The Surgical Intensive Care Unit Nurse considers all characteristics of the individual, including gender and role identification, age, life stage, state of health, race, culture, socio-economic status, values and beliefs in order to assist each patient with the improvement of his/he health status to the maximum potential. He/she utilizes core elements of performance including knowledge and active participation in program level quality improvement processes, such as the customer service program. The Surgical Intensive Care Unit Nurse demonstrates performance and leadership that is broad enough to improve the care for a group of patients. He/she is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within the facility, Veterans Integrated Service Network (VISN), or Veterans Administration Central Office (VACO). Program is defined as a sustainable coordinated group of activities impacting patients and/or employees. He/she demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; (b) Using advanced clinical knowledge judgment to promote staff involvement in planning, decision-making, and evaluating outcomes, (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities, (d) Systematically evaluating current practice, and formulating outcomes for groups of practices and/or organizational processes within an area of expertise, (e) Guiding, developing, and supporting staff from a leadership perspective, and (D Using professional standards of care scientific evidence, and practice to evaluate programs and/or service activities. The primary purpose of the Surgical Intensive Care Unit Nurse RN position is to demonstrate leadership in delivering and improving holistic care through collaboration strategies with others to provide comprehensive nursing care to patients assigned to the assigned unit where conditions are usually of a critical nature. The Surgical Intensive Care Unit RN possesses the clinical foundation on which the cognitive and practical expertise necessary to care for diverse and complex critical care disease processes can be constructed. The Surgical Intensive Care Nurse RN will provide care to a wide range of post-surgical patients who are subsequently requiring critical care treatment for any number of reasons. He/she is proficient in his/her understanding of the basic pathophysiological concepts, treatments, and expected outcomes associated with the critical care environment. He/she applies the nursing process throughout physiological and psychosocial assessments, which assists in the organizing care interventions related to clinical acuity and needs. He/she demonstrates the highest levels of professional standards and ethical behaviors with respect to interpersonal relations, teamwork, and personal responsibility and compliance with institutional protocols and practices. The Surgical Intensive Care RN demonstrates proficiency in practice based on conscious and deliberate planning and can be called upon to response to facility wide code responses (e.g. code blue). He/she demonstrates clinical competence and leadership in delivering and improving holistic care through collaborative strategies with others such as patients, their family members/significant others and members of the interdisciplinary team. He/she is self-directed in goal setting, and in the management of complex patient situations utilizing the nurse process. He/she demonstrates the ability to identify an issue, analyze it, develop and implement interventions. The Surgical Intensive Care Unit RN completes initial assessments and reassessments of patient condition and response to treatment. He/she initiates follow-up as recommended while administering the prescribed therapies using appropriate judgment; evaluation of therapies is pertinent and timely. The Surgical Intensive Care Unit RN provides care in a non-judgmental, non-discriminatory manner that is sensitive to the adult or elderly patient and family's diversity, preserving their autonomy, dignity and rights. The Surgical Intensive Care Unit Nurse focuses on problems, initiates referrals to other disciplines and/or services as appropriate. He/she accurately documents in the medical record patient findings, assessments, and care provided. He/she effectively functions independently as the Charge Nurse in an assignment managing the care of a group of patients and caregivers. He/she assigns staff to provide care based on staff competencies and identifies priorities to ensure safe and effective patients care. He/she demonstrates and/or verbalizes correct responses to emergencies as well as initiates effective action in emergencies. The Surgical Intensive Care Unit RN demonstrates understanding of infection control precautions appropriate for the patient population. He/she participates/ leads unit-based shared governance, performance improvement and safety initiatives. He/she serves as a resource nurse. Work Schedule: Day, Evening and Night Tours available. Selectee's specific tour will be determined by Supervisor/Manager upon hire and will be based on the needs of the unit. Financial Disclosure Report: Not required
Internal Number: 599610800
About Veterans Affairs, Veterans Health Administration
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.