Registered Nurse (RN)

Vighter Management Group•Sheridan, WY

3d•Onsite

About The Position

Vighter is recruiting inpatient and outpatient Registered Nurses to provide on-site direct and indirect nursing care to Veterans at the Sheridan VA Health Care System in Sheridan, Wyoming. Assigned areas may include medical/telemetry nursing, inpatient mental health, and the Community Living Center. The role provides patient-centered care in a 24/7 facility and involves collaboration with patients, families, providers, and the interdisciplinary care team. The position requires clinical judgment and independent nursing decision-making, effective prioritization and organization, adaptability, and a commitment to quality and continuous improvement. Nurses must provide respectful care consistent with VA standards, patient rights, Joint Commission requirements, and applicable privacy, infection-prevention, and patient-safety rules. Scheduled shifts are primarily 12 hours, though some units offer 8-hour shifts; shifts may occur during days, evenings, nights, weekends, and holidays. Travel may be required to meet contractual obligations, and official travel is government funded.

Requirements

Graduate of a professional nursing program approved by the appropriate state accrediting agency and accredited by ACEN or CCNE when the program was completed.
Current RN license in at least one U.S. state, territory, commonwealth, or the District of Columbia.
Minimum one year of direct patient care experience within the last three years.
Current CPR certification through an American Health Association vendor.
Current Basic Life Support (BLS) certification.
Current Advanced Cardiac Life Support (ACLS) certification if assigned to a specialty clinic.
Maintain applicable licensure, certifications, annual/unit-based training, continuing education, and required occupational health/immunization documentation, including tuberculosis screening.
Fluent spoken and written English, including the ability to speak, understand, read, and write English fluently.
Exceptional customer service skills and the ability to communicate effectively with patients, families, providers, and the care team.
Technical proficiency in skills necessary to fulfill the job requirements, including use of electronic health records.
Competence in inpatient assessment, medication administration, IV therapy, emergency response, patient education, infection control, and safe clinical documentation.
Demonstrated clinical judgment, independent nursing decision-making, prioritization, adaptability, organization, and interdisciplinary coordination.
Ability to work in a fast-paced, changing environment with limited supervision.
Excellent organizational, scheduling, and prioritization skills.
Knowledge of HIPAA and Privacy Act requirements concerning confidentiality of patient medical records, information, and Personally Identifiable Information (PII).
Ability to pass a criminal background investigation and undergo urine drug screening.
Must be a U.S. citizen or legally authorized to work in the United States.
Must be able to stand or sit for more than eight hours per day, use an elevator or walk up and down stairs, lift up to 40 pounds and carry it up to 10 feet, routinely grasp or handle objects, use finger dexterity, bend elbows and knees, and reach above and below the shoulders.
Must be able to read and interpret handwritten and typewritten print, communicate by voice, and detect sound by ear.
Must be able to perform duties in an indoor office or outdoor environment.

Nice To Haves

Prior VA experience is desirable.

Responsibilities

Provide direct and indirect inpatient nursing care, assess patient and family history, identify nursing priorities, develop individualized plans of care, reassess changes in patient condition, and evaluate outcomes.
Perform critical care nursing for Intensive Care Unit patients.
Administer prescribed medications and intravenous therapies; assess and document patient responses, review laboratory findings, and verify and carry out authorized provider orders in accordance with facility policy.
Monitor patient status, interpret cardiac rhythms as applicable, operate cardiac monitoring and emergency equipment, and initiate appropriate emergency and life-saving measures.
Conduct skin and pressure-injury prevention assessments, monitor intake and output, and care for patients with catheters and prostheses as clinically indicated.
Coordinate admissions, transfers, discharges, patient transport, patient and family education, and interdisciplinary care; delegate appropriate tasks to assistive personnel.
Support medical/telemetry nursing, inpatient mental health recovery-based therapeutic programming, or Community Living Center daily care according to unit assignment.
Document assessments, treatments, care plans, medication administration, and patient outcomes accurately in the VA electronic health record before the end of each shift.
Protect patient privacy and confidentiality, comply with infection-prevention and patient-safety standards, and promptly report safety incidents and patient complaints according to VA requirements.
Attend required unit staff and quality-improvement meetings and complete assigned VA, unit-based, and contractor training.
Maintain applicable licensure, certifications, annual and unit-based training, continuing education, and required occupational health and immunization documentation, including tuberculosis screening.
Perform other duties that may be assigned from time to time.