Registered Nurse (Same Day Procedures)

Summary

The Nurse Registered Nurse (RN) Same day procedures executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex patient care. The Nurse registered nurse demonstrates performance and leadership that is broad enough to improve the care for a group of patients. The Nurse is responsible for the documented outcomes at the program or service level.

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:
• 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
• Physical Requirements: See VA Handbook 5005 - Part III - Chapter 2 - paragraph 7 - and VA Handbook 5019 - Occupational Health Services
• All applicants must be physically and mentally able to perform efficiently the duties of the position
• Must be able to lift (30 lbs or more)
• twisting and/or bending - standing and/or walking almost constantly during the course of the day.

Duties

• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility - Veterans Integrated Systems Network (VISN) - or Veterans Affairs Central Office (VACO)
• Program is defined as a substantial coordinated group of activities impacting patients and/or employees
• The Same Day Procedure (SDP) Registered Nurse (RN) provides specialized care in the assessment - planning - implementing - and evaluation of care for a variety of patients to include - but not limited to - adults undergoing outpatient procedures - outpatient infusions of GI lmmunotherapy drugs - transfusion of blood products - and pain procedures
• The SDP RN provides pre-procedural care - including - but not limited to - the nursing assessment of patients - Informed Consent and H&P validation - the starting of intravenous fluids including venipuncture - assuring all lab work and other pre-procedural testing is completed and communicated to team members - and the administration of medications as ordered
• Provides clear and concise preprocedural teaching and reviews discharge instructions to patients and families with written and verbal communication
• The SOP RN provides post-procedural care - including - but not limited to - monitoring for complications from the procedure - monitoring for residual side effects of anesthesia (Phase 2) or sedation medications - providing discharge instructions - and preparing patients for home or admission
• The SDP RN provides care for patients receiving Gastrointestinal (GI) Infusions requiring them to complete the ONS Chemotherapy lmmunotherapy Certification course
• They provide a safe working environment while administering - handling - and disposing of biologic drugs and medical waste
• The SDP RN manages monitoring requirements for specific drugs - handling immediate infusion reactions - and preventing and managing adverse events
• Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations
• Responsible for the documented outcomes at the program or service level
• Ensures that the patients are scheduled appropriate for reoccurring infusions
• The SDP RN provides pre- and post-procedural care in the pain procedure area - including (but not limited to) the nursing assessment of patients - consent - and history and physical validations - the starting of intravenous fluids including venipuncture if required - and the administration of medications as ordered
• The SDP RN provides postprocedural care - including (but not limited to) monitoring for complications from the procedure - monitoring for residual side effects of anesthesia or sedation medications - providing discharge instructions - and preparing patients for home or admission
• The SDP RN may be required to assist in the pain procedure room - after being crossed trained and completing the appropriate competencies
• This would include but not be limited to positioning the patient - participating in the time out process - ensuring appropriate site marking - and prepping the skin
• The SDP RN is responsible for ensuring comprehensive documentation of all phases of care and is timely - complete - and accurate in the electronic health record
• Preferred experience: Preferred experience in Infusion Clinic - Procedure Room to include setting up sterile field - Moderate Sedation - and Pulmonology procedures (N004 pay scale) 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-Friday - based on the needs of the service Telework: Ad-hoc telework available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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