RN Emergency Department -Observation
The ED/Med-Surgical RN is a registered nurse who utilizes the nursing process to assess patients who present to the ED Medical Observation Unit for care. The ED/Med-Surgical RN responsibilities include but are not limited to:
Performing triage assessments on the patients and classifying them using the Emergency Severity Index (ESI) a five-level ED triage algorithm that provides clinically relevant stratification of patients into five groups rom 1 (most urgent) to 5 (least urgent) on the basis of acuity and resources needs. The ED/Med-Surgical RN then executes evidence based nursing practice actions to care for the patient based on the determined acuity level. In this capacity, the ED/Med-Surgical RN is also responsible for the initiation of the standardized orders and protocols. This includes conducting a focused assessment based on the patients condition, reporting abnormal findings to the ED/Medicine providers, implementing nursing protocol/providers' orders, and evaluating the patients response to all treatments and interventions. In addition, the ED/Med-Surgical RN initiates interdisciplinary referrals for patients who require specialized services such as social work, mental health, diabetes education and wound care. The ED RN plays a pivotal role as the patient advocate on the interdisciplinary team collaborating with all team members to assure optimal, timely and above all, safe care for the patient. Work Schedule:
Rotating 12 Hour Shifts-7:
00 am-7:
30pm; 7:
00pm-7:
30 am; (1) 8 hour shift. Shifts will rotate with 12 hours and 8 hours combined. Financial Disclosure Report:
Not required 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:
2 years Emergency Department Experience or 2 years minimum of Medical Surgical Nursing Experience CEN Computer Skills Ability to work effectively in a fast-paced envioroment 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:
Heavy Lifting (45 lbs or over.); Moderate Carrying (15 - 44 lbs); Straight Pulling (2 hours); Pushing (1 hours; Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (4 hours); Kneeling (1-4 hours); Repeated bending (1 hour); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16 to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing aid permitted; Mental and Emotional stability; Radiant Energy; Electrical Energy; Slippery or uneven walking surfaces; Unusual fatigue factors; Working with hands in water; Working closely with others; Works Alone; Protracted or irregular hours of work possible; Wearing aseptic mask. The incumbent may be exposed to infected patients and contaminated material 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 capable of working effectively in stressful situations and able to shift priorities based on patient needs. .
Estimated Salary: $20 to $28 per hour based on qualifications.
Performing triage assessments on the patients and classifying them using the Emergency Severity Index (ESI) a five-level ED triage algorithm that provides clinically relevant stratification of patients into five groups rom 1 (most urgent) to 5 (least urgent) on the basis of acuity and resources needs. The ED/Med-Surgical RN then executes evidence based nursing practice actions to care for the patient based on the determined acuity level. In this capacity, the ED/Med-Surgical RN is also responsible for the initiation of the standardized orders and protocols. This includes conducting a focused assessment based on the patients condition, reporting abnormal findings to the ED/Medicine providers, implementing nursing protocol/providers' orders, and evaluating the patients response to all treatments and interventions. In addition, the ED/Med-Surgical RN initiates interdisciplinary referrals for patients who require specialized services such as social work, mental health, diabetes education and wound care. The ED RN plays a pivotal role as the patient advocate on the interdisciplinary team collaborating with all team members to assure optimal, timely and above all, safe care for the patient. Work Schedule:
Rotating 12 Hour Shifts-7:
00 am-7:
30pm; 7:
00pm-7:
30 am; (1) 8 hour shift. Shifts will rotate with 12 hours and 8 hours combined. Financial Disclosure Report:
Not required 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:
2 years Emergency Department Experience or 2 years minimum of Medical Surgical Nursing Experience CEN Computer Skills Ability to work effectively in a fast-paced envioroment 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:
Heavy Lifting (45 lbs or over.); Moderate Carrying (15 - 44 lbs); Straight Pulling (2 hours); Pushing (1 hours; Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (4 hours); Kneeling (1-4 hours); Repeated bending (1 hour); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16 to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing aid permitted; Mental and Emotional stability; Radiant Energy; Electrical Energy; Slippery or uneven walking surfaces; Unusual fatigue factors; Working with hands in water; Working closely with others; Works Alone; Protracted or irregular hours of work possible; Wearing aseptic mask. The incumbent may be exposed to infected patients and contaminated material 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 capable of working effectively in stressful situations and able to shift priorities based on patient needs. .
- Department:
0610 Nurse - Salary Range:
$70,593 to $128,523 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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