributes professional nursing perspective in discussions with the interdisciplinary team
• Partners with others to effect change and produce optimal outcomes
• Supports colleagues through knowledge sharing to provide safe - quality nursing care
• Shares educational findings - experiences - and ideas with peers
• Questions clinical practices for the purpose of providing evidence-based care
• Participates in activities and strategies to sustain evidence-based-practice
• This nurse has experience with the situations in which they are ultimately expected to perform - integrating theoretical concepts - strong critical thinking skills - and exhibits a robust technically skilled practice
• Prevention and Management of Disruptive Behavior (PMDB): The ICU/SDU RN is fully competent in the application of Prevention and Management of Disruptive Behavior (PMDB) to Level 3
• They are directly responsible to the Nurse Manager - Chief Nurse of Acute Care - and Associate Director of Patient Care Services
• ICU/SDU is a Critical Care Inpatient Unit and specializes in treating and caring for the Veterans that are admitted from the ED which can involve those with psychiatric conditions
• The ICU/SDU RN demonstrates technical and operational knowledge and is able to apply PMDB skills in the ICU/SDU setting
• Preferred Experience: Critical Care Unit experience 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: Dayshift 730:a.m.- 800:p.m
• Compressed/Flexible: Available (72/80) Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized