The Progressive Care Unit (PCU) and Medical Intensive Care Unit (MICU) Nurse provides critical care for patient populations that include, but are not limited to: cardiovascular disease, pulmonary, renal, endocrine, and/or GI conditions in an 8 bed PCU. The Registered Nurse is accountable for providing competent care to assigned patients using the nursing process and demonstrates ability to direct others who provide care. Under the supervision of the Critical Care Nurse Manager, the incumbent delivers patient care to critically ill patients. Provides the highest quality of nursing care possible, in accordance with policies, procedures, and standards of care established for the PCU/MICU. Based on education, experience and competency, the RN may be assigned responsibilities as preceptor, or charge nurse. Collaborates with an interdisciplinary team to continuously improve productivity and efficiency. Provides continuous observation and assessment of critically ill patients using physical examination, verbal and written communication from patients, family and other healthcare team members as well as critical care monitoring devices. The Registered Nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider. The nurse's primary commitment is to the patient, whether an individual, family, group, or community. The Registered Nurse demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. S/he demonstrates proficiency in decision-making and using the nursing process for complex situations that affects performance outcomes at the point of care. The incumbent utilizes nursing skills and knowledge in an independent manner in areas of patient assessment and planning. The incumbent collaborates with the interdisciplinary health care team, community agencies/facilities, and patient/families/significant others to ensure continuity of care across all levels of care as well as ensuring timely placement of VA patients into the appropriate level of care. Practice is enhanced through development of collegial relationships. S/he demonstrates collaboration by using the group process to solve problems. The focus is on leadership in strategically planning long-term goals for the microsystem (unit, team, or workgroup) that impacts operations or resources. Duties include, but are not limited to: Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving others in improving care. Supports and enhances patient self-determination. Serves as a resource for patients and staff in addressing ethical issues. Identifies and assesses resource utilization and safety issues, taking appropriate action. Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance. Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance. Uses group process to identify, analyze, and resolve care problems. Educates colleagues and/or students and serves as a preceptor or mentor. Initiates/participates in quality improvement activities that result in approved outcomes. Uses body of research to validate and/or change work group practice Work Schedule: 7:30a-8pm; 7:30a-4pm/11:30a-8pm/3:30p-2400 (to complete the 80 hours) Financial Discloser 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.