Registered Nurse - Operating Room

Registered Nurse (Operating Room)

The Registered Nurse (RN) is assigned to the Operating Room (OR) in the Ambulatory Care Service with the Buffalo, NY VA Medical Center. The incumbent is a professional registered nurse, qualified by education and recent operating room experience to provide direct patient care and specializes in perioperative nursing practice. The Registered Nurse will be involved in the three phases of the patient's surgical/OR experience. This includes the preoperative, intraoperative and postoperative surgical phases of care. The incumbent will possess intimate knowledge of regulatory requirements, VHA guidelines, utilization of organizational processes, clinical documentation requirements, current standards of care, evidence based practices and compliance guidelines. The incumbent will execute position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client surgical care. The Operating Room Nurse functional role includes specialization in perioperative nursing practice and is responsible for preoperative assessment and postoperative evaluation, providing individualized direct care with emphasis on the intraoperative period, organizing and coordinating the clinical components in response to individual healthcare needs and care continuum in multiple settings. The goals are to center services around the patient, to foster patient self-managed care, and maximize efficient and cost-effective use of health care resources. The Operating Room Nurse utilizes all avenues of resources available to provide safe and efficient timely coordination of quality health care and services. The scope of practice will include but is not limited to the role of scrub/instrument and circulating nurse. The incumbent collaborates and coordinates the patient's plan of care with the multidisciplinary team members.

Duties include, but are not limited to:

• Expected to function proficiently in both the circulator and scrub role within the OR and to be competent in all surgical specialties served.
• Maintain knowledge of current Association of peri-Operative Registered Nurses (AORN) Standards, VHA Directives, and service level standard operating procedures.
• Assure the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner.
• Protect the patient from injury caused by chemical, electrical, mechanical, and thermal sources, and extraneous objects, performs counting procedures to protect the patient from unintended retained surgical items, participates in the Time Out process to ensure correct site, side, and level, and follow implant and tissue/tissue-based product documentation, policy, and procedures.
• Manage the patient's specimens in the appropriate manner, administers medications safely and correctly, performs interventions to maintain the patient's wound and tissue perfusion at or above baseline levels, and performs interventions to protect the patient from surgical site infection.
• Responsible for ensuring comprehensive documentation of all care provided during the perioperative experience is timely, complete, and accurate in the electronic health record. The OR RN is required to be on-call during off tours hours to provide patient care for emergency procedures.

Work Schedule: Full Time. 7:00 AM - 3:30 PM with 9:00 AM - 5:30 PM on call rotation

Compressed/Flexible: Not Available

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO): Not Authorized

Financial Disclosure Report: Not required

VA offers a comprehensive total rewards package VA Nurse Total Rewards to include:

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