The Emergency Department has 25 rooms with 2 triage rooms, 2 psychiatry "low stim" rooms, 2 negative airflow rooms and 3-4 rooms are run as 'Fast Track"/urgent care rooms. Most frequent presenting problems are chronic illness with acute exacerbation's and acute problems are mainly of cardiac, respiratory, and gastrointestinal origin. The Registered Nurse provides care to Veterans for acute and urgent medical problems and referrals to primary care for Veterans requesting primary care. Psychiatric emergencies are triaged and referred to psychiatric specialty as PES (Psychiatric Emergency Services).Duties include: Consistently performs comprehensive physical, psychological and social assessments. Detects early clinical changes in patient's condition. Effectively prioritizes actual and potential problem/needs. Develops realistic and measurable outcomes for identified patient needs and evaluates patient's progress toward outcomes. Revises the plan of care when appropriate. Is self-directed in providing and managing safe, therapeutic care for groups of patients. Effectively intervenes in critical patient care situations. Demonstrates knowledge and/or required safety skills in area of assignment and, when appropriate, in the following: emergency preparedness plan, hazardous materials, fire plan, equipment failure emergency plans, and utility outage response procedures for this area. Consistently documents and reports patient care that reflects the critical thinking process. Effectively guides all levels of nursing and ancillary staff assigned to the work unit. Work Schedule: : Days (7:30am - 8:00pm), Mid (11:30am - 12:00am), Swing (3:30pm - 4:00am), Nights (7:30pm - 8:00am), ED operates 24 hours a day with multiple shifts. Availability is dependent on department need and to be determined by Nurse Manager. Pay: Competitive salary, regular salary increases. Paid Time Off: Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 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. Incentive(s): PCS/Relocation/Recruitment incentive are not authorized EDRP: Authorized Financial Disclosure Report: Not required This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. 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 complete review of the EDRP application. Learn more
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.