Medical Intensive Care Unit/Cardiac Care Unit (MICU/CCU) is an 18 bed intensive care unit specializing predominantly in cardiovascular, pulmonary, gastrointestinal, renal, endocrine and neurological disorders. 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. 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: MICU experience preferred. Bachelor of Science in Nursing. Minimum of 1-2 years critical care experience (new grads will not be considered). National Certification as Critical Care Registered Nurse (CCRN). Experience with IABP. Experience with IMPELLA. Experience with CRRT. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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, 45 pounds and over, Straight pulling ( 6 hours), Pushing ( 2 hours), Reaching above shoulder, Use of fingers, Walking ( 6 hours), Standing ( 2 hours), Repeated bending ( 6 hours), Ability to distinguish basic colors, Hearing (aid permitted). Environmental Factors: Working with hands in water, Working closely with others. ["Duties include but are not limited to: Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care (ANA Code of Ethics for Nurses). Delivers safe care to assigned patients, while developing technical competencies. Safely and effectively uses patient care equipment. Correctly and safely performs nursing procedures. Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately. Monitor telemetry and respond to rhythm changes. Implements physician's/provider's orders in a timely and complete manner. Implements nursing interventions/orders in a timely and complete manner. Requests assistance from co-workers when needed; knows when to ask for help. Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed. Includes the patient and family/significant other in developing the initial plan of care and establishing goals. Updates plan of care with assistance as needed. Assesses patient's learning needs, learning preference and readiness to learn. Develops and implements a plan to meet learning needs, instructing patients and families in basic health teaching and discharge planning. Documentation is consistent, accurate, concise, and timely. Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes. Revises plan of care according to evaluations of patient's responses and outcomes. Uses the Computerized Patient Record System (CPRS), Essentris, Clinical Procedures, and Bar Coded Medication Administration (BCMA) software per policy, as well as any future patient documentation programs. Recognize critical patient care situations and initiates effective actions in emergencies. Vacancy announcement may be closed at any time after the initial open period once all vacancies have been filled Applicants will be reviewed every two weeks. Work Schedule: Multiple shifts available determined by Nurse Manager/department need. Day shift and night shift, combination of 8 and 12 hour shifts. Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact, VISN 20 EDRP Coordinator Stacy Hermann @ V20CompensationTeam@va.gov, the EDRP Coordinator for questions/assistance. Learn more This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required. Pay: Competitive salary, regular salary increases. Paid Time Off: Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 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. VA offers a comprehensive total rewards package: VA Nurse Total Rewards"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.