The Cincinnati, OH VA Medical Center is seeking a well-qualified Registered Nurse (RN). This full time RN will function as a Float Nurse and provide inpatient nursing care to a wide variety of internal medicine specialties, including inpatient oncology and many patients with co-morbid conditions: COPD, CHF, dementia, diabetes, hematology disorders, infectious diseases, G.I. disorders, substance abuse, cellulitis, wound/skin problems, renal failure and liver fail. Under the supervision of the Nurse Officer on Duty (NOD) Manager, the float nurse is accountable for inpatient nursing care to a wide variety of internal medicine specialties. Float nurses may care for cardiology patients, and general surgery/medicine. They may provide postoperative care for urology, ENT, orthopedics, and neurosurgery, and substance abuse detoxification. The float nurse will provide care to Veterans in all areas of the community living center when needed. They may also provide care to Veterans who are medical surgical patients housed in various other areas of the hospital to include the MICU and SICU. Float nurses are required to manage complicated I.V therapies, blood sugar/insulin titration and monitoring of oxygen saturation levels. The float nurse frequently cares for patients with complex psychosocial issues including dual diagnosis, complex family issues, and death and dying. Float Nurses must be able to do ECG interpretation. This Float Nurse assumes accountability and responsibility for his/her nursing practice and decisions affecting patient care. Primary functions include patient assessment for specified clinic appointments, patient education and coordination of care within the clinic setting to facilitate the delivery of care in a timely and efficient manner. Patient safety is also a priority in the clinic setting with attention to implementation and maintenance of patient safety standards. This RN considers all characteristics of the individual, including sex and sex role identification, age and life stage, state of health, race and culture, socio-economic status, values and previous experience with similar events, in order to assist each patient to identify and meet basic health needs and improve his/her health status to the individual's maximum potential. This RN must demonstrate the flexibility to work in a constantly changing, dynamic and diverse environment requiring excellent interpersonal, clinical, and critical thinking skills. This RN should have enough clinical experience to be proficient in nursing skills and practice. The RN is able to handle complex patients and patient situations. He/she is self-directed and is involved in the workings of the unit/work group/team. It is expected that this RN provides safe, quality care to patients and has the ability and skills necessary to assume charge duties. Other duties include but are not limited to the following: responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. administers medications and procedures per established policies and guidelines. consistently demonstrates sound clinical judgment in the ability to effectively provide and/or direct the care provided by team members for patients on an assigned a tour of duty and modifies and updates the plans of care/treatment plans for patients provides nursing care for clients with complex nursing care needs; i.e. multi-system healthcare issues, complex psychosocial issues, etc. participates in studying identifying evaluating and implementing creative process and system improvements that facilitate the mission of the medical center at the program or service level and which can be documented through demonstrated outcomes. demonstrates understanding of patient rights, policies relating to patient right (i.e. advanced directives, DNR, patient confidentiality) and understanding of ethics for the Federal employee. acts as a patient advocate, guides, directs or supports co-workers regarding ethical issues and makes appropriate referrals when issues are suspected or identified; i.e. knowledgeable regarding the chain of command and ensures referrals are made to the Medical Ethics Committee when appropriate. demonstrates and maintains full competency in the use, pre-cleaning and/or reprocessing of reusable medical equipment. completes assignments in a timely and effective manner and follows safety protocols designed to reduce/eliminate employee risk of injury. guides and ensures that other health team members follow established safety protocols that have been designed to reduce/eliminate the risk of injury. demonstrates creativity in meeting patient needs and demonstrates initiative in discharge planning and reducing patient length of stay. identifies risk areas and analyzes resources available in the use of patient care equipment and body mechanics, while evaluating options available and selecting a course of action resulting in favorable patient/organizational outcomes responsible for guiding, directing, and appraising the performance of support staff. Work Schedule: night shift, 730p-8am and 2330-3200. Tour may change based on the needs of the organization. Supervisory Position: No 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
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.