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Heart and Vascular RN, Full Time Opportunity at Naval Medical Center (NMC) Portsmouth, VA.

Come Join Our Team of exceptional health care providers at NMC Portsmouth and experience the immense pride others have discovered in caring for Military Members, their Families and Retired Military Veterans!

* Elevate your career by applying for our full time Heart and Vascular RN opportunity in support of NMC Portsmouth!

* Excellent Compensation & Comprehensive Benefits!

* Full Time Position Days, Monday – Friday!

* 26 Days of PTO! 10 Paid Federal Holidays!

* NO Weekends!  NO Call!

* Annual CME Stipend!

* Malpractice Insurance Provided!

POSITION SUMMARY: Perform a full range of RN duties in accordance with assignment under the task order, including: triage; patient assessment and monitoring; use of patient monitoring and treatment equipment; appropriate nursing care, procedures, and treatments; execution of physicians’ orders within the guidelines of standard nursing practice; documentation of patient care and observations; and patient education and emotional support.

SPECIFIC HEART & VASCULAR RN CLINICAL COMPETENCIES:

* Provide professional nursing care to patients within the Heart and Vascular Care Department. Monitor implementation of individualized patient care plans, to include early identification of patients educational and discharge planning needs, equipment requirements, understanding of prescribed medication(s) regimen, and follow-up appointment schedule.

* Review medical record documentation for accuracy, completeness and timeliness of completion.

* Remain abreast of new developments in the field of cardiothoracic and vascular surgery, as well as cardiology, by attending symposia, in-services, and by keeping current with appropriate literature and research protocols.

* Coordinate patient health care needs with appropriate referrals as needed.

* Maintain link with professional organizations and nursing standards relevant to ambulatory care. Implement nursing care in the ambulatory setting using these standards.

CORE RN DUTIES: Include, but are not limited to the following:

* Assess each patient and perform triage duties as assigned.

* Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.

* Evaluate effectiveness of self-care given by all health team members, and contribution of systems, environment, and instrumentation in progressing patient toward outcomes. 

* Provide treatment and discharge instructions upon patient release.

* Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, psychological, and cognitive status.

* Provide a safe and clean environment for each patient.

* Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.

* Assist in planning, provide clinical guidance and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.

* Demonstrate sound knowledge base and action in the care and decision making for designated patient populations. If weaknesses or deficiencies are identified either by peer reviews, quality control reports (QCRs), or evaluations the HCW will be required to complete refresher training (in-services, competency reviews, continuing education, etc.) at Contractor expense.

* Perform documentation (manually and/or by use of computer) duties on unit and in-patient record that are timely, accurate, and concise.

* Participate actively in staff development for unit and Directorate personnel and evaluation of personnel.

* Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.

* Implement care in a knowledgeable, skillful, consistent, and continuous manner.

* Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.

* Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.

* Safely administer prescribed medications to include intravenous drips and intravenous push drugs.

* Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.

* Perform documentation (manually and/or by use of computer) duties on unit and in-patient record which are timely, accurate, and concise.

* Participate actively in multifaceted staff development activities at the unit, Director, and command level, such as teaching formal and informal classes, acting as a role model, educator and mentor to new paraprofessional personnel with the goal of helping them successfully complete competency based skills list and weekly goal setting, assisting in the Command’s Basic Cardiac Life Support classes and promoting staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.

* Demonstrate self-directed learning.

* Participate in development and attainment of unit and Nursing Directorate goals.

* Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately.

* Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action

* Practice effective problem identification and resolution skills as a method of sound decision making.

* Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.

* Provide individual, group, and family/significant other counseling and health teaching in relation to the patient's condition and his/her ability for self-care.  Provide for accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.

* Participate in the orientation and training of newly assigned unit personnel. Participate in cross-training initiatives.

* Provide input into competency assessments of newly assigned unit personnel.

* Collaborate in the review of clinic standing operating procedures.

* If directed, perform phone triage based on accepted protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.

* Provide training and/or technical guidance as applicable to supporting Government employees (i.e. hospital corpsmen, technicians, students) assigned to the HCW during the performance of clinical procedures. Such guidance and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.

* Education: Possess a Baccalaureate Degree in Nursing, a Graduate Diploma in Nursing or an Associate Degree in Nursing, from an accredited agency such as the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

* Experience: Possess a minimum experience of one (1) year within the last two (2) years as an RN working in a cardiothoracic, vascular, or cardiology clinical setting.

* Licensure: 1) Possess a current unrestricted license to practice as a registered nurse and advance practice nurse in one (1) of the fifty (50) states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

* Life Support Certifications: Possess the following Life Support Certifications from the American Heart Associations: Basic Life Support for Healthcare Providers (BLS) and Advanced Cardiac Life Support (ACLS).

* Must be a U.S citizen and have the ability to pass a background check/security clearance.

STAFFING & SCHEDULING:

* Duty Hours: Services shall be provided Monday through Friday between the hours of 0730 – 1700 for an eight and a half (8.5) hour shift (includes an uncompensated thirty (30) minute meal break).

* Place of Performance:  The work to be performed will be in support of Naval Medical Center Portsmouth, VA (NMCP).  The primary site of service shall be located in the Heart and Vascular Care Department, NMCP.