Primary Care Registered Nurse

Aptive•Dayton, OH
•Onsite

About The Position

Aptive Resources is hiring a Registered Nurse to provide primary care nursing services at the Dayton VA Medical Center in Dayton, Ohio. The role is on-site and supports Veterans across the Miami Valley region as part of an interdisciplinary team. Approximately 95% of the work involves direct patient care, including clinic appointments and follow-up on laboratory results, imaging, and procedures. During the workweek, the nurse reports to the VA Nurse Manager or their designee. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., as scheduled by the Primary Care department. It includes two 15-minute breaks and a 30-minute lunch. The VA may adjust schedules to meet patient care needs with 24 hours’ notice. Federal holidays are observed. The nurse provides hands-on care, carries out provider orders, administers medications and IV therapies, documents care in the VA Electronic Health Record, and helps maintain patient safety, privacy, and infection control. The position may also include assigned duties in ICU, ED, or OR settings.

Requirements

  • Graduate of a nursing program accredited by ACEN or CCNE at the time of completion.
  • Current, active Ohio RN license from the Ohio Board of Nursing.
  • Current BLS certification and CPR certification through an American Heart Association vendor.
  • ACLS certification if assigned to a specialty clinic.
  • At least 1 year of direct patient care experience within the last 3 years.
  • Ability to speak, read, write, and understand English fluently.
  • Complete VA credentialing and privileging.
  • Complete a VA background investigation (Tier 1 / Low Risk) and obtain a PIV badge.
  • Provide proof of a negative TB test (TST or IGRA) within the past year, immunity to MMR and varicella, a Tdap dose, an annual flu vaccine, and the Hepatitis B series with titer.
  • Have a National Provider Identifier (NPI).
  • Pass verification that the applicant is not on the HHS-OIG List of Excluded Individuals/Entities.
  • Complete mandatory VA training, including BLS/ACLS, HIPAA/privacy, patient safety, suicide risk management, EHR training, and the signed VA Rules of Behavior.
  • Ability to stand, walk, and move throughout patient care areas for extended periods.
  • Ability to lift, transfer, or reposition patients and equipment up to 50 pounds, with or without assistance.
  • Ability to frequently bend, kneel, reach, and push or pull wheeled equipment.
  • Manual dexterity for medication administration, operation of medical equipment, and patient-care documentation.
  • Ability to respond quickly in emergency situations.

Nice To Haves

  • VA experience.
  • Background in Intensive Care, Med-Surg, Telemetry/Cardiac Monitoring, or Emergency Room nursing.

Responsibilities

  • Obtain patient and family histories, assess patients, and plan appropriate nursing care.
  • Document plans of care and care provided in the VA Electronic Health Record, including E&M coding in CPRS by the end of each encounter.
  • Carry out provider orders, following facility policy on verbal orders.
  • Educate patients and families about medications, therapies, and procedures, and document their understanding.
  • Take part in discharge planning and perform assigned ICU, ED, or OR scrub and circulating duties when assigned.
  • Follow patient safety and infection control standards, and report safety events within 24 hours.
  • Attend required staff meetings, including weekly All Call and Nurse Call meetings and a monthly Admin Meeting.
  • Provide courteous, respectful care that meets VA customer service standards and protects patient privacy.
  • Administer medications and IV therapies, and assess and document patient responses.
  • Interpret cardiac rhythms and operate defibrillators, EKG machines, cardiac monitors, and other emergency equipment.
  • Recognize emergencies and initiate life-saving measures, including when no physician is present; know common emergency drugs and the crash cart.
  • Perform skin assessments and take steps to prevent hospital-acquired pressure ulcers.
  • Care for patients with catheters, prostheses, central lines, and ventilators, following facility policy.
  • Review lab data and medical records, and communicate key patient information.
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