Registered Nurse - Inpatient Acute Care 5 East

Summary The VA Puget Sound Healthcare System is recruiting for one RN to perform duties with the 5 East Acute Care Inpatient team, an acute surgical unit that includes Orthopedics, Vascular, Cardio-Thoracic, General Surgery, Urology, Ophthalmology, Plastic and GYN Surgery. The majority of patients have secondary medical chronic diagnosis. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Responsibilities Duties will include but are not limited to: Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care. Delivers safe care to assigned patients, while developing technical competencies. Responsible for maintaining competencies and required job duties such as reading email, attending in-services, and actively participating in staff meetings. Completes mandatory trainings including but not limited to Prevention and Management of Disruptive Behavior (PMDB), Safe Patient Handling (SPH), Basic Life Support (BLS), NIHSS, and RALS. Safely and effectively uses patient care equipment. Correctly and safely performs nursing procedures. Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately. Implements physician's/provider's orders in a timely and complete manner. Implements nursing interventions/orders in a timely and complete manner. Requests assistance from co-workers when needed; knows when to ask for help. Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed. Includes the patient and family/significant other in developing the initial plan of care and establishing goals Updates plan of care with assistance as needed. Assesses patient's learning needs, learning preference and readiness to learn. Develops and implements a plan to meet learning needs, instructing patients and families in basic health teaching and discharge planning. Documentation is consistent, accurate, concise, and timely. Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes. Revises plan of care according to evaluations of patient's responses and outcomes. Uses the Electronic Health Record (EHR) software per policy. Work in a team format with NAs and LPNs and delegates follows up on tasks. Delivers medications using BCMA. Provides complex wound care. Administers blood products as ordered. Administers IV Fluids, TPN, Lipids, PCA and manages multiple IV medications while checking compatibility. Documentation of training must be completed prior to performing any specialty skills such as continuous bladder irrigation, epidural medication administration, peripheral nerve catheter medication administration, chest tube care, blood product transfusions, and tracheostomy care. Completes cardiac telemetry monitoring training and passes exam with 80% or greater within first 6 months of working on an Acute Care unit. Monitors telemetry and responds to rhythm changes timely. Adheres to remote telemetry procedures and policies outlined in SOP T-046 Remote Telemetry Monitoring. Prior to administering ordered chemotherapy/biotherapies, completes chemotherapy/biotherapy training and passes exam with 80% or greater. Prior to monitoring EEG, complete EEG monitoring training. Performs other duties as assigned 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: Full-time. Night shifts, 7:30pm - 8:00am and 11:30pm - 8:00am with rotating weekends and holidays Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Education Debt Reduction Program (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 for questions/assistance. Permanent Change of Station (PCS): Not authorized Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All 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. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the

Created: 2026-02-27