Registered Nurse - ICU/Stepdown
Company: Department of Veterans Affairs
Posted on: August 5, 2022
The Intensive Care/Stepdown (ICU/SD) nurse is a registered nurse
(RN) who executes position responsibilities that demonstrate
leadership, experience, and creative approaches to management of
complex patient care. ICU/SD Unit is a monitored unit that provides
patient centered, quality, and efficient care to critically ill
Learn more about this agency
* Accepting applications
* Open & closing dates
10/14/2021 to 09/30/2022
$75,711 - $135,000 per year
* Pay scale & grade
5 vacancies in the following location:
* Fresno, CA
* Remote job
* Telework eligible
* Travel Required
* Relocation expenses reimbursed
* Appointment type
* Work schedule
* Promotion potential
* Job family (Series)
* Supervisory status
* Security clearance
* Drug test
* Position sensitivity and risk
Non-sensitive (NS)/Low Risk
* Trust determination process
* Announcement number
* Control number
This job is open to
* The public
U.S. Citizens, Nationals or those who owe allegiance to the
Clarification from the agency
AMENDED: This is an OPEN CONTINOUS ANNOUNCMENT and will remain open
until September 30, 2022. The initial cut-off date for referral of
eligible applications will be October 22, 2021. with subsequent
cut-off dates on the 1st of each month or as needed. Eligible
applications received after that date will be accepted on an
ongoing basis and qualified candidates will be considered as
vacancies become available.
* Applicant Expiration: Applicants will remain active for 6 months
after their initial application is received and/or updated. After
that time, you must update your application through your USAJobs
account if you would like to be made active again for possible
consideration during the open period.*
ICU/SD RN provides care to a patient population which includes but
is not limited to: cardiovascular disease, pulmonary disease,
diabetes, substance abuse, psychiatric disorders, orthopedic, GI,
vascular diseases, vascular surgery and minor trauma. The ICU/SD RN
is accountable as a primary nurse for a defined group of patients
for the entire episode of care. ICU/SD RN demonstrates leadership
in delivering and improving holistic care through collaborative
strategies with others. The unit/area specific scope of practice
includes the following but not limited to:
* Area of Practice (Intensive Care/Stepdown Care)
* Veteran Population (Adult and Elderly)
* Unit/Position Specific Competencies
Major duties and responsibilities include, but are not limited
* Provides a full range of nursing care to patients with complex
care needs utilizing the nursing process based on the American
Nurses Association (ANA) Standards of Nursing Practice.
* Treats all patients and families with dignity and respect.
Listens to and honors patient and family perspectives and choices.
Patient and family knowledge, values, beliefs, and cultural
backgrounds are incorporated into the planning and delivery of care
in a non-judgmental, non-discriminatory manner (Patient and Family
* Demonstrates leadership in patient advocacy, in protecting the
health, safety, and rights of patients.
* Maintains professional boundaries with patients, families, and
employees. Behavior as a role model is transparent and above
* Accurately documents in the medical record patient findings,
assessments, and care provided.
* Initiates/participates in consultations to health care teams
regarding ethical issues.
* Analyzes resources available and identifies risk areas, including
budgetary, staffing, supplies, equipment, and availability of data
* Actively involved in continuously evaluating practice for a
program or service, based on established professional, community,
or regulatory standards, such as clinical practice guidelines and
The Joint Commission.
* Assists nursing personnel with assessment, implementation, and
evaluation of new approaches, procedures, and standards of patient
care, based on reliable.
* Conducts or participates in research or facilitates special
projects through presentation(teaching) or publication.
Work Schedule: Varies - Service determines Tour of Duty to meet the
needs of the unit.
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Authorized. Recruitment
Incentive may be authorized for highly qualified and/or critical
care certified nurses. To receive the recruitment incentive, the
incumbent must commit to a negotiated service agreement in the
critical care department at VACCHCS.
Permanent Change of Station (PCS): Not Authorized.
Financial Disclosure Report: Not required.
Bargaining Unit Position: Covered.
Conditions of Employment
* You must be a U.S. Citizen to apply for this job
* All applicants tentatively selected for VA employment in a
testing designated position are subject to urinalysis to screen for
illegal drug use prior to appointment. Applicants who refuse to be
tested will be denied employment with VA.
* Selective Service Registration is required for males born after
* You may be required to serve a probationary period
* Subject to a background/security investigation
* Must be proficient in written and spoken English
* Selected applicants will be required to complete an online
* Must pass pre-employment physical examination
* Participation in the seasonal influenza vaccination program is a
requirement for all Department of Veterans Affairs Health Care
* Participation in the Coronavirus Disease 2019 (COVID-19)
vaccination program is a requirement for all Department of Veterans
Applicants pending the completion of educational or
certification/licensure requirements may be referred and
tentatively selected but may not be hired until all requirements
* United States Citizenship: Non-citizens may only be appointed
when it is not possible to recruit qualified citizens in accordance
with VA Policy.
* English Language Proficiency: In accordance with 38 U.S.C.
7402(d), no person shall serve in direct patient care positions
unless they are proficient in basic written and spoken English.
* Education: 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.
* Licensure: 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.
* Current Basic Life Support (BLS) provider card issued by the
American Heart Association (AHA) or Military Training Network
* Current Advanced Cardiac Life Support (ACLS) provider card issued
by the American Heart Association (AHA) or Military Training
* At least one (1) or more years of Intensive Care Unit
VALOR/Student Nurse Technician experience.
* At least one (1) or more years of Intensive Care Unit experience
working in an Intensive Care/Stepdown setting.
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
* 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
* 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 and approximately 2-3 year's of nursing
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: The population of male and female veterans
served ranges from the adult, age 18, to the elderly adult, age 65
and over. This position requires visual acuity, keen hearing, clear
distinctive speech, and manual dexterity. The incumbent will be
exposed to different alarms and it is critical that incumbent is
able to discern different alarms. This position requires
potentially long periods of continued walking, standing, stooping,
sitting, bending, pulling and pushing. Transferring patients and
objects may be required. The incumbent may be exposed to infected
patients and contaminated materials and may be required to don
protective clothing in isolation situations or operative/invasive
procedures. The incumbent may occasionally be exposed to patients
who are combative secondary to delirium, dementia, or psychiatric
disorders. The incumbent must be a mature, flexible, sensible
individual capable of working effectively in stressful situations,
able to shift priorities based on patient needs.
IMPORTANT: A transcript must be submitted with your application if
you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department
of Education from accredited colleges, universities, schools, or
institutions may be used to qualify for Federal employment. You can
verify your education here: http://ope.ed.gov/accreditation/. If
you are using foreign education to meet qualification requirements,
you must send a Certificate of Foreign Equivalency with your
transcript in order to receive credit for that education. For
further information, visit:
Registered Nurse applicants with foreign education can obtain a
credential evaluation through the International Consultants of
Delaware (ICD) to determine education equivalency in the US. For
more information, please see: http://www.icdeval.com/
Testing Designated Position: All applicants tentatively selected
for VA employment in a testing designated position are subject to
urinalysis to screen for illegal drug use prior to appointment.
Applicants who refuse to be tested will be denied employment with
Annual leave shall accrue for full-time Nurses, and Nurse
Anesthetists at the rate of 8 hours for each full biweekly pay
This job opportunity announcement may be used to fill additional
It is the policy of the VA to not deny employment to those that
have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer
VA encourages persons with disabilities to apply. The
health-related positions in VA are covered by Title 38, and are not
covered by the Schedule A excepted appointment authority.
Veterans and Transitioning Service Members: Please visit the VA for
Vets site for career-search tools for Veterans seeking employment
at VA, career development services for our existing Veterans, and
coaching and reintegration support for military service
If you are unable to apply online or need to fax a document you do
not have in electronic form, view the following link for
information regarding an Alternate Application.
A career with the U.S. government provides employees with a
comprehensive benefits package. As a federal employee, you and your
family will have access to a range of benefits that are designed to
make your federal career very rewarding. Opens in a new windowLearn
more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold
and whether your position is full-time, part-time or intermittent.
Contact the hiring agency for more information on the specific
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY
NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application,
rsum, C.V., and/or supporting documentation will be verified.
Please follow all instructions carefully. Errors or omissions may
affect consideration for employment.
NOTE: Candidate's education, scope, and length of nursing practice
(experience) will be considered by a Nurse Professional Standards
Board in determining the grade and salary of the applicant
selected. The recommended salary may be at any point in the range
listed for this vacancy.
Experience as an RN will be evaluated to determine if the
experience is of an acceptable level of quality with regard to the
following four dimensions of nursing: Practice, Professional
Development, Collaboration and Scientific Inquiry. Each dimension
of practice has criteria that demonstrate essential core
competencies for VHA Nursing Personnel.
Experience refers to paid and unpaid experience, including
volunteer work done through National Service programs (e.g., Peace
Corps, AmeriCorps) and other organizations (e.g., professional;
philanthropic; religions; spiritual; community; student; social).
Volunteer work helps build critical competencies, knowledge, and
skills and can provide valuable training and experience that
translates directly to paid employment. You will receive credit for
all qualifying experience, including volunteer experience.
Veterans' Preference Note: Preference eligible candidates and other
Veterans will be given preference when qualification of candidates
are approximately equal for Title 38 positions in VHA. When
applying for Federal Jobs, eligible Veterans should claim
preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor
Preference (SSP) in the questionnaire. You must provide a legible
copy of your DD214(s) which shows dates and character of service
(honorable, general, etc.). If you are currently serving on active
duty and expect to be released or discharged within 120 days you
must submit documentation related to your active duty service which
reflects the dates of service, character of service (honorable,
general, etc.), and dates of impending separation. Additionally,
disabled veterans and others eligible for 10-point preference (such
as widows or mothers of eligible Veterans) must also submit an
SF-15 "Application for 10 Point Veteran Preference" with required
proof as stated on the form. Documentation is required to award
preference. For more information on Veterans' Preference, please
visit Feds Hire Vets - Veterans - Job Seekers - Veterans'
Keywords: Department of Veterans Affairs, Fresno , Registered Nurse - ICU/Stepdown, Healthcare , Fresno, California
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