Registered Nurse - Critical Care (Surgical Intensive Care Unit)
Veterans Affairs, Veterans Health Administration
Application
Details
Posted: 25-Apr-26
Location: Seattle, Washington
Internal Number: 866691400
Summary
This is an open continuous announcement. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. Education Debt Reduction Program (Student Loan Repayment): APPROVED! Learn more.
Qualifications
Basic Requirements:
English Language Proficiency
In accordance with 38 U.S.C. 7403(f) - 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 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)
OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
(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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
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
Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12946899
Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
Self-directed in goal setting for managing complex client situations
An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
OR a Master's degree in nursing (MSN) and no additional professional nursing experience
OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
OR a Doctoral degree in Nursing with no professional nursing experience
OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
*Note: Foreign education programs/degrees are not creditable as related degrees
Preferred Experience: BSN Minimum of 1 year critical care experience Critical Care Registered Nurse Certification (CCRN) Experience with CRRT - IABP Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: Heavy lifting - 45 pounds and over - Straight pulling ( hours) - Pushing (2 hours) - Reaching above shoulder - Use of fingers - Both hands required - Walking (6 hours) - Standing (2 hours) - Repeated bending (6 hours) - Both legs required - Ability to distinguish basic colors - Hearing (aid may be permitted) - Visual Acuity 20/30 corrected.
Duties
The Surgical Intensive Care Unit (SICU) is a 10-bed unit specializing in surgery - vascular surgery - neurosurgery and abdominal surgery
Duties include but not limited to: Fully participates - in collaboration with the multidisciplinary care team - in providing direct patient care to the critically ill Veteran post-operatively and any medical overflow patient
Responsible and accountable for individual nursing practice and delivery of optimal care (ANA Code of Ethics for Nurses)
Trained on and maintains competence in use of low-use/high-risk equipment- IABP - CRRT and others
This includes equipment that promotes safety in patient movement - ambulation
Monitors cardiac rhythms - ventilation status - lab values - mentation - post-operative considerations and other factors in providing direct patient care
Provides nursing report in team rounds in provision of patient advocacy
Utilizes established references to safely and effectively perform nursing procedures
Recognizes changes to patient condition requiring intervention and responds appropriately-change in VS and/or mentation - indication of respiratory distress - bleeding from operative or other sites - and other variations from normal/patient baseline Formulates a plan of care based on nursing assessments - using the nursing process - based on the ANA Standards of Nursing
Adapts plan based on outcomes and evaluation
Includes the patient and family/significant other in developing the initial plan of care and establishing goals
Assesses patient (and family) basic learning needs and provides instruction on basic health information and discharge instruction
Documentation is consistent - accurate - concise - and timely-CPRS - BCMA - ICCA - and potentially others
Recognizes critical patient care situations and initiates effective actions in emergencies
Functions as a collegial team member in provision of care throughout the unit
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Day/Night rotation depending on need
Shifts: 7:30AM to 4:00PM OR 7:30AM to 8:00PM OR 7:30PM to 8:00AM OR 11:30PM to 8:00AM
The goal being 3 months rotation at a time
Compressed/Flexible: Authorized Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: This position is eligible for EDRP - a student loan payment reimbursement program
You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date
Approval - award amount (up to $200 -000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application
Former EDRP Participants are ineligible to apply for the program
Contact VHA.ELRSProgramSupport@va.gov for questions/assistance
Former EDRP participants ineligible to apply for incentive
Contact VHA.ELRSProgramSupport@va.gov - the EDRP Coordinator for questions/assistance
Learn more Permanent Change of Station (PCS): Not Authorized
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.