Registered Nurse-Float Pool

Veterans Health Administration•Seattle, WA

About The Position

VA Puget Sound is seeking a dedicated and adaptable Float Pool Registered Nurse (RN). The RN provides high-quality, patient-centered care while covering day-to-day staffing shortages. The position may provide coverage on acute care units, telemetry monitoring, and the COVID unit when it is operating, including charge nurse duties when assigned. The nurse is accountable for individual nursing practice and appropriate delegation, maintains required competencies, and completes mandatory training. The role includes patient assessment, care planning and evaluation; patient and family education; implementation of provider orders and nursing interventions; medication administration; complex wound care; blood product and IV therapy administration; telemetry monitoring; and use of the electronic health record. The schedule is Monday through Friday, 7:00 p.m. to 8:00 a.m., consisting of 6–12-hour shifts and one 8-hour shift. Compressed/flexible scheduling is authorized. Telework and virtual work are not available.

Requirements

  • Proficiency in basic written and spoken English.
  • Graduation from an appropriately accredited school of professional nursing, or qualifying nursing education under the stated VA education provisions.
  • Current, full, active, and unrestricted registered nurse licensure in a U.S. State, Territory, or Commonwealth, or the District of Columbia; a temporary Graduate Nurse Technician exception may apply to eligible candidates pursuing licensure.
  • Education and experience must meet the applicable VA Nurse grade and level criteria; requirements vary by grade and may include an ADN or nursing diploma, BSN, MSN, or doctoral degree and specified professional or specialized nursing experience.
  • Must meet the required nursing practice, patient-driven care, leadership, professional development, and evidence-based practice/research dimensions for the applicable grade and level.
  • U.S. citizenship is required, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
  • Must undergo required drug screening, background/security investigation, onboarding, and pre-employment physical evaluation; refusal of required drug testing results in denial of employment.
  • Must participate in the seasonal influenza vaccination program.
  • Males born after December 31, 1959, must meet Selective Service registration requirements.
  • Must complete all application requirements in the announcement’s Required Documents section.

Nice To Haves

  • Three to five years of prior acute care medical/surgical experience.

Responsibilities

  • Provide patient-centered nursing care while covering day-to-day staffing shortages.
  • Remain accountable for individual nursing practice and determine appropriate delegation of tasks.
  • Maintain competencies and complete mandatory training, in-services, staff meetings, email duties, and other required job duties.
  • Safely use patient care equipment and correctly perform nursing procedures.
  • Recognize abnormal signs, symptoms, or changes in patients’ conditions and respond appropriately.
  • Implement provider orders and nursing interventions in a timely and complete manner.
  • Formulate, update, evaluate, and revise plans of care using nursing assessments and the nursing process, consistent with ANA Standards of Nursing.
  • Complete initial assessments and follow up on patients’ conditions and responses to treatment.
  • Include patients and their families or significant others in developing care plans and goals.
  • Assess patient learning needs, preferences, and readiness; provide health teaching and discharge planning to patients and families.
  • Evaluate and document patient responses to interventions and progress toward expected outcomes.
  • Use the Electronic Health Record (EHR) according to policy.
  • Work with nursing assistants and licensed practical nurses, delegate tasks, and follow up on them.
  • Administer medications using BCMA and follow fall-prevention and one-to-one/close-observation protocols.
  • Provide complex wound care and administer ordered blood products.
  • Administer IV fluids, TPN, lipids, and PCA, and manage multiple IV medications while checking compatibility.
  • Complete cardiac telemetry monitoring training and pass the exam with a score of at least 80% within the first six months on an acute care unit.
  • Monitor telemetry, respond promptly to rhythm changes, and follow remote telemetry procedures and policies.
  • Provide telemetry monitoring coverage when assigned.
  • Serve as the primary staffing resource to the COVID unit when it is operating, including charge nurse coverage when assigned.

Benefits

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