Registered Nurse – Medical-Surgical (Med-Surg)

Customer Value Partners•Cleveland, OH

22h•Onsite

About The Position

CVP seeks Registered Nurses to join our team in providing our Nation's Veterans with high-quality acute inpatient care at the Louis Stokes Cleveland VA Medical Center (LSCVAMC) in Cleveland, OH. Med-Surg RNs will deliver direct nursing care across a range of acute care and telemetry units, including oncology, general medical-surgical, post-operative surgical recovery, rehabilitation and neurological care, and progressive/step-down care. This is a high-volume, fast-paced environment requiring strong clinical assessment skills, the ability to manage complex patient populations, and comfort with continuous telemetry monitoring. Shifts are primarily 12 hours, with some 8-hour and 10-hour shifts available. Day, evening, night, weekend, and holiday availability is required.

Requirements

Must be eligible to obtain a Public Trust government security clearance; U.S. Citizenship is required.
Graduate of a school of professional nursing approved by the appropriate State agency and accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
Current, full, active, and unrestricted Registered Nurse license from the Ohio Board of Nursing or a current multi-state license from a Nurse Licensure Compact (NLC) state.
Minimum of two (2) years of direct patient care experience within the last three (3) years; experience in medical-surgical, telemetry, or acute care nursing is strongly preferred.
Current Basic Life Support (BLS) certification from the American Heart Association or equivalent accredited certifying body.
Current CPR certification from an American Heart Association vendor.
Ability to speak, read, write, and understand English fluently.

Nice To Haves

VA experience is preferred.
Specialty certification in medical-surgical nursing (CMSRN), oncology nursing (OCN), or telemetry/cardiac nursing (RN-BC) is preferred.
Chemotherapy administration certification (ONS Chemotherapy and Biotherapy Provider Card) is preferred for candidates interested in the 4A Oncology unit assignment.
Proficiency in Electronic Health Record (EHR) documentation; experience with VA VISTA/CPRS systems is a plus.

Responsibilities

Perform head-to-toe patient assessments, establish nursing priorities, and develop and implement individualized care plans in collaboration with interdisciplinary team members.
Administer medications including IV therapy, manage Heparin drips and coagulation bridging, and administer blood products in accordance with facility policy.
Monitor and interpret telemetry and cardiac rhythms, responding appropriately to arrhythmias and other cardiac changes.
Manage and maintain central and peripheral lines, including PICC lines, chest tubes, drainage tubes, nephrostomy tubes, pleurx catheters, and Foley catheters.
Administer biotherapy and chemotherapy to oncology patients in accordance with established protocols and Oncology-specific competencies (4A Oncology unit).
Provide post-operative care to patients recovering from thoracic, vascular, general surgery, GI, urology, ophthalmology, orthopedic, and ENT procedures (5A Med-Surg unit).
Deliver specialized care for patients with neurological conditions including stroke, traumatic brain injury, and other neurological disorders, supporting rehabilitation and recovery goals (5B Rehab-Neurological unit).
Provide step-down-level monitoring and care for patients in the Progressive Care Unit (PCU), including oral and IV antiarrhythmic drug loading under continuous cardiac monitoring.
Perform wound care including sterile and non-sterile dressing changes, surgical site care, wound VAC management, ostomy care, and skin assessments to prevent Hospital Acquired Pressure Ulcers (HAPU).
Conduct and document Fall Risk Assessments and Braden Scale assessments, implementing appropriate preventive interventions.
Coordinate and participate in admissions, discharges, and internal and external patient transfers.
Assess and address psychiatric and behavioral concerns in patients with co-occurring medical and mental health needs, including patients on 1:1 sitter/therapeutic assistant status for suicidal or homicidal ideation.
Manage patients experiencing drug and alcohol withdrawal, providing appropriate monitoring and intervention.
Communicate pertinent patient data to charge nurse and/or physician as appropriate and document all care accurately in the EHR prior to end of shift.
Delegate appropriately to Licensed Practical Nurses, Nursing Assistants, Health Technicians, and Intermediate Care Technicians.
Use Bar Code Medication Administration (BCMA) with 100% accuracy in applicable areas.
Float among units within the Med-Surg service area as directed by the VA Nurse Manager or designee based on operational needs.
Participate in continuous quality improvement activities, Unit Practice Council (UPC) meetings, Nursing Quality Council, Professional Practice Council, unit staff meetings, safety huddles, and bedside reporting as required.
Report all patient safety incidents to the COR within 24 hours in accordance with VA patient safety policy.
Maintain compliance with all VA, Joint Commission, and facility-specific policies, procedures, and standards of conduct.