Established in 1994, Nite Lines USA has successfully delivered contract support services to more than 144 government institutions and medical treatment facilities across the country. We re a dynamic and growing health care organization, offering a wide range of employment opportunities. We are seeking professionals and dedicated individuals to be part of our team, where integrity, respect, accountability, and collaboration are among our core principles. Work with a dedicated and caring organization and start doing your life's best work. Pay: $80.00 per hour. (1099)
Location: VA Medical Center 10701 East Blvd. Cleveland, OH 44106.
Schedule: Shifts, tours of duty, and hours may vary depending on the unit. RNs shall be available to work on days, nights, evenings, weekends, and holidays. Shifts are primarily 12-hours, with some units offering 8-hour and 10-hour shifts.
Responsibilities:
General. The RN assigned to these areas provide direct and indirect nursing care, by contributing to the patient's assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care.
Organizational Relationship. The RN is subject to the professional direction of the VA Nurse Manager or designee during the workweek. This is NOT an employer employee relationship. On evenings, nights, holidays and weekends, the RN reports through the Charge Nurse to the Nursing Supervisor/Nursing Officer of the Day (NOD). All contracted RNs are required to float among various units within the service area which they are hired, based on operational needs. Floating assignments will be determined by the VA Nurse Manager or designee, Charge Nurse, Nursing Supervisor/NOD to maintain adequate staffing levels and continuity of care.
Emergency Department (ED): 28 rooms (24 medical and 4 Psychiatric). The emergency department is open 24/7 to provide immediate, unscheduled medical care for acute illnesses and injuries. Patients are seen based on the severity of their condition through a triage system, which prioritizes those with life-threatening issues. The ED handles a wide range of medical emergencies, from broken bones and allergic reactions to critical events like heart attacks, strokes, and severe trauma. RNs perform critical duties including triage to prioritize patients, administering medications and performing procedures, monitoring vital signs, and providing patient and family support. RNs must make quick, informed decisions, collaborate with other healthcare professionals, and maintain patient records in a fast-paced environment to provide immediate care for a wide range of injuries and illnesses.
Duties and Responsibilities. Specific duties and responsibilities of these RNs include:
- Perform critical care nursing to Intensive Care Unit patients.
- Performs scrub and circulating duties in the Emergency Department.
- Obtain patient history and pertinent family history.
- Assess patients and plan appropriate nursing care.
- Document plan of care and care given in patient's medical record.
- Verify transcription of physician's orders, no verbal orders are to be accepted.
- Carry out prescribed physician's orders and document inpatient medical records.
- Communicate pertinent patient data to charge nurse and/or physician as appropriate.
- Re-assess patient's condition and revise plans of care based on identified nursing problem.
- Administer medications and Intravenous (IV) therapies.
- Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.
- Assess and document patient response to medication that have been administered.
- Be able to interpret cardiac rhythms and their implications.
- Reorganize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that shall be accomplished.
- Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that shall be accomplished.
- Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
- Operate defibrillator, EKG machines and cardiac monitor and other emergency technical equipment.
- Participate in discharge planning, as appropriate.
- Be able to initiate life saving measures in the absence of physicians.
- Assure content and correctness of a prepared report and sign the document to validate its content.
- Maintain neat, personal appearance and maintain professional decorum.
- Consistently, apply VA customer service standards, demonstrating helpful, courteous, and respectful conduct at all times.
- Respect patient's rights, including but not limited to visual and auditory privacy.
- May accept a verbal order in compliance with the facility policy.
- Intake and output is assessed every shift, and more frequently if indicated by specific standard nursing drug care.
- Reviews all laboratory data, and electronic medical records
- Shall perform central line and ventilator care in compliance with LSCVAMC policy.
- Perform skin assessment and initiate measures to prevent Hospital Acquired Pressure Ulcer (HAPU).
- Ensures that medication orders from the previous shift have been noted and either carried out or transcribed onto the medical records appropriately.
- Carry out prescribed physician orders and document in patient's medical record.
- Recognize and initiate appropriate measures in emergencies and assist with surgical/diagnostic procedures.
- Care for patients with a variety of catheters and prostheses.
- Perform skin assessment and initiate measures to prevent HAPU.
- Participate in discharge planning.
- Be able to initiate life saving measures in the absence of a physician.
- Maintain neat and clean personal appearance with professional decorum.
- Consistently, apply VA customer service standards, demonstrating helpful, courteous, and respectful conduct at all times.
- Respect patient rights, including but not limited to visual and auditory privacy
Qualifications:
- Graduation from 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)
- A current license from the Ohio Board of Nursing or a current multi-state license from a Nurse Licensure Compact (NLC) state
- Current certification in CPR by an American Health Association Vendor
- Current Basic Life Support certification (BLS)
- If assigned to Intensive Care Unit/Step Down or Emergency Department, contract nurse/RN shall also have current ACLS certification .
- A minimum of two (2) years direct patient care experience within the last three (3) years. VA experience is desirable
- A current CV which identifies the provider's education and professional qualifications commensurate with the position or specialty for which they are being offered to perform. Specialty certification preferred.
- NPI
- Annual Office of Inspector General (OIG) Statement
- Indemnification and Medical Liability Insurance.