Registered Nurse

4 days ago


Humble, Texas, United States Department of Veterans Affairs Full time
Job Summary

The Department of Veterans Affairs is seeking a highly skilled Registered Nurse to join our team. As a Registered Nurse, you will be responsible for providing high-quality patient care and working collaboratively with our healthcare team to ensure the best possible outcomes for our patients.

Key Responsibilities
  • Implement nursing orders in a timely and accurate manner for patients with complex nursing care needs.
  • Implement physician's orders in a timely and accurate manner, initiating resolution if impeded.
  • Include patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan, seeking assistance as needed.
  • Meet individual learning and discharge preparation needs by using appropriate resource personnel and approved educational materials.
  • Document nursing process including patient/family/significant other education and discharge planning in a timely manner.
  • Assess/documents the patient's response to nursing intervention, anticipates potential changes in patient condition and response to treatment, initiating appropriate action and revising the care plan accordingly.
  • Updates assessments on a continuum by recognizing changes in patient's needs and reestablishing priorities for care.
  • Demonstrates competency/proficiency using the nursing process in providing care for patients with complex nursing care needs.
  • Guide and directs others who provide care.
  • Participates in established quality improvement studies and/or activities.
  • Conducts self-assessment of performance and identifies own learning needs.
  • Implements an ongoing educational plan to support own professional development.
  • Refers to, consults with, and makes provision for continuity of care with other health care providers.
  • Uses a body of research to validate and/or change own professional practice.
  • Delegates care in a safe, efficient, and cost-effective manner.
  • Assists patients in identifying and securing appropriate services.
  • All other duties dictated by patient care.
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 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).
  • 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
  • Medical Surgical Nurses 3A, 3B, 3C, 2A, 5E, 5B: 1-2 years RN experience preferred - unencumbered RN license.
  • Oncology Nurses 4B: 1-2 years RN experience preferred - unencumbered RN license - Chemotherapy certification.
  • ICU Nurses MICU, CCU and SICU: 1-2 years RN experience preferred - unencumbered RN license.
  • Gerontology Nurses 1C, 1D, 2C, 2D, 4D: 1-2 years RN experience preferred - unencumbered RN license.
  • Stepdown/IMU Nurses 3D, 5A: 1-2 years RN experience preferred - unencumbered RN license.
  • Mental Health Nurses 6A, 6F, 6D: 1-2 years RN experience preferred - unencumbered RN license.
  • Spinal Cord 1A, 1B: 1-2 years RN experience preferred - unencumbered RN license.
  • Primary Care Nurses: 1-2 years RN experience preferred - unencumbered RN license.
  • Emergency Room Nurses: 1-2 years RN experience preferred - unencumbered RN license.
  • Community Based Out-Patient Clinics (CBOCs): 1-2 years of clinical RN experience.
Grade Determinations
  • Nurse I Level I: Education and Experience Requirement: A Diploma or Associate Degree (ADN) in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II: Education and Experience Requirement: A Diploma or ADN in Nursing and one year of specialized nursing experience equivalent to a Nurse I, Level 1; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III: Education and Experience Requirement: A Diploma or ADN in Nursing and two years of professional nursing experience, one of which is a year of specialized nursing experience equivalent to Nurse I, Level 2; OR a Bachelor's degree in nursing and one year of professional nursing experience equivalent to Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no professional nursing experience; or a Master's degree in a related field with a BSN and no additional nursing practice/experience.
  • Nurse II: Education and Experience Requirement: Bachelor's degree in nursing and two years of professional nursing experience, one of which is a year of specialized nursing experience equivalent to Nurse I, Level 3; OR Master's degree in nursing with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR Master's degree in a related field with a bachelor's degree in nursing with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR Doctorate degree in nursing with no professional nursing experience; OR Doctorate degree in a related field with a master's or bachelor's degree in nursing with no professional nursing experience.
  • Nurse III: Education and Experience Requirement: Master's degree in nursing with two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Master's degree in a related field with a bachelor's degree in nursing with two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Doctorate degree in nursing with one year of specialized nursing experience which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Doctorate degree in a related field with a master's or bachelor's degree in nursing with one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.
Dimension Requirement
  • i. Practice: Demonstrates expertise in professional practice using the nursing process (assessment, diagnosis, outcome identification, planning, implementation and evaluation) with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting.
  • ii. Veteran/Patient Driven Care: Leads initiatives to improve Veteran/patient experience. Satisfaction and/or safety beyond the immediate practice setting.
  • iii. Leadership: Communicates and collaborates as an effective leader of the interprofessional team, at the expert level, with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting.
  • iv. Professional Development: Enhances knowledge base and practice evaluation, at the expert level, with improved outcomes beyond the immediate practice setting.
  • v. Evidence Based Practice/Research: Leads the identification and integration of evidence-based practice/research with clinical expertise to improve quality of care and resource utilization at the expert level with improved outcomes beyond the immediate practice setting.


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