**Details** **Client Name:** New Orleans VAMC (NOLA) **Job Type:** Local **Position Urgency** Normal **Offering** Nursing **Profession** RN **Specialty** MedSurg **Job ID** 16701538 **Job Title** RN - MedSurg **Shift Details** **Shifts Per Week** 3 **scheduledHrs_1** 36.0 **Job Order Details** **Start Date** 2025-10-01 **End Date** 2030-09-30 **Duration** 261 Week(s) **Float Required** No **Call Required** No **Required Certifications for Submittal** Med Surgical RN **Required Certifications for Onboarding** Abuse & Neglect, Age Specific Care, Body Mechanics, Cultural Diversity, Emergency Preparedness, EMTALA, Environmental Safety, Ethics, Fire Safety, Hazard Communication, HIPAA, Infection Control & Bloodborne Pathogens, Medical Surgical RN, Pain Management, Patient Rights, Patient Safety Systems, Sexual Harassment, Workplace Violence **Job Description** **Registered Nurse (RN)** **Departments:** Medical Surgical **Qualifications:** + Current and valid RN license in any state. + 18 months experience in specialty care area (within the past 5 years) + Demonstrated clinical competency in acute and long-term care settings. + Proficiency in electronic medical record documentation. + _(Trainings on VA systems will be provided during 2-day orientation prior to official start.)_ + Ability to work collaboratively in interdisciplinary teams. + Strong communication and critical thinking skills. **Key Responsibilities:** **1. Patient/Resident Safety & Confidentiality** + Maintain confidentiality of patient/resident information. + Ensure a safe care environment in compliance with The Joint Commission, VA regulations, and other oversight bodies. + Adhere to protocols for medication administration, discharge processes, restraint usage, hazardous waste disposal, and patient/family education. **2. Patient/Resident-Centered Care** + Conduct comprehensive health assessments and develop interdisciplinary care plans. + Monitor and respond to changes in patient/resident conditions. + Document all relevant data in the electronic medical record. + Complete nursing assessments within required timeframes. + Address emotional and spiritual needs of patients/residents and families. + Update care plans and communicate changes to the assigned physician. + Report any incidents of abuse immediately to the Nurse Manager or designated leadership. **3. Clinical Duties** + Perform head-to-toe assessments. + Insert and manage IV lines, including peripheral, central, and PICC lines. + Administer medications, including IV therapies. + Coordinate admissions and discharges. + Measure and monitor vital signs, including pain and pulse oximetry. + Conduct wound care and dressing changes; obtain wound cultures. + Collect and deliver lab specimens. + Provide tracheostomy and non-acute ventilator care. + Perform oral, nasogastric, and tracheostomy suctioning, including deep suctioning. + Administer tube feedings and manage urinary/bowel elimination needs. + Educate patients/residents and families on diagnoses and medications. + Respond to emergency situations. + Provide clinical oversight to LPNs, Nursing Assistants, and Health Technicians. + Conduct one-to-one and virtual patient observation. + Perform capillary blood glucose testing and monitoring. **Medical-Surgical RN Specialty Responsibilities** Medical-Surgical RNs provide care for patients with complex medical conditions and surgical needs. Additional responsibilities include: + **Pre- and Post-Operative Care** + Prepare patients for surgical procedures, including education and consent verification. + Monitor post-operative patients for complications and ensure pain management protocols are followed. + Perform surgical site assessments and dressing changes. + **Complex Patient Management** + Manage patients with multiple comorbidities and varying acuity levels. + Administer and monitor IV therapies, blood transfusions, and electrolyte replacements. + Perform frequent assessments to detect early signs of deterioration and intervene promptly. + **Coordination of Care** + Collaborate with surgeons, anesthesiologists, and interdisciplinary teams to ensure continuity of care. + Facilitate discharge planning and patient education for recovery and self-care at home. + **Technical Skills** + Operate and troubleshoot medical-surgical equipment such as infusion pumps, wound vacs, and telemetry monitors. + Perform advanced procedures including central line care, chest tube management, and nasogastric tube insertion. + **Patient Education** + Provide education on surgical procedures, recovery expectations, medication regimens, and lifestyle modifications. + Support patients and families in understanding complex diagnoses and treatment plans. **Client Details** **Client Type** Government - Federal **Setting** Hospital (Inpatient) **Address** 1250 Poydras Street, 4Th Floor, Suite 400 **City** New Orl