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Registered Nurse (Tele-Critical Care) - ICU - Intensive Care Unit

Company: Department of Veterans Affairs
Location: Gainesville
Posted on: July 9, 2024

Job Description:

Registered Nurse (Tele-Critical Care)Summary

The Cincinnati VA Medical Center is seeking a well-qualified Critical Care Registered Nurse to fill a Tele-Critical Care position located in the National Tele-Critical Care Program.

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Overview

* Accepting applications
* Open & closing dates

06/25/2024 to 07/05/2024


* Salary

$71,793 - $149,695 per year

Salary will be based on selected candidate's geographic location selected and qualifying series, education, and experience.


* Pay scale & grade

VN 00


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Locations

2 vacancies in the following locations:

* Gainesville, FL


* Orlando, FL


* Bronx, NY




* Remote job

No


* Telework eligible

No


* Travel Required

Not required


* Relocation expenses reimbursed

No


* Appointment type

Permanent


* Work schedule

Full-time


* Service

Excepted


* Promotion potential

00


* Job family (Series)

0610 Nurse


* Supervisory status

No


* Security clearance

Not Required


* Drug test

Yes


* Position sensitivity and risk

Non-sensitive (NS)/Low Risk


* Trust determination process

Suitability/Fitness

Credentialing


* Announcement number

CBSR-12446232-24-SDN


* Control number

797134700



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This job is open to

* The public

U.S. Citizens, Nationals or those who owe allegiance to the U.S.



Clarification from the agency

Area of Consideration: United States Citizens

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Duties

The Tele-Critical Care RN will be responsible for the following duties:

* The Nurse Ill TCC Registered Nurse (RN) executes position responsibilities to improve patient and organizational outcomes.
* Provides leadership in the application of the nursing process to patient care, organizational processes and/or systems, improving outcomes at the program or service level.
* Provides leadership in identifying and addressing ethical issues that impact patients and staff, including initiating and participating in ethics consultation. Manages program resources to facilitate safe, effective, and efficient care.
* Maintains knowledge of current techniques, trends, and professional issues.
* Uses professional standards of care and practice to evaluate programs and/or service activities.
* Uses the group process to identify, analyze, and resolve care problems. Initiates interdisciplinary projects to improve organizational performance.
* The TCC RN collects and analyzes patient and family data for the purpose of assessment, diagnosis, and management.
* Efficiently assembles a focused assessment of physiological, psychological, and medical record data.
* Uses critical thinking skills in diagnosing clinical problems and in defining interventions.
* Re-evaluates prior diagnoses and care plans at appropriate intervals in accordance to expected individual patient outcomes.
* Prioritizes clinical problems accurately and in a timely manner.
* Uses clinical decision support tools in determining evidence-based practices for clinical problems.
* Responds to routine, urgent, and emergent patient problems appropriately by demonstrating effective decision-making.
* Provides follow-up to ensure problem resolution.
* Advocates needs and wishes of patients and family about health care. Formulates and articulates succinct and comprehensive assessments of real or potential patient problems to the TCC provider.
* Solves clinical patient problems independently and in a timely manner and communicates unresolved problems.
* Enters admissions, updates the discharge list and transfers or discharges patients in eCare manager.
* Utilizes Apache reports, builds reports and enters data.
* Troubleshooting technical equipment in the support center and at the bedside via camera.
* Works on multiple technical platforms at once, such as Computerized Patient Record System (CPRS), Joint legacy Viewer (JLV), Vista, eCare Manager, Outlook, Cerner, Windows, etc.
* Independently sets priorities and deadlines, adjusting the flow and sequencing of work to meet the patient and team needs.
* Works independently making decisions based on guidelines, precedents and regulations and performs duties in such a manner that only minimal supervision is required.
* Routinely communicates with physicians, case managers, and other allied health professional staff using sound interpersonal skills and is constantly aware of the sensitive information.
* Performance is judged in terms of overall effectiveness of the operation through broad general objectives, the adequacy and accuracy of the work, timeliness, and conformance to established procedures, policies, and instructions.
* Prevents clinical problems from occurring by direct observation via teleconferencing, proactive surveillance of adverse physiological trends, assurance of appropriate ordered prophylactic strategies, medical chart review, and appropriate reaction to alerts.
* Updates ICU knowledge of pathophysiology, pharmacology, hemodynamics, bedside technology, and nursing care.

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: Day Shift and Night Shift with (6) 12 hour shifts and (1) 8 hour shift, every other weekend, and A/B holiday schedule. Nights is 7:00pm-7:30am, 11:00pm-7:30am. Day is 7:00am-7:30pm, 7:00am-3:30pm

Telework: Not Available

Virtual: This is not a virtual position.

Financial Disclosure Report: Not required

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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.
* All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
* 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 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/12446232. 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:

* Must have 5 years of critical care experience
* Spanish speaking is preferred as a second language

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: Must pass pre-employment examination and designate drug testing position. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued sitting. The incumbent must be knowledgeable for the proper procedure for staff 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 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. Must complete annual Employee Health requirements as a condition of employment.

Education

Education: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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* Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.



How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Keywords: Department of Veterans Affairs, Gainesville , Registered Nurse (Tele-Critical Care) - ICU - Intensive Care Unit, Healthcare , Gainesville, Florida

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