Medcentrek is seeking Spinal Cord Injury (SCI) Registered Nurses to work at the Clement J. Zablocki VA Medical Center (Milwaukee VAMC) located at 5000 W. National Ave., Milwaukee, WI 53295. This is a VA contract position. The contract length is from 1 – 5 years.

Work Schedule:

Coverage may include holidays weekends, evenings, or overnights, and are variable within a 24-hour period. The most common RN shifts are noted below; however, contract RNs should be open to working any day of the week or shift as required by the VA, even if not specifically listed below.

Day Shift (2) RNs - (12) hour shift 7:30 a.m. – 8:00 p.m., to include weekends and holidays

Night Shift (2) RNs - (12) hour shift 7:30 p.m. – 8:00 a.m., to include weekends and holidays b.

Overtime may be necessary and is applicable for anything over 40 hours in a one week pay period worked at the VA.

Job Description/Duties:

Registered Nurse (RN): The RN will utilize their broad-based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patients in the attainment of optimal levels of functioning rehabilitation, evaluate patient response to actual or potential health problems, and provide supportive measures for the dying patient and their significant others. Nursing care shall be performed in accordance with the American Nursing Association’s Standards of Care and Standards of Professional Performance, and within the individual nurse’s scope of license. The VA Nurse Manager(s), or appropriate nursing leadership delegate (i.e., Assistant Nurse Manager), will provide the RN with clinical oversight during their tour of duty. More specific duties and responsibilities of the Registered Nurse are described below.

i. Maintain patient confidentiality and a safe patient care environment, including familiarity with requirements such as medication administration, patient/family education, discharge process, hazardous waste disposal, etc., as defined by The Joint Commission and all other VA regulatory bodies.

ii. Provide patient-centered care by performing the following tasks:

• assess the health care needs of the patient and maintain or develop a plan of care to meet interdisciplinary goals

• assess and act on significant changes in the patient’s health condition

• carry out the plan of care by performing assigning delegated tasks

• collect and document pertinent data into the electronic patient medical record

• communicates and treats all patients and/or families in a courteous, tactful, and respectful manner • identify and act on predictable needs of the patient

• meet the health care needs of patient by assessing and assisting the patient to meet expressed needs • meet the emotional and spiritual needs of patients and/or families

• prioritize and complete tasks within the RN’s assigned shift

• notify assigned physician of any changes in condition and update patient care plans

• report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned; or designated off-shift nursing leadership

• perform head-to-toe assessment

• insert IV lines

• care of PICC lines

• administer medication including IVs

• coordinate and participate in admission, transfer, and discharge of patient

• measure vital signs, including Pain (the 5th Vital Sign), pulse oximetry, etc.

• complete EKG as needed

• perform wound care including dressing changes and obtaining wound cultures as necessary • obtain and deliver specimens to lab

• perform tracheostomy care

• perform non-acute/acute ventilator care, as needed

• perform suctioning including oral, nasogastric, and tracheostomy

• assess for and administer tube feedings

• assist with routine urinary and bowel elimination including indwelling and suprapubic catheters, colostomies, external devices, and digital stimulation

• educate patients and/or families regarding health and diagnoses and medication administration • activate the Emergency Medical Response as indicated based on patient presentation or change in condition

• respond and assist in an emergency situation

• perform Continuous Protective Observation (CPO) duties to maintain veteran safety

• perform patient belongings and Contraband inspection and documentation as outlined by facility policy • provide clinical oversight to Licensed Practical Nurses and Certified Nursing Assistants and Health Technicians

• Rapid Response and Cardiac Arrest (code) response within the unit.

• Accu-checks

iii. Bar Code Medication Administration (BCMA). BCMA with a 100% accuracy rate shall be used in the applicable areas for medication administration. BCMA is designed to provide electronic validation and documentation of medication administration, reduce medication misadventures, provide an online patient medication record, and promote a safer inpatient care environment. Spot check of patient charts or review of incident reports will be conducted. If issues are found, remedial training of contractor employee will be given. If remedial training is unsuccessful, the contractor employee may be removed from providing services under the contract.

iv. Additional requirements and responsibilities for all contract nursing staff are listed below:

• The contract nursing staff shall complete and document all assessments accurately and within assigned timeframes.

• The contract nursing staff shall complete all unit specific required training.

• The contract nursing staff shall, always, conduct themselves in a professional manner, treating patients/residents, visitors, and staff in a courteous manner. Sustained allegations of patient/resident or coworker abuse, both verbally or physically, will result in immediate removal from the Milwaukee VAMC, and will also be reported to the Contracting Officer. These incidents may result in that contractor employee not being eligible for continued contract performance.

Qualifications:

• All RNs must have an Associates or Bachelor’s degree (preferred) from an ACEN or CCNE accredited Nursing program.

• Registered Nurses assigned by the contractor to perform the services covered by this contract must have a current and unrestricted license in a State, Territory, or Commonwealth of the United States or the District of Columbia

Job Types: Full-time, Contract

Pay: $60.00 - $65.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Medical specialties:

• Medical-Surgical

Physical setting:

• Military hospital

Standard shift:

• Day shift
• Night shift

Supplemental schedule:

• Overtime

Weekly schedule:

• Monday to Friday
• Weekends as needed

Work Location: In person