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Registered Nurse- Intensive Care Unit

Direct Jobs, Saint Louis, MO, United States


Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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/12836886
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: BSN preferred 2 years of ICU Experience preferred
Physical Requirements: The population of male and female Veterans served ranges from the adult - age 18 - to the elderly adult - age 65 and over
VASTLHCS is a major interdisciplinary teaching facility - serving medical - surgical - and neurological inpatients and outpatients
There is a large outpatient psychiatric population - with visits to the Emergency Department and admissions for medical co-morbidities
This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
Transferring patients and objects may be required
The physical requirements of this position include the following tasks which may be performed intermittently: lifting of up to 50 lbs
(3 hours) - sitting (2 hours) - standing (4 hours) - walking (8 hours) - climbing (1 hour) - kneeling (3 hours) - bending/stooping (3 hours) - twisting (2 hours) - pushing/pulling (6 hours) - simple grasping (8 hours) - fine manipulation (8 hours) - reaching above the shoulder (4 hours) - and operating machinery (8 hours)
This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity.
Duties

The primary purpose of the Critical Care/Intermediate Care Clinical Nurse is to provide direct care in the intensive care inpatient setting to a variety of patients from admission - transfer in - care - and treatment thru to transfer out or discharge to a different level of care
Critical care nursing deals with human responses to life-threatening problems
The human responses are dynamic to the actual or potentially life-threating illness
Intermediate care is provided to patient who need a level of care between general medical surgical care and critical care
Transition of level of care occurs in the same location
Core elements of performance include knowledge and active participation in unit or program level quality improvement process and initiatives as well as customer service programs
Major Duties include - but are not limited to: Accountable for adhering to established policies - procedures - standards of care and standards of practice
Responsible and accountable for all elements of the nursing process and supervision direct patient care of others
Assesses - plans - implements - and evaluates care based on age-specific components
Assumes responsibility for the coordination of care focused on patient transition through the continuum of care - patient family education - patient self-management after discharge - and supporting factors that impact Veteran and family satisfaction and engagement
Considers all characteristics of the individual - including age and life stages - state of health - social determinants of health and previous experiences
Administers medication and procedures according to established to standard work and guidelines
Influences care outcome by collaborating with members of the interdisciplinary team
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: Full Time
Six 12-hour and one 8-hour shift per pay period
Tours include Days/ Nights / Weekends / Holidays - and are subject to change based on the needs of the health care system
Telework: Not Available
Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive
Contact VISN15EDRP@va.gov - the EDRP Coordinator for questions/assistance
Learn more Permanent Change of Station (PCS): Not Authorized.

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