Registered Nurse - Emergency Department

Veterans Health Administration, Department of Veterans Affairs; Richmond (VA); On-site; USD 85,000 - 110,000; Full time

Job summary

The Richmond VA Medical Center seeks a Registered Nurse (RN) for the Emergency Department/CCO Service. The RN will be responsible and accountable for all elements of the nursing process when providing and supervising direct patient care, coordinating care with emphasis on education, self-management, and satisfaction across the continuum of care.

The ED RN will collaborate with an interdisciplinary team, administer medications, and participate in education and quality initiatives.

Qualifications

• English proficiency is required by 38 U.S.C. 7403(f) for direct patient care positions.
• Graduates must be licensed or eligible for licensure as a registered nurse in the U.S.
• ACEN or CCNE accreditation for nursing program is required for graduation.
• State license upon achievement and potential temporary appointment before licensure.
• Grandfathering provision for current VA employees in 0610 series.
• One year ED/CCU experience preferred.

Responsibilities

• Provide competent, evidence-based care to assigned patients.
• Responsible and accountable for all elements of the nursing process and supervision of LPNs and UAP.
• Direct nursing education, orientation, competencies, and quality improvement activities.
• Care ranges from basic nursing to stabilization, resuscitation, and life-support measures.
• Collaborate with interdisciplinary team and advocate for patients.
• Coordinate care focusing on patient education, self-management, and customer satisfaction.
• Administer medications and procedures per policies and guidelines.
• Assess patients and triage using five-level system to prioritize care needs.
• Develop individualized care plans and adjust as needed.

Skills

English language proficiency

ED/CCU experience

Education

An ADN or Diploma in Nursing

Bachelor of Science in Nursing (BSN)

Master's degree in nursing (MSN) and no additional professional nursing experience

Master's degree in a related field with a BSN and no additional professional nursing experience

Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth

Foreign education degree equivalency validation if applicable

Job description

Summary

The Richmond VA Medical Center is seeking a Registered Nurse (RN) to join the Emergency Department/Critical Care Operations Service. The selected RN will be responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. He or she will assume responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care.

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/13101163
• 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/
• Preferred Experience: One (1) year of ED/Critical care experience
• Physical Requirements: This clinical position includes a physicality normally associated with direct patient care: the physical requirements of this position include lifting - prolonged standing - sitting - frequent bending - stooping - walking - reaching - repetitive motion - and climbing stairs
• The mental/sensory requirements include logical thinking - processing and retaining information - reading - recall - reasoning - complex problem solving - hearing - clear distinct speech - writing - keyboarding - use of a telephone - and use of video connectivity
• This position requires face-to-face patient care - use of available IT software and equipment for virtual visits - and timely and accurate navigation of and documentation in electronic medical records
• The environment's pace can vary from steady to fast-paced requiring handling multiple priorities in a single day - frequent - sometimes intense customer interactions - and the ability to adapt to frequent changes in a sometimes-noisy environment
• There may be the need to use personal protective equipment to prevent exposure to disease - illness - and hazardous materials
• This position involved working with persons with communication difficulties - cognitive loss including dementia - behavioral challenges - altered mentation and caregivers that are stressed
• Collaboration with multiple stakeholders is essential
• This position requires compliance with VHA-mandated vaccinations and meeting employee health requirements.

Duties

• The Emergency Department (ED) Registered Nurse (RN) is responsible for providing competent - evidence-based care to assigned patients
• The ED RN is responsible and accountable for all elements of the nursing process when providing care.They delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel
• The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• Nursing care ranges from basic nursing care to stabilization - resuscitation - and life-support measures
• Emergency nursing practice is independent and collaborative
• The ED RN practice includes the roles of direct care provider - educator - administrator - researcher - consultant - leader - and advocate
• Duties and Responsibilities include but not limited to: Provides urgent and emergent care to patients with acute and/or chronic medical - surgical - and psychiatric conditions
• Evaluates practice in an ongoing process - based on best evidence
• Provides peers with informal constructive feedback for improvement
• 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 an evidence-based-practice culture
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• 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
• Assess the patient by collecting pertinent data or information - including the triage of patients based on the five-level triage system to prioritize patients that require more immediate care
• Uses the assessment data to determine diagnoses - problems - or other concerns
• Identifies expected outcomes to develop a collaborative and individualized plan for each patient
• Implements that plan - including care coordination - health teaching - and health promotion
• Evaluates the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary
• 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: Evenings 11:30 an - midnight and 3:30 pm - midnight rotating schedule Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized