Summary

The Registered Nurse- Intensive Care Unit position is located at the John Cochran Division - VA St. Louis Health Care System - St. Louis - MO. The primary purpose of the Critical Care/Intermediate Care Clinical Nurse is to provide direct care in the intensive care inpatient setting to a variety of patients from admission - transfer in - care - and treatment thru to transfer out or discharge to a different level of care. Critical care nursing deals with human responses to life-threatening problems.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13071976
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: BSN preferred 2 years of ICU Experience preferred Physical Requirements: The population of male and female Veterans served ranges from the adult - age 18 - to the elderly adult - age 65 and over
• VASTLHCS is a major interdisciplinary teaching facility - serving medical - surgical - and neurological inpatients and outpatients
• There is a large outpatient psychiatric population - with visits to the Emergency Department and admissions for medical co-morbidities
• The physical requirements of this position include potentially long periods of continued lifting - climbing - kneeling - walking - standing - twisting - bending/stooping - sitting - simple grasping - fine manipulation - reaching above the shoulder - operating machinery - pulling - and pushing which may be performed intermittently
• Transferring patients and objects may be required
• This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity.

Duties

• Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program
• Applicants selected for an EDRP-eligible position will be notified in their conditional job offer
• The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment
• Program approval - award amount (up to $200 -000) - and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application
• Former EDRP participants are ineligible to apply
• The primary purpose of the Critical Care/Intermediate Care Clinical Nurse is to provide direct care in the intensive care inpatient setting to a variety of patients from admission - transfer in - care - and treatment thru to transfer out or discharge to a different level of care
• Critical care nursing deals with human responses to life-threatening problems
• The human responses are dynamic to the actual or potentially life-threating illness
• Intermediate care is provided to patient who need a level of care between general medical surgical care and critical care
• Transition of level of care occurs in the same location
• Core elements of performance include knowledge and active participation in unit or program level quality improvement process and initiatives as well as customer service programs
• Major Duties include - but are not limited to: Accountable for adhering to established policies - procedures - standards of care and standards of practice
• Responsible and accountable for all elements of the nursing process and supervision direct patient care of others
• Assesses - plans - implements - and evaluates care based on age-specific components
• Assumes responsibility for the coordination of care focused on patient transition through the continuum of care - patient family education - patient self-management after discharge - and supporting factors that impact Veteran and family satisfaction and engagement
• Considers all characteristics of the individual - including age and life stages - state of health - social determinants of health and previous experiences
• Administers medication and procedures according to established to standard work and guidelines
• Influences care outcome by collaborating with members of the interdisciplinary team
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full Time
• Six 12-hour and one 8-hour shift per pay period
• Tours include Days/ Nights / Weekends / Holidays - and are subject to change based on the needs of the health care system
• Telework: Not Available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact VISN15EDRP@va.gov - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not Authorized.