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Registered Nurse ED Part-time

Company: Veterans Affairs, Veterans Health Administration
Location: Durham
Posted on: November 22, 2021

Job Description:

Summary The Emergency Department (ED) is a level III unit with 27 beds, 2 triage rooms, with 4 beds designated for high-risk psychiatry patients. This position will focus on admitted patients that are being held over in the ED for greater than 4 hours. The incumbent(s) will provide 24-hour nursing care and monitoring of Emergency Department medical and psychiatric patients waiting for hospital admission. Responsibilities The ED primarily cares for Veterans and occasional humanitarian persons seeking emergent care. The census of patients seeking the ED services is an average of 30,000 patients per year. Registered nurses, licensed practical nurses and nursing assistants provide care in collaboration with other disciplines to offer a seamless transition of care throughout the VA continuum of care. The nurses assigned to this unit will need skills in triage, admission assessments, psychiatric close monitoring, and CIWA protocols. Inter Qual guidelines and physician judgments are used to determine appropriate level of care and resource management patterns for ED patients requiring admission or transfer to other facilities. Policies, procedures, and clinical operations are based on EMTALA laws, ENA and ACEP guidelines. Quality improvement efforts are assessed and evaluated continuously to help achieve our mission and ensure patient satisfaction. Five Most Common Patient Problems Requiring Nursing Care; 1. Chest Pain 2. Respiratory Problems 3. Abdominal Pain 4. Psychiatric/Detoxification 5. Patients Awaiting Primary Care Assignment or Medication Refills 6. Stroke Work Schedule: Part-time/4-36 hours weekly, to be discussed during the interview process. Tour is subject to change based on agency needs. Financial Discloser Report: Not required. Telework: Not authorized. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Financial Disclosure Report: Not required. Vacancy Identification Number (VIN): 11256253 This is an Open Continuous Announcement (OCA). See details under the "How You Will Be Evaluated" section regarding the referral process. Pay close attention to the "Required Documents" section. Requirements Conditions of Employment Qualifications 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 in certain circumstances. 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., PuertoRico) of the United States, or the District of Columbia. Preferred Experience: Minimum of 2 years successful practice in Medical Surgical Nursing Minimum of 1 year of current critical care or emergency nursing Minimum of 1 year of recent experience in psychiatric nursing Demonstrated ability to work effectively with patients, families and other members of the interdisciplinary team Demonstrated skills in decision-making, sound clinical judgment and critical-thinking abilities Demonstrated ability to use computer systems in support of patient care delivery Preferred Certifications: ANCC for Emergency Nursing ANCC for Psychiatric Nursing ANCC for Medical Surgical Nursing ACLS BLS 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. NOTE: Nurse III must demonstrate performance and leadership that is broad enough to improve the care for a group of patients. The Nurse III is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level. In order to be considered for appointment to Nurse III, outcomes must be documented. Meeting the Practice dimension involves incorporating and implementing there requirements of the other qualification standards, including: (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making and evaluating outcomes. (c) Functioning as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities. (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise. (e) Guiding, developing and supporting staff from a leadership perspective.(f) Using professional standards of care, scientific evidence and practice to evaluate programs and/or service activities. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. T38 RN I-III Quals (VHA Standard) T38 RN IV-V Quals (VHA Standard) The full performance level of this vacancy is Nurse III. The actual grade at which an applicant may be selected for this vacancy is in the range of Nurse I to Nurse III. Physical Requirements: Heavy Lifting (maximum 45 lbs.); Heavy Carrying (maximum 45 lbs.); Pushing; Reaching above shoulder; Use of fingers; use of both hands; Walking (frequent); Standing (frequent); Repeated bending; use of both legs; Ability for rapid mental and muscular coordination simultaneously. Selected applicants will be required to complete an online onboarding process. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Testing Designated Position: All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

Keywords: Veterans Affairs, Veterans Health Administration, Durham , Registered Nurse ED Part-time, Healthcare , Durham, North Carolina

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