Registered Nurse Telemetry Unit A3N

6 days left

Location
Detroit, MI
Salary
Competitive
Posted
Jan 27, 2018
Closes
Feb 27, 2018
Specialty
Telemetry
Contract Type
Permanent
Hours
Full Time

The incumbent practices as a registered nurse in the Telemetry Unit, Nursing Section of Patient Care Services within the Detroit VAMC. The Telemetry Unit is a specialty care unit that's scope of care include the continuous observation of the heart's electrical activity. Their primary diagnoses include post cardiac cath procedure, pacemaker, CHF, as well as cardiac disease and other medical illnesses requiring continuous cardiac monitoring. The age of the patient population ranges from adult to geriatrics. The RN is the primary nurse for a defined group of patients for a specified tour of duty. The nurse demonstrates knowledge and competency in advanced cardiac nursing skills such as hemodynamic monitoring, early recognition of cardiac lethal dysrhythmias and effective treatment of life threatening cardiac complications. The nurse follows approved Telemetry Unit protocols and works collaboratively with all members of the interdisciplinary Telemetry team. Based upon education and experience, the nurse may be assigned responsibility as preceptor or charge nurse. Must be comfortable covering Step-down patients if the need arises. The RN must assess and monitor the patient closely in order to identify subtle changes in a patient's condition that warrant immediate intervention. Patients admitted tend to be medically stable, requiring constant cardiac monitoring and continual adjustment of treatments, such as the dosing of multiple intravenous medications. The RN must be able to interpret, integrate and respond to a wide array of clinical information.

Responsible but not limited to the following major responsibilities:

*Chest tube procedures/care

*Moderate Sedation

*Central/PICC Line care and dressing changes

*Titration of selected vasoactive drugs such as nitroglycerin

*Cardioversion

*TEE procedure

*Stroke protocol

*Epidural catheter insertion, management and removal

*Assess, monitor and manage patients requiring renal therapeutic intervention; e.g. hemodialysis, stents and urostomies

*Recognition of signs and symptoms of cardiopulmonary emergencies

*Initiating standard interventions to stabilize a patient awaiting transfer to ICU.SDU

*Cardiac catheterization

*Manage patients with complex wounds with fistulas, drains, and vacuum-assisted closure devices

*TPN

*RME

*Blood Transfusions

*Pacemaker Permanent/Transvenous

*Administering medications for procedural sedation and monitoring a patient during the procedure

*Charge Nurse duties

Work Schedule: Midnights M-F 7pm - 7am with rotating weekends and Holidays

Basic Requirements:
  • 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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.
  • 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.
Preferred Experience: Experience in the Duties of position

Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
  • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
  • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: Heavy Lifting, 45 pounds and over, Heavy carrying, 45 pounds and over, Straight pulling (4 hours), Pushing (4 hours), Reaching above shoulder, Both hands required, Walking (8-12 hours), Standing (8-12 hours), Repeated bending (8 hours), Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Ability to distinguish shades of colors, Hearing (aid permitted), Transferring patients & objects may be required, Don protective clothing in isolation situation or operative/ invasive procedures, May occasionally be exposed to patients who are combative secondary to delirium.

Selected applicants will be required to complete an online onboarding process.

To apply for this position, you must provide a complete Application Package which includes:

  • Copy of current NP Certification, Copy of Current NP License, Copy of MSN transcripts, 10-2850A completed
  • Resume
  • Transcript
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
  • Cover Letter
  • DD-214
  • Copy of current NP Certification, Copy of Current NP License, Copy of MSN transcripts, 10-2850A completed
  • Resume
  • SF-50
  • Transcript

More searches like this