The Registered Nurse working in the Surgical Intensive Care Unit (SICU) at the Durham VA Health Care System will care for Veterans during a very complex facility visit. The Surgical Intensive Care Unit received a Beacon Award for the Excellent Level of Care given at this Level 1A VA Medical Center. Registered Nurses will provide patient and family centered care in collaboration with an interdisciplinary team of clinicians. The primary reasons for admission include but are not limited to Chronic Obstructive Pulmonary Disease, Cardiac/Respiratory/ and Renal Failure, Diabetic Ketoacidosis, Gastrointestinal Bleeding, Acute Coronary Syndrome, Congestive Heart Failure, Cardiogenic Shock, Post Invasive Cardiac Procedures, Open Heart Surgery (CABG or Valve Replacements), Craniotomy, Aortic/femoral bypass grafting, Radical Prostatectomy, Thoracotomy, Abdominal, ENT or Orthopedic Surgery. Specialty Care and services are available through consultation and are utilized as needed to ensure continuity and progression of care. Discharge planning and patient/family education is initiated on admission and continues throughout hospitalization. Therapies include hemodynamic monitoring, cardiac pacing, cardio version, peritoneal, or hemodialysis, mechanical ventilation, pacemaker implants and defibrillators, intra-aortic balloon pumping, vasoactive, antiarrhythmic, epidural and analgesic sedation and paralytic drug administration. The units are staffed with a nurse patient ratio of 1:1 to 1:3 depending upon patient acuity levels/needs. Physician coverage is provided by staff physicians and surgical residents physicians from Duke University School of Medicine. Applicant shift preference and unit shift needs may be discussed at the interview. Responsibilities include but are not limited to: Safe and effective nursing practice in emergencies focused on the age, physiologic, psychological and cognitive status of the patient; Protection and respect of patients' rights and confidentiality Assessment/data collection and documentation in an ongoing and systematic manner; Participation in development of unit goals, standards, protocols, and flexible scheduling patterns; Self-directed learning and continuing education for own development; Promoting an environment that supports caring and courteous service, safe patient care, and positive working relationships. Work Schedule: Part-time (24 hours bi-weekly). Financial Disclosure Report: Not required. Compressed/Flexible: 12 hour day night rotation. Scheduled to changes based on the needs of the agency. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Financial Disclosure Report: Not required.
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.