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Registered Nurse
3 months ago
**Duties**:
**PRACTICE**: Demonstrates proficiency using the nursing process in providing care for patients with complex nursing care needs. Guides and directs others who provide care.**
Performance Standards
1. Independently plans and delivers technically competent care to patients with complex needs.
1.1. Safely and effectively uses equipment required for patient care. Reports equipment in need of repair.
1.2. Recognizes subtle abnormal signs and symptoms and/or changes in patients' condition and responds
appropriately.
1.3 Competent in reading and interpreting ECG strips; and identifying abnormal and lethal rhythms.
2. Makes assignments and directs activities of other unit staff, (RNs, LPNs, students, PSAs, MITs and other team members).
3. Formulates and implements a plan of care based on the ANA Standards of Nursing Practice.
3.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as
needed.
3.2. Includes the patient and family/significant other in developing the initial plan of care, establishing goals, and discharge planning
3.3. Updates plan of care as needed based on patient responses.
3.4. Assesses patient's learning needs, learning preference, and readiness to learn.
3.5. Develops and implements a plan to meet learning needs, instructing patients and families in educational
needs and discharge planning.
4. Documents the nursing process.
4.1. Documentation is technically informative, consistent, accurate, concise, and timely manner.
4.2. Evaluates and documents patient response to interventions and progress towards attainment of expected
outcomes.
4.3. Revises plan of care according to evaluations of patient responses.
4.4. Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration
(BCMA) software per policy.
5. Manages nursing care of patients.
5.1. Functions as charge nurse/team leader in providing direction to staff in meeting patient care needs.
5.2. Ensures that assigned delegated tasks are completed by team members.
5.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as
necessary.
5.4. Organizes and prioritizes in order to meet changing patient care needs and staff assignments.
5.5. Assigns patient care responsibilities based upon patient needs and competencies of staff.
6. Demonstrates grade-appropriate and consistent critical thinking skills.
6.1. The nurse can recognize the patient has a problem.
6.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
6.3. The nurse has a relative sense of urgency.
6.4. The nurse takes the right action for the right reason (del Bueno).
7. Role-specific Competency Checklist is complete and is rated competent in all measured areas.
and many more not listed above
**Work Schedule**: To be Determined
**Financial Disclosure Report**: Not required
**Requirements**:
**Conditions of Employment**:
- U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Selective Service Registration is required for males born after 12/31/1959.
- You may be required to serve a probationary period.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process.
- Must pass pre-employment physical examination.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
**Qualifications**:
**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
