Summary

The Emergency Department RN provides and oversees direct patient care using all steps of the nursing process. Responsibilities include coordinating care - educating patients - supporting self-management - ensuring customer satisfaction - safely administering medications - and collaborating with interdisciplinary team members to achieve optimal care outcomes.

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
• 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/12983075
• 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 holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: At least 2 years ED experience within the last 5 years
• Physical Requirements: This role requires the ability to perform all duties without restriction
• It involves significant standing - walking - stooping - bending - reaching - lifting - and turning
• Responsibilities include repositioning individuals and assisting with transfers to wheelchairs or stretchers
• Mechanical lifting devices must be used when available for heavy or difficult transfers
• The work may require lifting or pushing more than 50 pounds and using stairs regularly
• Adequate visual and auditory acuity is necessary to provide safe and effective care
• The position may require working with arms above shoulder level - or with the neck fully flexed or extended for certain periods
• It also requires the ability to maintain physical control or self-protection if encountering physically aggressive individuals
• There may be exposure to infectious patients or contaminated materials - requiring the use of protective clothing during isolation or invasive procedures
• Occasionally - the role involves interacting with individuals who are combative due to conditions such as delirium - dementia - or psychiatric disorders
• The individual in this role must be mature - flexible - and capable of working effectively in stressful situations - adjusting priorities as needed.

Duties

• Start your VA career here Aurora Chamber of Commerce The Emergency Department (ED) Registered Nurse (RN) is responsible for providing competent - evidence-based care to assigned patients
• Duties of the position include - but are not limited to: Delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel
• Assist in the provision of education - orientation - competencies and providing quality improvement and outcomes utilization
• Provide urgent and emergent care to patients with acute and/or chronic medical - surgical - and psychiatric conditions
• Provide stabilization - resuscitation - and life-support measures
• Practice is independent and collaborative
• RN practice includes the roles of direct care provider - educator - administrator - researcher - consultant - leader - and advocate
• Engage in ongoing evaluation of practice to ensure alignment with current evidence-based standards
• Provide peers with informal constructive feedback for improvement
• Foster a safe and supportive environment - conducive to the professional development of healthcare professionals
• Contribute professional nursing perspective in discussions with the interdisciplinary team
• Partner with others to effect change and produce optimal outcomes
• Support colleagues by sharing knowledge to promote safe - high-quality nursing care
• Share educational findings - experiences - and ideas with peers
• Participate in activities and strategies to sustain evidence-based-practice
• Assess the patient by collecting pertinent data or information - including the triage of patients based on the five-level triage system to prioritize patients that require more immediate care
• Utilize assessment data to determine diagnoses - problems - or other concerns
• Identify expected outcomes to develop a collaborative and individualized plan for each patient
• Care coordination - health teaching - and health promotion
• Evaluate progress toward expected goals and outcomes and adjust the plan as necessary
• Other duties as assigned
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 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 Work Schedule: Day Shift: 0730-2000 - tours could vary depending on needs of service
• Compressed/Flexible: Compressed available
• Telework: Not Available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized.