Primary Care Registered Nurse

Aptive•Dayton, OH
•Onsite

About The Position

Aptive Resources is hiring Registered Nurses to provide primary care at the Dayton VA Medical Center in Dayton, Ohio. The role involves hands-on nursing care for Veterans as part of an interdisciplinary team, with approximately 95% of working time devoted to direct patient care. Duties include supporting clinic appointments and following up on laboratory results, imaging, and procedures. During the workweek, the nurse reports to the VA Nurse Manager or their designee. The position is onsite at the Dayton VA Medical Center. The scheduled hours are Monday through Friday, 8:00 a.m. to 4:30 p.m., as scheduled by the Primary Care department. The schedule 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. Arrow ARC supports Veterans Health Administration facilities and offices throughout the United States with healthcare staffing and program support through the 10-year Integrated Critical Staffing Program. It provides staffing solutions for critical shortages caused by turnover, recruitment issues, seasonal needs, surges, or emergencies. Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, and provides management consulting services to federal agencies including the Department of Veterans Affairs and Office of Personnel Management.

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 requirements under VHA Directives 1100.20 and 1100.21.
  • 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.
  • Obtain a National Provider Identifier (NPI).
  • Verify 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, and EHR training, and sign the 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 administering medication, operating medical equipment, and documenting patient care.
  • 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 (EHR), including E&M coding in CPRS by the end of each encounter.
  • Carry out provider orders and follow facility policy on verbal orders.
  • 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 laboratory data and medical records, and communicate key patient information to the charge nurse or physician.
  • Educate patients and families about medications, therapies, and procedures, and document their understanding.
  • Participate 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.
  • Support clinic appointments and follow up on laboratory results, imaging, and procedures.
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