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The Telemetry RN manages the care of patients requiring cardiac monitoring and more frequent observation than can be provided in the acute care setting. Patients are primarily those with cardiac diseases or heath rhythm disorders, but can also include patients with a variety of diagnosis that may require cardiac monitoring during their treatment and recovery. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic 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. 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. 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. Preferred Experience: 1 Year Med/Surg or 1 Year Telemetry Registered Nurse Experience 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 required. 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 practice/experience. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. 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 position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to wheelchairs/stretchers/cars, and transporting them to other departments or facilities. Mechanical devices available and are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. 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. This position requires visual acuity, good hearing, distinctive speech and manual dexterity. The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients. ["The Telemetry Registered Nurse is a professional who manages the care of patients requiring cardiac monitoring and more frequent observation than can be provided in the acute care setting. Patients are primarily those with cardiac disease or heart rhythm disorders, but can also include patients with a variety of diagnosis that may require cardiac monitoring during their treatment and recovery. Telemetry nurses provide care in collaboration with physicians and other health care providers. The RN utilizes the nursing process to diagnose and treat the human response to illness. This response, being the sum of multiple facets of the individual, includes the physical, psychological, emotional, and the spiritual. The RN will provide holistic care that addresses all these facets of the individual being. The ultimate goal is to assist the patient in achieving and maintaining optimal health. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Provide individualized, complex, patient care for critically ill patients, consistent with diagnosis, standards of scope of practice, which may include the following: 1. Cardiac monitoring and EKG interpretation 2. Hemodynamic monitoring Identify potential crisis situations and respond appropriately in emergent situations using standard ACLS guidelines Initiate referrals and/or consultations as appropriate to achieve an interdisciplinary plan of care Function independently when performing more complex treatments, procedures and advanced technologies specific to the scope of care in the Telemetry Unit Perform procedures within his/her scope of practice and the unit based competencies Promote and provide health care teaching to patients and significant others Complete admission assessment on assigned patients within 24 hours of admission Conduct reassessments every shift and PRN to determine rapidly changing conditions Transcribe physician's orders using CPRS Take verbal and telephone orders per policy Complete patient care plans according to policy Document vital signs and assessments using CPRS/approved format Document medications using BCMA (Bar Code Medication Administration) Plan for discharge/transfer including completion of discharge/transfer note Function competently as a charge nurse making patient assignments and communicating shift report Demonstrate the ability to manage the daily routine operations related to patient care (delegating, supervising, troubleshooting, and evaluating) Participate in clinical supervision of nursing staff, nursing students, and new hires through role modeling and communication objectives and expected competencies of orientee's and students Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Rotating Shifts Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May Be Authorized Duty Station: Salt Lake City VA Health Care System Appointment Type: Permanent - Full-time - Excepted Appointment Travel Required: No"]