The Wilmington, Delaware VA Medical Center is currently recruiting a full-time Registered Nurse in our Intensive Care Unit. Candidates will be referred on a biweekly basis. 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/Education: 2 years Critical Care Experience BSN BLS/ACLS-Required CCRN preferred Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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 may require potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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 needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. See VA Directive and Handbook 5019. ["The Critical-care nurse relies upon a specialized body of knowledge, skills, and experience to provide care to patients and families and create environments that are healing, humane, and caring in the critical care setting. Foremost, the critical-care nurse practices according to the standards of the American Association of Critical Care Nurses.\nThe incumbent will serve as a Critical Care Registered Nurse caring for critically ill patients in the Intensive Care unit.\nDuties include, but are not limited to: Provide in-depth assessment with nursing diagnosis pertinent to the critically ill patients. Initiates all treatment modalities in the critical care setting and is competent in the titration, administration, and monitoring of patients receiving vasoactive medication. Possesses the knowledge to make quick decision based on hemodynamic and physiologic response determined by advanced assessment skills and experience in the critical care area. Observes and assesses patient's clinical conditions; recognizes, anticipates, identifies and interprets emergency situations, initiates immediate appropriate action, and ACLS protocol as indicated. The nurse caring for the critically ill patient uses clinical inquiry and integrates research findings into practice. Continually questions and evaluates practice and uses the best available evidence. Demonstrates competence and knowledge in their response to multi-system failure, cardiovascular, and respiratory failure as well as the indicated treatment for improved outcomes. Ensures that ventilators, monitors and other types of medical equipment function properly, collaborates with fellow members of the critical care team. Cares for patient's pre and post-operative surgical patients requiring advanced monitoring in the critical care setting. Critical-care nurse has education and training beyond their basic preparation as a registered nurse (RN) to meet the needs of patients and families who are experiencing critical illness. Critical-care nurses complete a critical-care training course or orientation that includes essential information on the care of the critically ill patient. Possess complex assessment skills, familiar with high-intensity therapies and interventions and provides continuous nursing vigilance. Work Schedule: Various shifts; Rotating weekends; Rotating holidays\nVirtual: This is not a virtual position.\nFinancial Disclosure Report: Not required\nRelocation/Recruitment Incentives: Authorized"]
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.