The Intensive Care/Stepdown (ICU/SD) nurse is a registered nurse (RN) who executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. ICU/SD Unit is a monitored unit that provides patient centered, quality, and efficient care to critically ill Veterans. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency: In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: 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. Licensure: 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: Current Basic Life Support (BLS) provider card issued by the American Heart Association (AHA) or Military Training Network (MTN). Current Advanced Cardiac Life Support (ACLS) provider card issued by the American Heart Association (AHA) or Military Training Network (MTN). At least one (1) or more years of Intensive Care Unit VALOR/Student Nurse Technician experience. At least one (1) or more years of Intensive Care Unit experience working in an Intensive Care/Stepdown setting. 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The incumbent will be exposed to different alarms and it is critical that incumbent is able to discern different alarms. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. Transferring patients and objects may be required. The 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. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["**AMENDED: This is an OPEN CONTINOUS ANNOUNCMENT and will remain open until September 30, 2022. The initial cut-off date for referral of eligible applications will be October 22, 2021. with subsequent cut-off dates on the 1st of each month or as needed. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** ***Applicant Expiration: Applicants will remain active for 6 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period.*** ICU/SD RN provides care to a patient population which includes but is not limited to: cardiovascular disease, pulmonary disease, diabetes, substance abuse, psychiatric disorders, orthopedic, GI, vascular diseases, vascular surgery and minor trauma. The ICU/SD RN is accountable as a primary nurse for a defined group of patients for the entire episode of care. ICU/SD RN demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. The unit/area specific scope of practice includes the following but not limited to: Area of Practice (Intensive Care/Stepdown Care) Veteran Population (Adult and Elderly) Unit/Position Specific Competencies Major duties and responsibilities include, but are not limited to: Provides a full range of nursing care to patients with complex care needs utilizing the nursing process based on the American Nurses Association (ANA) Standards of Nursing Practice. Treats all patients and families with dignity and respect. Listens to and honors patient and family perspectives and choices. Patient and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care in a non-judgmental, non-discriminatory manner (Patient and Family Centered Care). Demonstrates leadership in patient advocacy, in protecting the health, safety, and rights of patients. Maintains professional boundaries with patients, families, and employees. Behavior as a role model is transparent and above reproach. Accurately documents in the medical record patient findings, assessments, and care provided. Initiates/participates in consultations to health care teams regarding ethical issues. Analyzes resources available and identifies risk areas, including budgetary, staffing, supplies, equipment, and availability of data and information. Actively involved in continuously evaluating practice for a program or service, based on established professional, community, or regulatory standards, such as clinical practice guidelines and The Joint Commission. Assists nursing personnel with assessment, implementation, and evaluation of new approaches, procedures, and standards of patient care, based on reliable. Conducts or participates in research or facilitates special projects through presentation(teaching) or publication. Work Schedule: Varies - Service determines Tour of Duty to meet the needs of the unit.\nCompressed/Flexible: Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Authorized. Recruitment Incentive may be authorized for highly qualified and/or critical care certified nurses. To receive the recruitment incentive, the incumbent must commit to a negotiated service agreement in the critical care department at VACCHCS.\nPermanent Change of Station (PCS): Not Authorized.\nFinancial Disclosure Report: Not required.\nBargaining Unit Position: Covered."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.