Registered Nurse - Post Anesthesia Care Unit

Summary A current vacancy exists in the Surgical Day Stay Unit (SDSU)/Interventional Radiology (IR)/Post Anesthesia Care Unit (PACU) department for an RN who utilizes the nursing process to provide direct care - assessment - triage & patient pre-operative education in the peri-operative setting - preparing patients for surgery & providing phase I & II recovery of surgical patients. This position includes rotations to IR to provide procedural sedation. Qualifications 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: 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 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 Preferred experience: Recent surgical and/or Acute Care experience within the last 10 years Critical care experience within the last 10 years (minimum 3 years) Moderate sedation experience within the last 10 years An active American Society of PeriAnesthesia Nurses (ASPAN) or Certified Ambulatory Perianesthesia (CAPA) certification Reference: For more information on this qualification standard - please visit 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 inpatient 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 The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs Must complete annual Employee Health requirements - such as annual TB screening or testing - 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. Duties Functions or scope of assigned duties include - but are not limited to: Performance of patient assessment - moderate sedation - and hemodynamic monitoring of IR procedural patients Monitors - assesses - and documents patient data intra-/post- procedurally Reports abnormalities to IR providers Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention Applies the appropriate post-sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs - neurological system - hemodynamic stability - pain - and comfort needs - and mental status - implementing appropriate interventions to maintain or return all physiological systems to baseline or above Provides tailored instructions/written materials and assures appropriate transportation of patients prior to discharge Mentors and serves as a resource for newcomers - students - and volunteers Monitors - assesses - and documents patient data during pre-surgical assessment and the phase I and II recovery period Reports abnormalities to surgeon/anesthesia providers Performs IV access - and administers medications - including Advanced Cardiac (or Cardiovascular) Life Support (ACLS) medications and anticoagulants utilizing all safety precautions Conducts quality control procedures on equipment Follows strict adherence to infection control - and safety practices Ensures patients meet minimum Aldrete standards before discharge or transfer Participates in maintaining a clean environment Participates in the ordering and maintenance of adequate supply inventory Participates in policy and procedure formation - maintains current knowledge of The Joint Commission requirements - and significantly contributes to annual proficiency data Incorporates evidence-based practices in all areas of the department Supports and enhances organization's core values Initiates process improvements when needs are identified 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: Monday through Friday 0830 - 1900 Telework: Not available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized. #J-18808-Ljbffr Direct Jobs