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This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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: BSN 2 -5 years Emergency Department experience (preferably within the last 5 years) RQI: BLS/ACLS certification (required) Emergency Nurse Certification (CEN) Proficient in EKG/Telemetry interpretation 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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 (including depth perception), keen hearing (aide permitted), clear distinctive speech, and manual dexterity in both hands. This position requires potentially long periods of continued walking (2-4 hours), standing (2-6 hours), stooping, sitting, bending, pulling (1-2 hours), and pushing (1-2 hours). lifting (>50 pounds), carrying (>50 pounds). Transferring patients and objects may be required. Mechanical inpatient lifts are provided. Must be able to work closely with others, as well a protracted or irregular hours of work. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Ability for rapid mental and muscular coordination simultaneously. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be able to work closely with others, as well as protracted or irregular hours of work. Must be compliance with the use of ergonomic exercises and employee safety requirements. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards ***This is an open continuous announcement until September 30, 2022. Qualified Applicants will be considered and referred as vacancies become available. All applicants may receive consideration for 3 months from the date of application. If you wish to be considered after that period, and the announcement is still open to receive applications, you must re-apply to indicate your continued interest. ******Recruitment and Relocation Incentives up to $15,000 may be authorized for a highly qualified candidate*** The Emergency Room RN will provide care for patients with various types of illness or trauma requiring emergency attention and must be able to recognize and effectively treat life-threatening conditions. The RN is directly responsible to the designated Nurse Manager and will be accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse Veteran population with complex needs. Leads and provides Triage based on established Emergency Care Standards utilizing the accepted Emergency Severity Index (ESI) system of acuity. Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans Demonstrates skill in Implementing Nursing and Physician Orders for patients with complex needs. Recognizes and expects changes in patient behavior may be an outcome of part of the disease process and interventions. Assesses patient acuity, staffing mix and workload for unit staffing. Effectively manages Psychiatric emergencies and refers them to psychiatric specialty in a timely manner. Consistently performs comprehensive physical, psychological and social assessments. Develops realistic and measurable outcomes for identified patient needs and evaluates patient's progress toward outcomes. Effectively intervenes in critical patient care situations. Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment. Demonstrates knowledge and/or required safety skills in area of assignment and, when appropriate, in the following: emergency preparedness plan, hazardous materials, fire plan, equipment failure emergency plans, and utility outage response procedures for this area. Consistently documents and reports patient care that reflects the critical thinking process. Accountable for adhering to established policies, standards of care and standards of practice. Serves as a role model when functioning as team leader or charge nurse under the supervision of the Nurse Manager or designee. Collaborates with other members of the interdisciplinary treatment team in planning, developing, and coordinating the care for the Veterans and their family. Identifies and reports all unsafe conditions to appropriate personnel to ensure a safe environment for all patients, medical center personnel, and visitors. Able to identify potential problems involving resources and / or safety and take action to avert or manage the situation in a manner that meets the needs of patients in a safe therapeutic environment. Individual practice follows the ANA code of Ethics for Nurses. Exhibits excellent communication skills. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Various Schedule\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Authorized\nEDRP Authorized: Contact Ronda Eady, ronda.eady@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]