Registered Nurse- Emergency Room/Urgent Care

<p>Emergency Department Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.</p><h3>Major Duties</h3><p>Emergency Department (ED) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Provides urgent and emergent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions. Nursing care ranges from basic nursing care to stabilization, resuscitation, and life-support measures. Emergency nursing practice is independent and collaborative. The ED RN practice includes the roles of direct care provider, educator, administrator, researcher, consultant, leader, and advocate. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe, quality nursing care. Fosters a safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations. 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 within a facility. The ED RN is responsible and accountable for all elements of the nursing process when providing care. They 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. They use the assessment data to determine diagnoses, problems, or other concerns. They will identify expected outcomes to develop a collaborative and individualized plan for each patient. The ED RN will implement that plan, including care Functional Statement: Nurse III Page 2 coordination, health teaching, and health promotion. They evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary. The responsibilities of the Registered Nurse assigned to the Triage/Emergency Room area include but are not limited to: Maintains current/active Advanced Cardiac Life Support (ACLS)/Basic Cardiac Life Support (BCLS) provider status. Monitors patient conditions when held over in the life support room. Triages all unscheduled patients in accordance with Emergency Severity Index. Responds to Outside Emergencies and implements appropriate interventions. Provides immediate nursing intervention in emergency situations. Implements patient safety practices with regard to medication administration, patient identification, fall risk assessment and prevention, hand-off reports using the SBAR (situation, background, assessment and recommendations) format. Is responsible for ordering/maintaining supplies for the clinical area. Provides appropriate hand-off report communication using the SBAR format. Demonstrates/maintains competencies in accordance with the Core Competencies of the High Performance Development Model (HPDM). Provides assistance to other nursing units such as ICU/Telemetry. Has knowledge and expertise in the following: Transvenous and external pacemakers Automated External Defibrillator (AED)/Cardioversion/Defibrillation Treatment of acute MI/ACS, CHF, acute seizure activity, and Respiratory Distress Syndrome Chest tubes Foley catheters/CBI - IV thrombolytics IV pain management Expanders Vasoactive Is able to assess and implement care of patients with Dx of overdose, acute psychotic episodes including but not limited to suicide, violence, and hallucinations. Is capable of providing care to patients with fractures, altered mental state and acute stroke. Work Schedule:8a-8p or 12p-12a (6 twelve hour tours and 1 eight hour tour) Telework: Not Available Bargaining Unit: Yes Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required</p><h3>Requirements</h3>NOTE: Prior to accepting a final employment offer, all selected applicants will be required to sign a Memorandum of Understanding regarding deployment responsibilities You must be a U.S. Citizen to apply for this job. 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. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination and maintain CDT physical readiness. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Must be able to meet physical demands which include strenuous physical activity to include carrying persons and equipment, walking long distances over difficult terrain, running, climbing, working long hours in primitive or arduous conditions, long periods of standing, and bending and stooping.<h3>Education</h3>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