Nurse

Department of Veterans Affairs

The Emergency Department (ED) deals with a wide range of acute and chronic medical, surgical, and psychological diagnoses. This unit is within the Acute Care area of Nursing Services. The registered nurse delivers theoretically and scientifically based nursing care to an assigned group of veterans.

• Responsible for providing competent, evidence-based care to assigned patients. Delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel. Assists in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization. Provides urgent and emergent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions. Nursing care ranges from basic nursing care to stabilization, resuscitation, and life-support measures. Integrates knowledge, skills, abilities, and judgment and is self-directed in goal setting for managing complex situations. Validates understanding of the rationale for care processes and decisions. Demonstrates expanded knowledge base of the nursing process in the care of assigned patients. Develops basic leadership skills within the concept of the unit through seeking additional leadership experiences. Questions clinical practices for the purpose of Functional Statement: Nurse I Level 3 Page 2 providing evidence-based care. Demonstrates the ability to cope with and manage competing priorities. Responsible and accountable for all elements of the nursing process when providing care. 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. Use assessment data to determine diagnoses, problems, or other concerns. Identify expected outcomes to develop a collaborative and individualized plan for each patient. Implement that plan, including care coordination, health teaching, and health promotion. Evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary. Requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Potentially long periods of continuous walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. Incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must be mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Provide care to Veterans without discrimination and harassment, tailored to his/her needs regardless of veterans age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression. 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: 7:30pm - 8:00am, an additional 8 hour shift per pay period (11:30pm-8:00am), includes weekend and holiday rotation Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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