The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. The ICU IVAT Nurse is a professional Registered Nurse (RN) who provides high quality, evidence-based care for adult and geriatric Veteran patients who require the need of a mid to long term vascular access device (VAD).
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. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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/12809543. 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: Pushing; Straight pulling; Pulling hand over hand; Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 6 hours); Standing (up to 6 hours); Kneeling (Intermittent);Repeated bending (up to 6 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 an to 20/40 in the other; Ability to distinguish shades of colors; Hearing (aid permitted); Emotional and Mental Stability.**If 10 hours shifts hours of moving, bending, standing, walking will be 10 hours.
The ICU IVAT Nurse maintains specialized training / certifications in the placement, maintenance and removal of vascular access devices. This care is provided utilizing all aspects of the nursing process within a collaborative interdisciplinary practice setting. The nurse functions at all times as a patient advocate and performs his/her cares and duties with the utmost integrity adhering to policies and procedures and following all protocols, guidelines and standards of practice (SOP). The ICU IVAT Nurse functions as an educational resources and support to hospital personnel as needed in the care and management of patients with vascular access devises. On a daily basis the nurse may be exposed to infected patients, contaminated materials, patients who are combative secondary to delirium, dementia, or psychiatric disorders and appropriate protocols must be followed. The ICU IVAT Nurse is able to function in the critical care setting and is able to provide comprehensive intensive care of critically ill patients who may present with multi-system, co-morbidities, requiring a multitude of therapeutic modalities including continuous cardiac monitoring, dysrhythmia interpretation, invasive hemodynamic management, ventilator support, and pharmacological interventions. -Demonstrates grade-appropriate and consistent critical thinking skills. High level skills in critical thinking and assessment related to vascular access device selection before insertion, maintenance, and trouble shooting. Prescribes the nursing care that is consistent with the medical regimen and clinical status that meets these needs, then effectively administers this care. -Intravascular access device (peripheral, midline, PICC), insertion competency. -Provides continuous cardiac monitoring, with 12 lead ECG and dysrhythmia interpretation as needed. -Manages invasive hemodynamic monitoring, e.g., pulmonary artery, central venous, arterial and SvO2Conducts medication delivery, titration, and pharmacological interventions including intravenous vasoactive and antiarrhythmic drugs, anticoagulants, thrombolytic agents and blood product/fluid resuscitation. -Manages artificial airways and mechanically ventilated patients with competence and safety. -The nurse demonstrates process for consent, time out, and safe insertion of PICC line or difficult peripheral lines. -Accurately documents in the medical record patient/resident/resident findings, assessments, and care provided. -Uses the Computerized Patient/resident Record System (CPRS), pyxis and/or the Bar Coded Medication Administration (BCMA) software if applicable per policy. Document required information in the progress notes and alert appropriate licensed staff of any untoward effects in the patient receiving IV therapy. Preferred Experience: - BSN or MSN preferred - 2-5 years Adult Intensive Care Unit or Critical Care experience preferred - Experienced in PICC placement with ultrasound - Chemo certified (preferred) - Proficient and certified for ultrasound (Peripheral/PICC/MIDLINE insertion) Work Schedule: Days will be determined based on the needs of the facility. Telework: Not Available Virtual: This is not a virtual position.