Registered Nurse - ICU - Critical Care

Veterans Health Administration, Department of Veterans Affairs; Albuquerque (NM); On-site; USD 75,000 - 95,000; Full time

Job summary

Veterans Health Administration in the United States seeks a Registered Nurse (RN) in Critical Care to deliver evidence-based care to critically ill patients and supervise LVNs and nursing assistants. The role supports ongoing education, orientation, competencies, and quality improvement initiatives in a high-acuity setting.

The RN will demonstrate leadership in holistic, collaborative care and provide direct patient care in clinical settings with high risk for life-threatening conditions.

Qualifications

• English language proficiency required.
• Graduate of a nursing program approved by ACEN or CCNE at time of completion.
• Current full, active, and unrestricted nursing license in any US state or DC.
• State license required for appointment; may be temporary during bridge program.
• Foreign nursing graduates require degree equivalency validation.
• Foreign education credits higher than an associate degree require formal equivalency validation.

Responsibilities

• Provide direct patient care to high-risk, critically ill patients.
• Supervise LVNs and nursing assistants; oversee orientation and competencies.
• Lead and participate in education, quality improvement, and evidence-based practice initiatives.
• Coordinate care across the continuum with emphasis on patient education, self-management, and satisfaction.
• Participate in/unit-based activities to improve care quality and safety.

Skills

English proficiency

Education

ADN or Diploma in Nursing

BSN

BSN with experience

MSN (Nursing)

Master’s in related field with BSN

Doctoral degree in Nursing / related field

Job description

Summary

The Registered Nurse (RN) in Critical Care delivers competent - evidence-based care to critically ill patients and provides oversight to LVNs and nursing assistants. The nurse supports education - orientation - competencies - and quality improvement initiatives. Demonstrates leadership in advancing holistic - collaborative care and provides direct care to patients at high risk for actual or potential life-threatening conditions in any clinical setting.

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/13086327
• 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 and 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Heavy lifting (45 lbs
• and over)
• Heavy carrying (45 lbs
• and over)
• Straight pulling and pushing
• reaching above shoulder
• use of fingers
• both hands required
• walking and standing up to 8 hours
• repeated bending
• Ability for rapid mental and muscular coordination simultaneously
• hearing aid permitted.

Duties

• The Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and supervising direct patient care
• The RN coordinates care across the continuum with an emphasis on patient education - self-management - and customer satisfaction
• The nurse administers medications and procedures according to established policies and collaborates with the interdisciplinary team to influence quality outcomes
• Core performance elements include active participation in unit-based quality improvement initiatives and customer service programs
• Duties include but not limited to the following: Provides high intensity care and vigilance - while refining assessment skills and blending in data obtained from a variety of invasive/noninvasive monitoring technology
• Evaluates practice in an ongoing process - based on best evidence
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• 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
• Experiences with the situations in which they are ultimately expected to perform - integrating theoretical concepts - strong critical thinking skills - and exhibits a robust technically skilled practice
• Preferred Experience: 1-2 years of inpatient clinical nursing experience preferred
• 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: 7:30 am to 4:00 pm M-F - Rotating Telework: Not Authorized Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized EDRP: Not Authorized Permanent Change of Station (PCS): Not Authorized