Staff Nurse (ICU)
VA Medical Center
- Critical Care Medicine
- Wound Care
Staff Nurse (ICU)
Long Beach, CA
This announcement is recruiting for critical care nurses to serve in the Intensive Care Unit (ICU) at the VA Long Beach Healthcare System Campus.
As a Staff Nurse you will provide prescribed medical treatment and personal care services to ill and injured veterans. Some of the primary duties are: Administer blood products; apply the nursing process (assessment, plan, implement and evaluate) for all patients in the ICU; uses pain scale to complete initial pain assessment, reassessment of pain and evaluate effectiveness of pain management and utilizes pain assessment for cognitively impaired patient when appropriate; completes all electronic/written nursing documentation (nursing admission assessment, shift documentation notes, trifolds, etc.); utilizes the appropriate notes for critical value notification, skin documentation, fall assessment, CIWA and heparin protocols and proper use of BCMA; demonstrates competency of mobilization devices and lift devices; initiate and manage gastric decompression, gastric lavage and gastric/intestinal tube feeding; initiate, maintain and discontinue IV access and therapy; discontinue arterial lines and/or central line; manage IV fluids, vasoactive medication drips and IV pain management drips, Patient Controlled Analgesia (PCA) Pump, and epidural infusions; administer intravenous medications by infusion or direct IV push as ordered by the physician and medically safe; manage patient on intra-aortic balloon pump, pacemaker therapy (transcutaneous and transvenous) and perform 12-lead EKG and right sided leads when necessary; The incumbent will also be expected to manage patients airways to include: Endo tracheal tubes, Tracheotomies, Laryngeal Mask Airway (LMA) oral/naso-pharyngeal airways and oral airways; monitor and assess neuromuscular blockade with the peripheral nerve stimulator; monitor and assess patients receiving procedural sedation/analgesia for procedures; obtain blood specimens from venous, central venous access catheter (i.e. PICC, Swan ganz), arterial catheters and pulmonary artery catheters; obtain blood specimens through venous and arterial phlebotomy when needed; perform hemodynamic monitoring with care of venous and arterial access sites and integrate numerical values with patients assessment; perform dressing changes for all central lines, arterial lines, IV sites, surgical and non-surgical wounds utilizing aseptic/sterile technique as appropriate; provide care to acute hemodialysis patients, utilizing dialysis unit nurses as a resource; review, verify and do 24 hour chart review of electronic physician orders in the clinical setting; take telephonic/verbal orders with write down, read backverification and electronic computer entry; utilize isolation precautions as appropriate; provide post-anesthesia monitoring and care for all cardio thoracic patients and for other patients according to circumstances especially off hours or previously admitted to ICU as needed. Incumbent leads by example in defining a customer service culture to ensure that all customers are treated with respect and civility. Ensures that whenever possible works to cultivate partnerships with our customers in developing solutions to meet their needs. The ICU nurse will be expected to recover post anesthesia/surgery patients.
Our facility is seeking individuals who possess good organizational skills which enable completion of work, a demonstrated ability to assume leadership in a patient centered program, and the ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team. Perform emergent care in critical/crisis situation. Review and update patient database, patient care plans and other forms as appropriate. Excellent customer service and communication skills are required.
Work schedules may vary.
We are a 24/7 operation. Incumbents may be required to work nights, weekends, holidays, and off-tour to meet the needs of our Veterans.
DESIGNATED DRUG-TESTING POSITION: 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. Applicants will not be appointed to the position if a verified positive drug test result is received.
Best Care / Best Careers
To care for him who shall have borne the battle and for his widow and his orphan." These words, spoken by Abraham Lincoln during his Second Inaugural Address, reflect the philosophy and principles that guide VA in everything we do, and are the focus of our endeavors to serve our Nation's veterans and their families.
The Department of Veterans Affairs (VA) has one of the most diverse, challenging, and rewarding missions in the United States Government. We strive to meet the needs of the Nation's veterans and their families today and in the future.
VA manages one of the largest health care systems in the world and the nation's leading employer of registered nurses. Nurses in Veterans Health Administration (VHA) are engaged in a variety of roles and have multiple opportunities for career and professional development. The VHA provides veterans and their dependents with many other services such as benefits and education, and also provides burial benefits.
Our goal is to provide excellence in patient care, veterans' benefits and customer satisfaction. We can provide you with challenging, interesting, meaningful work to care for the veterans who have risked their lives to protect our freedom.
As the Department of Veterans Affairs heads into the 21st century, we will strive to meet the needs of the Nation's veterans today and tomorrow. We are a more customer-focused organization, functioning as "One-VA" and delivering seamless service to our customers.
We benchmark our service with the best in business. We use innovative means and high technology to deliver "World-Class Customer Service". We foster partnerships with our customers and stakeholders, making them part of the decision-making process.
Department of Veterans Affairs is an Equal Opportunity Employer.
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