Registered Nurse - Critical Care (Surgical Intensive Care Unit)

Veterans Health Administration, Department of Veterans Affairs; Seattle (WA); On-site; USD 95,000 - 130,000; Full time

Benefits offered by this job

EDRP loan repayment

Job summary

Veterans Health Administration in Seattle, WA is seeking a Registered Nurse for the Surgical Intensive Care Unit (SICU). The role involves direct patient care for critically ill Veterans, collaboration with a multidisciplinary team, and use of high-risk equipment such as IABP and CRRT.

Licensure in state nursing is required, with a pathway for bridge programs and potential temporary appointments during licensure pursuit.

Qualifications

• English language proficiency is required.
• Graduate of a nursing program approved by accrediting bodies (ACEN/CCNE).
• Current, full, active, and unrestricted state nursing license.
• Bridge program options for RN to BSN may allow licensure prior to completion.
• Foreign nursing education must be evaluated for degree equivalency.
• Foreign graduates must hold current licensure in the U.S.
• Nurse Technician (GNT) exception may apply during licensure pursuit.
• Various grade/level qualifications based on nursing education and experience.

Responsibilities

• Provide direct patient care to critically ill Veterans in SICU.
• Operate and maintain competence with high-risk equipment (IABP, CRRT).
• Participate in team rounds and deliver patient advocacy.
• Document care and interventions in the electronic medical record (CPRS/BCMA).
• Collaborate with multidisciplinary care teams to deliver holistic care.
• Follow ANA standards of nursing practice and adapt plans as needed.

Skills

English language proficiency

Education

RN license/degree

Nursing degree or diploma (ACEN/CCNE accredited)

Job description

Summary

This is an open continuous announcement. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. Education Debt Reduction Program (Student Loan Repayment): APPROVED! Learn more.

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/12946899
• 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 additional 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 Experience: BSN Minimum of 1 year critical care experience Critical Care Registered Nurse Certification (CCRN) Experience with CRRT - IABP Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.

Duties

• The Surgical Intensive Care Unit (SICU) is a 10-bed unit specializing in surgery - vascular surgery - neurosurgery and abdominal surgery
• Duties include but not limited to: Fully participates - in collaboration with the multidisciplinary care team - in providing direct patient care to the critically ill Veteran post-operatively and any medical overflow patient
• Responsible and accountable for individual nursing practice and delivery of optimal care (ANA Code of Ethics for Nurses)
• Trained on and maintains competence in use of low-use/high-risk equipment- IABP - CRRT and others
• This includes equipment that promotes safety in patient movement - ambulation
• Monitors cardiac rhythms - ventilation status - lab values - mentation - post-operative considerations and other factors in providing direct patient care
• Provides nursing report in team rounds in provision of patient advocacy
• Utilizes established references to safely and effectively perform nursing procedures
• Recognizes changes to patient condition requiring intervention and responds appropriately-change in VS and/or mentation - indication of respiratory distress - bleeding from operative or other sites - and other variations from normal/patient baseline Formulates a plan of care based on nursing assessments - using the nursing process - based on the ANA Standards of Nursing
• Adapts plan based on outcomes and evaluation
• Includes the patient and family/significant other in developing the initial plan of care and establishing goals
• Assesses patient (and family) basic learning needs and provides instruction on basic health information and discharge instruction
• Documentation is consistent - accurate - concise - and timely-CPRS - BCMA - ICCA - and potentially others
• Recognizes critical patient care situations and initiates effective actions in emergencies
• Functions as a collegial team member in provision of care throughout the unit
• 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: Day/Night rotation depending on need
• Shifts: 7:30AM to 4:00PM OR 7:30AM to 8:00PM OR 7:30PM to 8:00AM OR 11:30PM to 8:00AM
• The goal being 3 months rotation at a time
• Compressed/Flexible: Authorized Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: This position is eligible for EDRP - a student loan payment reimbursement program
• You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date
• Approval - award amount (up to $200 -000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application
• Former EDRP Participants are ineligible to apply for the program
• Contact [e-mail] for questions/assistance
• 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