Registered Nurse - Pacemaker Surveillance Nurse

Department: Department of Veterans Affairs

Location(s): Washington, District of Columbia

Salary Range: $81494 - $155459 Per Year

Job Summary: The Pacemaker Surveillance Nurse demonstrates performance and leadership that is broad enough to improve the care for a group of patients. He/she is responsible for the documented outcomes at the program or service level. Outcomes must be broad and complex and can be demonstrated at any organizational level within the facility, network, or central office. Program is defined as a sustainable coordinated group of activities impacting patients and/or employees.

Major Duties:

The primary purpose of the Pacemaker Surveillance Nurse RN position is to provide follow-up cardiac device care to a group of ICD and pacer patients managed throughout the Eastern United States. He/she demonstrates proficiency in practice based on conscious, deliberate, planning and is self-directed in goal setting for managing complex patients. Major Duties include, but are not limited to: Responsible for advanced remote monitoring of assigned patient with an implantable cardioverter defibrillator (ICD) or an implanted cardiac pacemaker that may include but is not limited to expertise in review and evaluation of remote device transmissions, following posting guidelines along with effective communication and collaboration with patients, team members, management staff, the local Veteran's Administration cardiac device clinic staff or technical service specialist from the implanted device vendors. Reviews the information provided by advanced remote monitoring and provides the local device clinic with pertinent findings that may warrant the Pacemaker Surveillance Nurse to conduct early patient evaluation or potentially device re-programming under the direction of the physician practice guidelines. Reports and documents events, alerts, and device behavior in accordance with organizational policies and clinical practice guidelines. The Pacemaker Surveillance Nurse will examine the clinical significance of device behavior. The frequency remote monitoring will be patient specific depending on type of implanted device, its age and function and any medical advisory recommendations for home monitoring if applicable. Provides comprehensive education to local VA on any related information related to device use and monitoring and initiates follow-up as needed. Provides care in a non-judgmental, nondiscriminatory manner that is sensitive to the adult or elderly patient and family's diversity, preserving their autonomy, dignity and rights. Additional Responsibilities include, but are not limited to: Liaison with CV and other surgical colleagues for surgery performed on patients with devices, interpretation of downloadable and other device electrograms. Administers prescribed therapies using appropriate judgement; evaluation of therapies is persistent and timely. Initiates referrals to other disciplines and/or services appropriately. Accurately documents in the medical record patient findings, assessments, and care provided. Demonstrates and/or verbalizes correct responses to emergencies, manages complex patient situations and initiates effective action in emergencies. Demonstrates understanding of infection control precautions appropriate for the Pacemaker Surveillance Nurse. Participates/leads unit-based shared governance, performance improvement and safety initiatives, as well as serves as a resource nurse for Other Nurses. He/she demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; (b) Using advanced clinical knowledge judgment to promote staff involvement in planning, decision making, and evaluating outcomes, (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities, (d) Systematically evaluating current practice, and formulating outcomes for groups of practices and/or organizational processes within an area of expertise, (e) Guiding, developing, and supporting staff from a leadership perspective, and (f) Using professional standards of care scientific evidence, and practice to evaluate programs and/or service activities. 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: FT, 8am - 4:30pm Monday - Friday Telework: Ad-hoc telework may be available as determined by facility policy. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized

Qualifications: Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12829280. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Qualifications: BSN with 3-5 years Cardiac Pacemaker and Defibrillator experience. Certification by the International Board of Heart Rhythm Examiners with a minimum score of successful for passing of the IBHRE CCDS, CCDRMS, or CEPS exam or NASP exam certification is acceptable. Experience with remote surveillance of cardiac pacemakers and defibrillators. Substantial computer skills Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must complete annual Employee Health requirements as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/17/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12829280. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

Application Deadline: 2025-11-17