Registered Nurse (Acute Care)

Veterans Affairs, Veterans Health Administration | Pittsburgh, PA

Posted Date 9/13/2019
Description
This announcement covers 4W (Medicine/Telemetry), 5W (Medical/Surgical/Post-Op/Telemetry) and 6W (Medical/Surgical Specialty- Liver Transplant and Oncology) within Patient Care Services.

4 West: Medicine/Telemetry 36 bed unit which provides general medical and surgical care in addition to treating Veteran patients with cardiac conditions. 16 beds are enhanced care telemetry, and 19 beds are medicine flex telemetry. Enhanced care is reserved for those higher acuity patients with cardiac conditions requiring cardiac procedures. Average length of stay is 3 days with high turnover rates. This is a fast paced environment which also specializes in Peritoneal Dialysis.

5 West: Medical/Surgical/Post-OP/Telemetry 36 bed unit. 12 of these beds are Surgical enhanced beds. This unit patient population consists of a variety of surgery services such as Vascular, General, Ortho, GU, Neuro, Thoracic, ENT, Eye, and Gynecological. Length of stay is 4-5 days with patients discharged to home. This is a fast paced environment which also specializes with Laryngectomy patients.

6 West: Medical/Surgical Specialty (Liver Transplant with Oncology component) is a 35 bed unit which provides general medical and surgical care to the adult and geriatric Veteran population. The Medical/Surgical unit has private and semi-private rooms to house acute/chronically ill patients and post-surgical patients. The oncology component applies to patients admitted with cancer diagnosis requiring various types of treatment including administration of chemotherapy. This is a non- telemetry unit.

Major Duties:

  • Works under the direct supervision of the Nurse Manager.
  • Ability to utilize bar code medication administration (BCMA) for medication administration and computerized patient record system (CPRS).
  • Effectively utilizes all aspects of the nursing process to provide optimal nursing care to Acute Medical Care patients.
  • Practices within the guidelines of the policies, procedures and standards of care/practice relative to Acute Medical Care and the Patient Care Service Line.
  • Anticipates emergencies, coordinates prevention and responds appropriately to emergency as defined by VAPHS policy.
  • Demonstrates competence in the completion of core and practice specific procedures.
  • Demonstrates appropriate knowledge and skills, i.e., medication administration, IV infusion and PCA pumps, crash cart/defibrillator, EKG, Chest tubes, continuous bladder irrigation, telemetry monitoring and cardiac rhythm interpretation.
  • Participates in unit and hospital based quality improvement activities

Work Schedule: Rotating tours including nights, weekends and holidays.
Financial Disclosure Report: Not required
Functional Statement: Registered Nurse
This is a bargaining unit position.To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/26/2019.
Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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.
  • 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.
Preferred Experience:
  • BSN Preferred
  • 2-3 years of RN experience
  • ACLS Certification Recommended
  • Strong organization and independent judgment skills
  • Excellent leadership and analytical abilities
  • Ability to communicate and work effectively with staff, patients, families and interdisciplinary groups.
  • Telemetry experience

Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
  • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
  • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: Heavy lifting (35 pounds and over); heavy carrying (35 pounds and over); straight pulling (2-4 hours); pushing (2-4 hours); reaching above shoulders (1-2 hours); use of fingers; both hands required; walking (4-6 hours); standing (4-6 hours); repeated bending (2-4 hours); both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and 20/40 in the other; both eyes required; ability to distinguish basic colors and shades of color; hear (aid permitted); mental and emotional stability.

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