The Medical Surgical Telemetry Registered Nurse is directly responsible to the Inpatient Nurse Manager for the Inpatient Acute Unit. He/she is responsible and accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse veteran patient population. He/she possesses basic knowledge and skills to apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting.

Duties

VA offers a comprehensive total rewards package. Duties includes: Excellent observation and assessment skills Skill in recording symptoms, reactions, and progress Skill in administering medical treatments and examinations. Knowledge of convalescence and rehabilitation requirements for patients Skill in developing, planning, implementing, evaluating, documenting, and managing nursing care. Patient and family education skills Ability to help individuals and groups take steps to improve or maintain their health. Administer medications and other treatments that are appropriate to the patient's situation and based upon provider order. Demonstrate competence with the utilization of electronic documentation systems to ensure safe patient care, including CPRS, VISTA, and BCMA Respond proactively to changes in patient condition to prevent or minimize adverse patient outcomes. Document assessment findings based on facility policy and in a timely manner. Reconcile medications and treatments across transitions of care. Documentation and acknowledgment of all new provider orders throughout the tour of duty. Document nursing interventions Perform a physical assessment using age-appropriate, system-specific, evidence-based tools and techniques based on facility policy for timeliness and provider orders for exceptions. Advocate for patient Document the patient's response to interventions and changes to the plan of care. Maintain appropriate physical and emotional boundaries. Monitor cardiac rhythm throughout the tour of duty and notify the provider of any significant changes in rhythm. Identify barriers to effective communication and make appropriate adaptations. Document appropriate aspects of nurse-patient interactions Maintain current license and up to date BLS/ACLS certification. Maintain Fit Testing Competency Utilize technologies to enhance nursing practice. Participate in shared governance unit-based council and play a key role in quality improvement activities. Seeks opportunities to advance professionally in nursing practice. Serves as a clinical content expert for the design and enhancement of competencies, policies, and processes that affect nursing care at the unit level. Maintain current and up to date with mandatory competency requirements to include VA Talent Management System (TMS) training. Identify malfunctioning equipment or devices at the unit level and place work orders for timely repair. Appropriately identify patient safety events and document in Joint Patient Safety Record Work Schedule: Facility Needs ( to be discussed) Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Pay: Competitive salary, annual performance bonus, regular salary increases. Paid Time Off: Receive 13 to 26 days paid time off per year, not to include 10 paid federal holidays; and 13 sick days annual with no limitation on accumulation. 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). For More Information on Benefits: https://www.vacareers.va.gov/Benefits/EmploymentBenefits

Requirements

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. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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., Puerto Rico) of the United States, or the District of Columbia. Preferred Experience: 1-2 years Hospital Inpatient Rehab experience, or 2-3 years Long Term Skilled Care experience. ACLS & BLS Certification Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: The full performance level of this vacancy is VN-03. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-01 to VN-03. Registered Nurses: 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

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.

Contacts

• Address Fayetteville NC VA Medical Center 2300 Ramsey Street Fayetteville, NC 28301 US
• Name: Loretta Johns
• Phone: 910 488 2120 X1619
• Email: [email protected]