Registered Nurse - Medicine Clinic - Cath Lab

The incumbent demonstrates knowledge and competency in critical care nursing such as hemodynamic monitoring, early recognition of cardiac lethal dysrhythmias and effective treatment of life-threatening cardiac complications. This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital.

The incumbent may be required to rotate tours and duties during low/high census or complete administrative tasks established by the immediate supervisor. Not all duties may be listed, so other duties may be assigned.

The incumbent is responsible to ensure the highest possible quality of care is achieved and that a safe therapeutic environment is provided. The incumbent supervises care that is in accordance with established standards, hospital policies and procedures.

The incumbent communicates with patients, family members, internal and external co-workers and customers in a courteous, tactful, helpful, and understanding manner. The incumbent is administratively responsible to the Nurse Manager and responsible for other team members.

Not all duties listed, so others my apply: The incumbent circulates and assists with the various Cardiac Cath Lab procedures, and some Echo Lab procedures and Pain Procedures The incumbent administers medication, including ACLS medications & anticoagulants.

The incumbent administers moderate sedation with the appropriate patient monitoring, assessment, & documentation. The incumbent is responsible for monitoring patients during Cath procedures, including continuous ECG & hemodynamic monitoring, identification of cardiac arrhythmias, and response for medications and treatments.

The incumbent must operate complex radiographic, angiographic, and digital recording equipment. The incumbent post-procedure, provides care to patients during both sedation and procedural recovery and assists in arterial & venous sheath removal.

The incumbent demonstrates ability to work cooperatively with others, displaying exemplary interpersonal communication skills & congenial relationships with colleagues The incumbent must possess a high level of self-motivation, with the ability to function independently & in conjunction with the cardiology team The incumbent must be able/willing to wear lead protective covering & withstand long periods of standing while working around x-ray generating equipment.

The incumbent operates/assists in operation of various Cath Lab Lab specific equipment in sterile environments under direction of provider.

The incumbent participates in case management of the Cath Lab patient population, i.e., ensuring appropriate use of outpatient services, providing pre & post procedure patient education, & maintains the Cath Lab data base. The incumbent participates in quality management monitors and conducts quality control procedures on certain equipment.

The incumbent exports procedure reports to archival system. The incumbent participates in the ordering & maintenance of adequate inventory by accurately reporting usage, waste, and expiration of supplies and equipment. The incumbent will ensure that implanted devices are documented in patient record and consult initiated for replacement.

PLEASE NOTE: These positions require Basic Life Support (BLS) certification. If selected, Applicants will provide proof of current certifications prior to employment.

Only BLS certification which included Automated External Defibrillator (AED) obtained from either the American Heart Association (AHA) or the Military Treatment Training Network (MTN) will be accepted.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) 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) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday through Friday, 7:00 a.m. to 3:30 p.m., excluding Federal holidays.

Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), 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 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program.

Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program.

(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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program.

Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).

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.

Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade.

The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13020394.

Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.

Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning.

Self-directed in goal setting for managing complex client situations.

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience.

Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.

A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.

Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.

MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees.

Preferred Experience: One to two (2) years of experience in the Cardiac Cath lab environment as a Registered Nurse, minimum of two (2) years clinical Registered Nurse experience in Critical Care (ICU/CCU) or Emergency Room setting.

RN must be proficiency with cardiac monitoring, assisting with cardiac procedures, sterile technique, and use of specialized Cath Lab equipment. The ability to identify and manage cardiac arrythmias and emergencies and comfort with conscious administration and monitoring. BSN preferred.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling.

Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols