This position is for a Registered Nurse (RN) in the Emergency Room at the Salem VA Medical Center. The RN is directly responsible to the designated manager and will be accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse Veteran population with complex needs. Must possess the knowledge and skills to effectively apply all aspects of the nursing process within a collaborative and interdisciplinary practice setting. Duties and responsibilities for the position include but are not limited to the following: Leads and provides Triage based on established Emergency Care Standards utilizing the accepted Emergency Severity Index (ESI) system of acuity. Demonstrates skill in Implementing Nursing and Physician Orders for patients with complex needs. Individual practice follows the ANA code of Ethics for Nurses. Independently initiates consults to Diabetes Clinic, Education, Dietary, Pharmacy, Psychology, Smoking Clinic, and Social Work Service. Recognizes and expects changes in patient behavior may be an outcome of part of the disease process and interventions. Identifies and reports all unsafe conditions to appropriate personnel to ensure a safe environment for all patients, medical center personnel, and visitors. Able to identify potential problems involving resources and / or safety and take action to avert or manage the situation in a manner that meets the needs of patients in a safe therapeutic environment. Assesses patient acuity, staffing mix and workload for unit staffing. Attends in-services / continuing education programs to improve or enhance skills and knowledge in a self-directed manner as well as reviews current literature. Remains alert to latest professional trends and incorporate into practice as required. Manages Triage, Evaluation/Processing and Emergency Department with collaborative support from the physician. Self-directed in evaluating progress towards professional career goals. Demonstrate working practices that include adherence to Infection Control standards and the safe use and operation of equipment. Provides direct input to departmental management regarding strengths and weaknesses of staff under her/his charge. Readily displays positive effective communication skills and professional behaviors that elicit cooperation and teamwork with both internal and external customers. Communicates relevant information to appropriate personnel in a timely manner. Provides direct feedback to subordinates, peers, and management regarding the practice of co-workers. Educates and / or advises personnel regarding policy and practice / procedures as well as documents and reports deviations when required. Demonstrates leadership in unit level performance and provides suggestions for improving patient care. Incorporating critical thinking regarding the identified issue. Conforms with all medical center and service/service line safety policies, procedures and protocols to avoid injury and/or illness to self and others. Demonstrated knowledge and ability to apply standards of care for triage of a large volume of presenting patients in various age groups. prepares all reports and documentation pertaining to employee injuries within established time frames utilizing the ASISTS Program. Work Schedule: Full time Tour of Duty: 12 hour shifts days/nights with weekend and holiday rotations 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.