Registered Nurse - Emergency Department

U.S. Department of Veterans Affairs; Fargo (ND); On-site; USD 85,000 - 125,000; Full time

Job summary

The U.S. Department of Veterans Affairs is seeking an Emergency Department Registered Nurse to provide direct care to Veterans in the ED setting, including triage, treatment initiation, and outcome evaluation.

This role requires an active RN license, ACEN/CCNE-accredited education, and ongoing ACLS certification. Qualified applicants may be considered for relocation/recruitment incentives and will work in a fast-paced, high-stakes environment focused on high-quality patient care.

Qualifications

• English proficiency required for direct patient care.
• Graduate of ACEN/CCNE-accredited nursing program.
• Current, full, active, and unrestricted RN license in a US state.
• Eligibility for bridge program nursing pathway if pursuing BSN/advanced degree.
• Foreign-educated nurses require degree eval and licensure validation.
• GNT exception allows a 120-day temp appointment while pursuing licensure.

Responsibilities

• Provide direct ED care to Veterans, including triage, treatment initiation, and outcome evaluation.
• Assess patients, plan and deliver care, and evaluate treatment effectiveness.
• Operate emergency equipment such as defibrillator, ECG, IV pumps, and airway devices.
• Collaborate with physicians, families, and care teams; document care accurately.
• Maintain ACLS certification and participate in facility code/urgent response teams.

Skills

English proficiency

Education

ACEN/CCNE-accredited nursing program

RN license in US state

Nursing bridge program eligibility

Foreign nursing degree evaluation

GNT temporary appointment option

Job description

Summary

Relocation/Recruitment Incentives: May be authorized for eligible - highly qualified applicants. This is an open continuous announcement until September 30 - 2026 or all vacancies are filled. Qualified applicants will be considered and referred on a regular basis until all vacancies have been filled. The Emergency Department (ED) Registered Nurse - will provides direct care to our Veteran patients in the ED setting to include: performing triage - treatment initiation - and outcome evaluation.

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
• Preferred Experience: BSN Emergency care or Critical care experience 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/13051580
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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.

Duties

• The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers
• This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest
• As an employee operating in a Whole Health System of care - you will operate in a model with three core elements - seeking to create a personalized health plan for each Veteran
• This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community
• This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties of the Emergency Department Registered Nurse (RN) include - but are not limited to: Assessing - planning - coordinating - evaluating - and delegating the delivery of skilled patient care
• Providing comprehensive emergency care to stable and critically ill patients
• Exercising excellent interpersonal and organizational skills to be a strong team member
• Providing patient education
• Using critical thinking skills in making decisions regarding patient care - which includes knowledge and integration of relevant standards - resources - and data
• Operating specialized medical equipment such as defibrillator - LUCAS - electrocardiogram - oxygen flowmeter - IV pump - bladder scanner - etc
• Initiating a patient's plan of care based on assessment and provider's orders
• Having continuous contact with physicians - patients - patient families/significant others - community agencies - patient care staff - and management
• Having and maintaining current ACLS certification and be an active member of the facility code team
• Utilizing correct personal protective equipment (PPE) when providing care for patients with suspected infectious diseases
• 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 rotating shifts to include weekends & holidays Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: May be authorized for eligible - highly qualified applicants
• A service agreement is required for all recruitment/relocation incentives
• Permanent Change of Station (PCS): Not Authorized