Registered Nurse (Intensive Care Unit)

US-Department-of-Veterans-Affair; Salt Lake City (UT); Sur place; USD 85 000 - 120 000; Plein temps

Résumé du poste

The ICU Registered Nurse at the U.S. Department of Veterans Affairs delivers care to the hospital's most critically ill patients in a mixed ICU handling medical, surgical, and cardiac cases.

This role requires valid nursing licensure in the United States, a nursing degree, and may involve guidance on bridge programs; there is potential to grow toward leadership and advanced practice within VA guidelines. Candidates must meet physical demands and maintain proficiency in English; grandfathering

Qualifications

• Graduate of a school of professional nursing approved by the appropriate accrediting agency.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth.
• GNT Exception: temporary appointment while pursuing licensure.
• Foreign graduates require degree equivalency validation from ICD or equivalent evaluator.

Responsabilités

• Deliver comprehensive care to the most critically ill patients in the ICU.
• Serve as a hospital-wide resource due to ICU staff nurses' specialized skills with unstable high-acuity patients.
• Address cardiology and heart failure patient needs with appropriate monitoring and interventions.
• Adhere to safety, licensure and accreditation requirements during all nursing duties.

Connaissances

English proficiency

Formation

ADN or Diploma in Nursing

BSN

MSN

Foreign nursing degree validation

Description du poste

The ICU Registered Nurse is responsible for delivering comprehensive care to the most critically ill patients in the hospital. As a mixed Intensive Care Unit, the ICU manages a diverse patient population including medical, surgical, and cardiac patients, with a significant number of individuals experiencing complex cardiac and heart failure conditions. Due to their unique skills and experience with unstable and high-acuity patients, ICU staff nurses are considered a hospital-wide resource

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.

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/13094226.

Grade Determinations

• Nurse I, Level I; Scope: Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.; Education: An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.
• Nurse I, Level II; Scope: Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.; Education: 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; Scope: Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.; Education: 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; Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.; Education: 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; Scope: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.; Education: 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

ICU (at least two years in SICU, MICU, CVICU); Familiarity with devices (LVADs, Impellas, IABPs), CRRT, Vents; Additional Certification: CCRN

Reference

For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements

The Registered Nurse (RN) must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients. The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures. The RN may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The RN must be mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities, based on patient needs.