Registered Nurse - Critical Care

Veterans Health Administration, Department of Veterans Affairs; Lexington (KY); Sur place; USD 85 000 - 115 000; Plein temps

Avantages offerts par ce poste

EDRP eligibility

Federal employee benefits

Paid time off

Résumé du poste

Veterans Health Administration (VA) in Lexington, KY seeks a Critical Care Registered Nurse to provide high-level care for critically ill patients. This role emphasizes leadership, collaboration, and adherence to evidence-based practice within a fast-paced environment.

The RN will assess, plan, implement, and evaluate care, administer medications, and work with interdisciplinary teams to improve patient outcomes. EDRP eligibility is noted and supported by the program office.

Qualifications

• English language proficiency.
• Graduate of a nursing program approved by ACEN or CCNE.
• Current, full, active, and unrestricted RN license in a U.S. state or territory.
• BSN preferred; multiple pathways to licensure described in VA policy.

Responsabilités

• Provide direct patient care to critically ill patients using the nursing process.
• Assess, plan, implement, and evaluate care for patients with complex needs.
• Administer medications and coordinate with interdisciplinary teams.
• Demonstrate leadership, contribute to policy development, and mentor peers.
• Support continuity of care and patient education across the care continuum.

Connaissances

Nursing assessment

Critical care

Medication administration

Leadership

Formation

BSN

RN license

ACEN/CCNE awareness

Description du poste

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (1 to 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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/13096003
• 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
• Preferred Qualifications: BSN
• A minimum of 1 year med/surg experience is preferred
• Prior experience in a critical care or intensive care unit
• Additional certifications such as Critical Care Registered Nurse (CCRN) and Advanced Cardiovascular Life Support (ACLS)
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: It is VA policy to ensure that all selected applicants and employed personnel are physically - mentally and emotionally fit to perform the duties of the position to which assigned
• A pre-placement physical examination is required for all fulltime - part-time and intermittent employees identified by VA Directive and Handbook 5019
• The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA
• The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies
• 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
• This position requires that you are able to lift at least 50 lbs
• Transferring patients and objects may be required
• The incumbent 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 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 organizational needs
• Must complete annual Employee Health requirements - such as annual Influenza vaccination - TB screening or testing - as a condition of employment.

Duties

• The Critical Care Registered Nurse (RN) is responsible for all elements of the nursing process in direct patient care for critically ill patients
• This includes assessing - planning - implementing - and evaluating care focused on patient education and satisfaction
• The RN administers medications per established policies and collaborates with interdisciplinary teams
• Demonstrates leadership - develops and revises policies - provides feedback to peers - supports professional development - and evaluates evidence-based outcomes
• The Critical Care Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
• This includes assessing - planning - implementing - and evaluating care based on age-specific components
• The RN assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
• Administering medications and procedures per established policies and guidelines - the RN influences care outcomes by collaborating with members of the interdisciplinary team
• The RN executes position responsibilities that demonstrate leadership - experience - and creative approaches to the management of complex client care
• Additionally - the RN collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
• They demonstrate performance and leadership that is broad enough to improve the care for acutely/critically ill patients who are at high risk for actual or potential life-threatening health problems - regardless of the nursing care setting
• The RN provides peers with formal or informal constructive feedback for improvement - supports colleagues and other nurses through knowledge sharing to provide safe - quality nursing care - and fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• The RN evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations and is responsible for the documented outcomes at the program or service level
• These outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
• This nurse has vast experience and knowledge - skillfully integrating theoretical concepts and strong critical thinking skills - and exhibits expert technically skilled practice
• 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
• 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
• Pay Scale: NP96
• Work Schedule: Rotating 12-hour shifts
• Telework: Not available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not authorized