RN - Emergency Department
The Staff Registered Nurse (RN) - Emergency Department provides direct and indirect nursing care to patients and families in the Emergency Department (ED). The ED is staffed and equipped to provide initial evaluation, treatment, and disposition for a broad spectrum of illnesses, injuries and psychiatric disorders, regardless of the level of severity. Emergency care is provided in a clearly defined area dedicated to this function and operates 24 hours a day, 7 days a week. The ED RN responsibilities include, but are not limited to:
- accountable for adhering to established policies, standards of care and standards of practice. - 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 from I (most urgent) to 5 (least urgent) on the basis of acuity and resource needs. - executes evidence based nursing practice actions to care for the patient based on the determined acuity level. - responsible for conducting a focused assessment based on the patient's condition, reporting abnormal findings to the ED providers, implementing nursing protocol/providers' orders, and evaluating the patient's response to all treatments and interventions. - initiates interdisciplinary referrals for patients who require specialized services such as social work, mental health, and diabetes education and wound care. - plays a pivotal role as the patient advocate on the interdisciplinary team collaborating with all other team members to assure optimal, timely and above all, safe care for the patient. - responsible and accountable for maintaining training required and may be assigned additional duties as area needs require. - expected to communicate timely and effectively with all members of the patient care team, as well as relate courteously and appropriately to all internal and external customers. - expected to work in a collaborative, team-oriented environment, and demonstrate consistent effective communication skills and exemplary professional behaviors. - Fostering positive interdisciplinary collaborative relationships is essential for continuity of care that is safe and quality driven. Work Schedule:
Full time, 12 hours shifts; Day shift with rotations and evening shift with rotations available. 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. 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. English Language Proficiency:
RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). 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, 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. Reference:
VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. IMPORTANT:
A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Physical Requirements:
The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials 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 a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. See VA Directive and Handbook 5019.
Estimated Salary: $20 to $28 per hour based on qualifications.
- accountable for adhering to established policies, standards of care and standards of practice. - 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 from I (most urgent) to 5 (least urgent) on the basis of acuity and resource needs. - executes evidence based nursing practice actions to care for the patient based on the determined acuity level. - responsible for conducting a focused assessment based on the patient's condition, reporting abnormal findings to the ED providers, implementing nursing protocol/providers' orders, and evaluating the patient's response to all treatments and interventions. - initiates interdisciplinary referrals for patients who require specialized services such as social work, mental health, and diabetes education and wound care. - plays a pivotal role as the patient advocate on the interdisciplinary team collaborating with all other team members to assure optimal, timely and above all, safe care for the patient. - responsible and accountable for maintaining training required and may be assigned additional duties as area needs require. - expected to communicate timely and effectively with all members of the patient care team, as well as relate courteously and appropriately to all internal and external customers. - expected to work in a collaborative, team-oriented environment, and demonstrate consistent effective communication skills and exemplary professional behaviors. - Fostering positive interdisciplinary collaborative relationships is essential for continuity of care that is safe and quality driven. Work Schedule:
Full time, 12 hours shifts; Day shift with rotations and evening shift with rotations available. 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. 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. English Language Proficiency:
RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). 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, 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. Reference:
VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. IMPORTANT:
A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Physical Requirements:
The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials 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 a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. See VA Directive and Handbook 5019.
- Department:
0610 Nurse - Salary Range:
$80,603 to $137,090 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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