Provides nursing care to adult and geriatric patients with intensive medical-surgical and cardiology needs in the SICU. Coordinates with an interdisciplinary team to ensure safe, high-quality care. Duties include planning, directing, and evaluating care, maintaining a therapeutic environment, and supporting team members. Reports to the Nurse Manager. Performs additional duties as assigned.
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. Preferred Experience: Graduate with BSN CCRN certification by the American Association of Critical Care Nurses (AACN) CRRT IABP LVAD Hemodynamic monitoring EKOS fibro-lytic therapy 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/12779397. 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/. Physical Requirements: Moderate lifting, 15-44 pounds Light lifting, 15 pounds Moderate carrying, 15-44 pounds Light carrying, under 15 pounds Straight pulling, 1 hour Pushing, 1-3 hours Reaching above shoulder Use of fingers Both hands required Walking, 4 hours Standing 2-7 hours Kneeling, 2 hours Repeated bending, 2 hours Climbing, use of legs and arms Both legs required Ability for rapid mental and muscular coordination simultaneously Near vision correctable at 13" to 16" to Jaeger 1 to 4 Specific visual requirement, 20/40 DVA; corrected Both eyes required Ability to distinguish basic colors Hearing (aid may be permitted) Sitting, 8 hours Simple grasping, 2-4 hours Fine manipulation (including keyboarding), 4-6 hours Twisting, 2 hours Mental and emotional stability
Advance your nursing career at Audie L. Murphy VA Hospital in San Antonio "Military City, USA" where you'll care for our nation's heroes in a supportive, mission-driven environment. Be part of a top-tier healthcare team in a city known for its strong military presence, affordable living, and vibrant culture. With career growth, great weather, and over 35 million annual visitors, San Antonio offers the perfect blend of purpose and lifestyle for dedicated RNs. The Audie L. Murphy Memorial Hospital/ VA Medical Center is actively recruiting Registered Nurses for the Surgical-Cardiology Intensive Care Unit. As a responsible member of the SICU team the incumbent interacts with Veterans, family members, and an interdisciplinary team of professionals. He/she is responsible for planning, administering, and directing nursing care to adult and geriatric patients with intensive medical-surgical and/or cardiology needs. He/she must be poised and articulate in communicating with people of varied educational levels and varied backgrounds. The incumbent is responsible to ensure that the highest possible quality of care is achieved and that a safe therapeutic environment is provided. He/she is administratively responsible to the Nurse Manager and responsible for other team members, i.e. RN, NA. Performs other related duties as required by Nurse Manager. Work Schedule: 24-hour operation; Odd tours to include weekends, nights and holidays. Tour of duty is subject to change based on agency needs. Major Duties: Provide nursing care to adult and geriatric patients with intensive medical-surgical and cardiology needs Monitor and assess patient conditions and respond appropriately Administer medications and treatments per protocol Plan, administer, and direct patient care Respond to emergency situations and initiate appropriate interventions Communicate with Veterans and family members regarding care plans and progress Maintain a safe, therapeutic, and clean environment Collaborate with interdisciplinary team members to coordinate care Educate patients and families on treatment plans and post-discharge care Support, guide, and supervise RNs and NAs Document patient care accurately and timely Participate in patient care planning and interdisciplinary meetings Ensure compliance with hospital policies and procedures Participate in quality improvement and patient safety initiatives Demonstrate professional behavior and effective communication with diverse populations Maintain competency and complete required training Perform other duties as assigned by the Nurse Manager 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 Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized