Registered Nurse- Emergency Department

U.S. Department of Veterans Affairs; Iowa City (IA); On-site; USD 70,000 - 95,000; Full time

Job summary

The U.S. Department of Veterans Affairs' Iowa City VA Health Care System is actively recruiting for a full-time Registered Nurse – Emergency Department.

The ED nurse will report to the Clinical Manager of the Intensive Services Service Line and work within a Whole Health oriented model as part of the VA Midwest Health Care Network. Major duties include triage, rapid assessment, and initiating evidence-based protocols to stabilize patients, while maintaining critical nursing competencies and

Qualifications

• English language proficiency and ability to meet VA requirements.
• Graduate of an approved nursing program accredited by ACEN or CCNE.
• Current, full, active RN license in a U.S. state or territory.
• Demonstrated ability to obtain/maintain required certifications (BLS/ALS/TNCC/ACLS).

Responsibilities

• Assess and triage ED patients to appropriate care using ESI.
• Initiate protocols and care plans for unstable patients with evidence-based practice.
• Maintain certifications and engage in professional development.
• Collaborate with ED team and reporting to Clinical Manager – Intensive Services.

Skills

Emergency Department

Triage

Critical thinking

Patient assessment

Education

RN license

Nursing degree (ADN/ BSN/ MS)

Tools

EMR systems

Job description

Summary

The Iowa City VA Health Care System (ICVAHCS) is currently recruiting for one (1) Full-Time Registered Nurse- Emergency Department position. ICVAHCS is in Veterans Integrated Service Network (VISN) 23. The Emergency Department position falls under the clinical pathway - as a direct care nurse - & reports to the Clinical Manager - Intensive Services Service Line.

Summary

The Iowa City VA Health Care System (ICVAHCS) is currently recruiting for one (1) Full-Time Registered Nurse- Emergency Department position. ICVAHCS is in Veterans Integrated Service Network (VISN) 23. The Emergency Department position falls under the clinical pathway - as a direct care nurse - & reports to the Clinical Manager - Intensive Services Service Line.

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: ICU/emergency department experience BLS - ALS Moderate sedation Trauma Nursing Core Course (TNCC) certified Certified Emergency Nurse (CEN) 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/13067023
• 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 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
• Major duties include - but are not limited to: Able to assess a patient who presents to the Emergency Department and triage to the appropriate Emergency Severity Index
• Able to continuously anticipate - intervene - prioritize and evaluate the patient's condition and requirements according to the patient's health care needs
• Able to rapidly initiate protocols or intervene to enhance - maintain or stabilize a patient's status utilizing interventions proven to be beneficial through evidence based practice Must demonstrate or quickly adapt knowledge and skills related to the use of appropriate Emergency Department equipment and computer programs
• Must be proactive in professional growth and Emergency Dept. - Service - Facility - Veterans Integrated Service Network (VISN - or Federal goals and mandates which enhance processes and provision of care)
• Must have critical thinking skills and take ownership in promoting knowledge and skills to remain current incorporating - evidence based research shown to be of benefit in decreasing mortality and morbidity
• Must obtain and maintain Basic Life Support - Advanced Cardiac Life Support - Prevention and Management of Disruptive Behavior Level IV - and Trauma Nursing Core Course certifications throughout employment
• 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: Rotating shifts 7:30am-8:00pm - 10:30am-11:00pm 11:30am-midnight - 1:00pm-1:30am - nights - weekends - holidays rotating 72/80 Schedule: May be available after successful completion of unit orientation Adherence to hospital policy & procedures - including leave policy
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized