Part-Time Registered Nurse (ICU)

Summary

The Registered Nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems. The nurse's primary commitment is to the patient/resident, whether an individual, family, group, or community. (ANA Code of Ethics for Nurses).

Duties

The ICU Nurse is a professional Registered Nurse (RN) who provides high quality, evidence based care for adult and geriatric Veteran patients who are critically ill and require comprehensive intensive care. The ICU RN provides care to Veterans who commonly present with multi-system, co-morbidities requiring a multitude of therapeutic modalities including continuous cardiac monitoring and dysrhythmia interpretation, invasive hemodynamic management, ventilator support, and pharmacological interventions. The RN in the ICU functions as part of an interdisciplinary team and is accountable for direct care to a defined number of patients for his/her shift. The nurse functions at all times as a patient advocate and performs his/her cares and duties with the utmost integrity adhering to policies and procedures and following all protocols, guidelines and standards of practice (SOP). On a daily basis the nurse may be exposed to infected patients, contaminated materials, patients who are combative secondary to delirium, dementia, or psychiatric disorders and appropriate protocols must be followed. When functioning in the role of ICU Charge/Team Leader, the RN demonstrates leadership, experience, and facilitation of patient flow during his/her shift. The Charge Nurse (CN) assists in the patient care and quality of delivered care by staff. The CN will assess staffing variances throughout the shift and work collaboratively with the Nurse of the Day/ staffing office and unit Nurse Manager or Assistant Nurse Manager to ensure the unit is staffed appropriately for patient's needs. The CN ensures timely patient flow by coordinating admissions, transfers and discharges on the unit. This includes ensuring that staff provide timely nursing care and adhere to policies and procedures and follow all protocols, guidelines and standards of practice (SOP) by monitoring and notifying the Nurse Manager or designee of practice issues, while providing positive and constructive instruction / feedback as appropriate. When functioning in the role of the ICU Resource/Rapid Response Team Nurse, the RN is recognized for their clinical expertise and knowledge in critical care and serves as a role model and hands on resource for staff. The Resource RN is able to care for the most critical of patients within the ICU and demonstrates a strong ability to shift priorities based on patient, staff, physician and unit needs. He/she has the ability to function in the most stressful of situations and serves as the back-up to the Charge Nurse in responding and coordinating care during Code Blue and Rapid Response notifications. Preferred Experience: BSN or MSN preferred. >2 years critical care RN experience preferred. Certified Critical Care Nurse (CCRN) or other critical care certification(s) preferred. Work Schedule: Day or night shift . 20 hours per week . Working weekends and holidays. Days will be determined based on the needs of the facility. Telework: Not Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Qualifications

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. 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 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. Grade Determinations: 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/13076484. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. 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 Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. 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 Demonstrates leadership in delivering and improving