Registered Nurse - Emergency Department

Veterans Health Administration • Richmond, VA

1d • Onsite

About The Position

The Richmond VA Medical Center is seeking a Registered Nurse (RN) to join the Emergency Department/Critical Care Operations Service. The RN provides competent, evidence-based nursing care to assigned patients and is accountable for all elements of the nursing process when providing or supervising direct patient care. The role includes coordinating care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Emergency Department nursing care ranges from basic nursing care to stabilization, resuscitation, and life-support measures for patients with acute or chronic medical, surgical, and psychiatric conditions. The RN practices independently and collaboratively, serving as a direct care provider, educator, administrator, researcher, consultant, leader, and advocate. The nurse delegates and supervises basic nursing care performed by licensed practical nurses and unlicensed assistive personnel, and helps direct nursing education, orientation, competencies, quality improvement, and outcomes utilization.

The position works an evening rotating schedule, with shifts listed as 11:30 a.m. to midnight and 3:30 p.m. to midnight. Telework is not available, and this is not a virtual position. The role requires face-to-face patient care and use of information technology, including electronic medical records. The work environment can range from steady to fast-paced, with multiple priorities, frequent customer interactions, occasional noise, and changing conditions.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or qualifying nursing education under the stated bridge-program or foreign-education provisions.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. State, Territory, or Commonwealth, or the District of Columbia; an entry-level Graduate Nurse Technician exception may apply.
• Meet the education, experience, and dimension criteria for the grade and level assigned, as detailed in the posting.
• U.S. citizenship, except that non-citizens may be appointed only when qualified citizens cannot be recruited in accordance with VA policy.
• Selected applicants in testing-designated positions must undergo urinalysis for illegal drug use; refusing testing results in denial of employment.
• Male applicants born after December 31, 1959, must meet Selective Service registration requirements.
• Subject to background and security investigation.
• Complete the online onboarding process and provide acceptable identification for pre-employment requirements.
• Pass a pre-employment physical evaluation.
• Participate in the seasonal influenza vaccination program and comply with VHA-mandated vaccinations and employee health requirements.
• May be required to serve a probationary period.
• Complete all application requirements described in the announcement's Required Documents section.
• Meet the physical and mental/sensory demands of direct patient care, including lifting, prolonged standing or sitting, bending, stooping, walking, reaching, repetitive motion, stair climbing, logical thinking, information processing, complex problem solving, communication, writing, keyboarding, telephone use, and electronic-record documentation.

Nice To Haves

• One year of Emergency Department or critical care experience.

Responsibilities

• Provide urgent and emergent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions.
• Provide competent, evidence-based care to assigned patients and perform all elements of the nursing process.
• Delegate and supervise basic nursing care performed by licensed practical nurses and unlicensed assistive personnel.
• Assist in directing nursing education, orientation, competencies, quality improvement, and outcomes utilization.
• Evaluate nursing practice on an ongoing basis using the best available evidence and provide peers with constructive feedback.
• Contribute the nursing perspective to interdisciplinary team discussions and collaborate to influence care outcomes.
• Support colleagues through knowledge sharing and share educational findings, experiences, and ideas with peers.
• Question clinical practices and participate in strategies that sustain an evidence-based practice culture.
• Foster a safe and supportive environment for the professional development of healthcare professionals.
• Coordinate care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Administer medications and perform procedures in accordance with established policies and guidelines.
• Assess patients by collecting pertinent information and triaging them using the five-level triage system to prioritize urgency.
• Use assessment data to determine diagnoses, problems, and other concerns.
• Identify expected outcomes and develop collaborative, individualized plans of care.
• Implement care plans, including care coordination, health teaching, and health promotion.
• Evaluate progress toward expected goals and outcomes and adjust care plans as needed.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, consisting of 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401(k), with VA contributions of up to 5%.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs may be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree