This night-shift post on the cardiac ward pairs patient care with mentoring new nurses. Join the Sioux Falls VA Health Care System as an Intensive Care Unit Registered Nurse and provide expert, compassionate care to Veterans facing critical illness, acute injury, complex conditions, and surgical recovery. You will manage advanced treatments and life-support technology, respond to emergencies, educate families, and collaborate across disciplines to improve outcomes and ensure seamless transitions of care.
Responsibilities
Deliver comprehensive nursing care to critically ill Veterans experiencing acute injuries, complex illnesses, chronic condition exacerbations, or surgical recovery
Assess rapidly changing patient conditions and initiate appropriate intensive care protocols based on clinical findings, symptoms, and treatment needs
Manage advanced critical care interventions, including mechanical ventilation, airway support, cardiac monitoring, hemodynamic monitoring, acute pain management, and wound care
Identify cardiac arrhythmias and initiate timely interventions consistent with Advanced Cardiovascular Life Support standards
Administer medications and complex treatments while monitoring therapeutic response and promptly addressing adverse reactions or changes in condition
Operate and manage specialized clinical equipment, including intravenous pumps, feeding pumps, chest tubes, patient lifts, and remote intensive care technologies
Lead and respond to facility-wide emergencies, including rapid response events, cardiac arrests, and suspected strokes
Coordinate interdisciplinary care, patient transfers, discharge planning, family education, and continuity of care with internal teams and outside facilities
Requirements
English Language Proficiency
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
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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
Nurse I - Level I: An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required
Nurse I - Level II: 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: 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: 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: 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
Physical Requirements: You may be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position
Questions about physical demands or environmental factors may be addressed at the time of examination/evaluation.
Nice to have:
Prior critical care experience
CCRN preferred
Benefits
This position is eligible for the Education Debt Reduction Program (EDRP)
Comprehensive total rewards package
Regular salary increases
Potential for performance awards
50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Traditional federal pension (5 years vesting)
Federal 401K with up to 5% in contributions by VA
Federal health/vision/dental/term life/long-term care insurance (many federal insurance programs can be carried into retirement)
1 full and unrestricted license from any US State or territory
Important Details
Schedule: Day Shift: Six (6) shifts, followed by one (1) shift from either 7:15 a.m. to 3:45 p.m. or 11:15 a.m. to 7:45 p.m. every six weeks; Night Shift: Six (6) shifts, followed by one (1) shift from either 7:15 p.m. to 7:15 a.m. or 11:15pm - 7:15am every two weeks
Weekends and rotating holidays
Compressed/Flexible: Available
Telework: Not Available
Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive
Permanent Change of Station (PCS): Not Authorized
About the Company
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.