This Registered Nurse - Cardiac Catheterization Laboratory (CCL) position is located at the Richmond Veterans Affairs Medical Center in Richmond, Virginia. Please learn more about the position below, along with the duties.
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/12836152. 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: Cath Lab experience preferred. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending while wearing protective lead. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional and Mental Stability: The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be able to wear lead and be in standing positions for extended periods of time.
The Cardiac Catheterization Lab RN will provide comprehensive nursing care to include circulating, scrubbing, monitoring, and assist in operating equipment that may be used during the cardiac catheterization. The RN will assist in cardiac interventional procedures to include; Percutaneous Coronary Interventions (PCI), Coronary Angioplasty, Peripheral interventions, Cardiac Pressure Readings (Right Heart Cath), Pericardiocentesis, Intra-aortic Balloon pump insertion, Impella Placement, Temporary Pacemaker Placement, Coronary Flow measurements, Rotapro Rotational Atherectomy system, Diamondback Orbital Atherectomy, Shockwave Intravascular Lithotripsy system, Laser Atherectomy system, Patent Foramen Oval (PFO) Septal Defect closures, and Endomycardial Biopsies. Cath Lab RN will demonstrate 100% compliance with patient safety standards, including two patient identifiers and following the "Invasive Procedure Time-out Checklist". The RN monitors patients during catheterization procedure and demonstrates expertise in reading ECGs, identifying arrythmias, hemodynamic monitoring, patient positioning, starting and titrating vasoactive IV drugs. The Cath Lab RN is responsible for administering moderate sedation, ongoing assessment, and documentation. The Cath Lab RN maintains communication with the Cardiologist, consistently providing updates regarding the patient's condition and medication needs during the procedure. The Cardiac Cath RN is responsible for gathering needed supplies for specific procedures, check the function of the supplies, and ensure proper dates of supplies and medications are adhere to. The Cath Lab RN is responsible for setting up the procedure table using sterile technique and assisting the Cardiologist. Duties include, but are not limited to: -Responsible for 100% compliance with patient safety standards including two patient identifiers and adherence to the "Invasive Procedure Time-out Checklist" -Collaborate with Physicians of Cardiology Service as well as all consulting services and support services -Responsible for timely communication of care between the Echocardiology patients and physicians as well as device interrogations throughout the facility. -Administration & Monitoring of Medications -Cardiac/Telemetry Monitoring is part of this position -Advanced Vascular Access Care and Maintenance -(BLS/ACLS) certification is required for this position -Facilitation of Homecare referrals and recommendations to support ongoing veteran needs -Demonstrates professional communication and conduct -Recognizes and supports Suicide Prevention initiatives -Work collaboratively with all levels of health care professional and support staff to facilitate positive patient care outcomes. -Compliance with various Isolation Precautions and Infection Control Guidelines -Skills in time management, priority setting, assessment and urgent intervention are essential for this unit -Maintains prevention & management of disruptive behavior skills, can be trained upon hire -Patient and caregiver education and support -Participation in High Reliability Organization (HRO) & professional governance initiatives -Promotes evidence-based best practices and nurse sensitive indicators (including but not limited to Falls Prevention, Hospital Associated Infection Prevention, Medication error prevention, Safe Patient Handling, and Skin Safety) -Document procedure activities, medication administration, and patient assessment, adhering to VAMC and Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) guidelines. 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: Four 10-hour shifts per week with a rotating weekday off per week. Call is required approximately 1 week per month including rotating holiday and weekend call. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required VA offers a comprehensive total rewards package: VA Nurse Total Rewards