Registered Nurse - Operating Room - First Assistant

Summary The 2-page Resume requirement does not apply to this occupational series. For more information - refer to Required Documents below. The VA Northeast Ohio Healthcare System is recruiting for a Registered Nurse - Operating Room - First Assistant . The Registered Nurse - Operating Room - First Assistant will function within Perioperative Nursing Service at the VA Northeast Ohio Healthcare System. 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 Preferred Experience: Experience functioning in complex surgical cases including but not limited to general surgery - GYN - orthopedics - urology and robotics BSN CNOR certification At least 2 years of current OR experience 2 years of scrub RNFA experience 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 Reference: For more information on this qualification standard - please visit Physical Requirements: Applicant must possess the ability to do the following: heavy lifting and carrying - 45 pounds and over pulling - pushing and reaching above the shoulder potentially long periods of walking - standing - kneeling and repeated bending Transferring patients and objects may be required. Duties The Registered Nurse - Operating Room - First Assistant duties include but are not limited to: Demonstrates competence in practice and decision-making - deliberate planning - and critical thinking skills integrates knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex situations The focus is beyond the self to the evolution of systems thinking by synthesizing knowledge to solve problems that result in demonstrated outcomes The ability to cope with and manage competing priorities Evaluates others - coaches - and mentors' others - and demonstrates leadership skills through collaborative efforts Functions in an expanded perioperative nursing role When performing delegated medical functions - First Assist RNs are practitioners who are agents of the supervising physician(s)/independent licensed practitioner(s) who are responsible for the First Assist RN's actions within the agreed upon scope of practice The supervising physician/independent licensed provider is to direct and review the work and practice on a continuous basis to ensure that appropriate directions are given and understood - and appropriate care is rendered Possess the necessary knowledge - judgment - and skills specific to the expanded role of First Assist RN clinical practice Intra-operatively - the First Assist RN practices at the direction of the attending surgeon The First Assist RN shall not concurrently function as a scrub nurse with responsibility as a surgical first assistant Verifies the standardized procedures in effect before preforming the functions of a surgical first assistant Maintains knowledge of current Association of peri-Operative Registered Nurses (AORN) Standards - VHA Directives and service level standard operating procedures When directed by the attending surgeon - the First Assist RN's expanded role permits the performance of intra-operative functions including - but not limited to: positioning the patient - preparing and draping the surgical site - administering local anesthetic - providing exposure and retraction - providing hemostasis utilizing electrosurgical cautery (ESU) - bipolar and ultrasonic devices - suture ligation - hemostatic agents and argon beam - use and handling of surgical instrumentation - tissue manipulation - dissection - suturing - and stapling - making the skin incision or stab wound for laparoscopic surgery or drains and placement of trocar (based on State Board of Nursing) for laparoscopic access - robotics insertion and removal of instrumentation - securing drains - closure of wounds and application of dressings - including wound vac therapy - application and removal of casts and splints - harvest of vein and arteries for bypass conduit - cleansing the surgical area - including superficial - subcutaneous - muscle and fascia - bone and abdominal and pelvic cavities - removal of surgical drains (chest tubes - knee drains) Virtual: This is not a virtual position Financial Disclosure Report: Not required. Benefits 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: Rotating Shifts: 6:00am - 2:30pm - 7:00am - 3:30pm - 11:00am-7:30pm - On-call M-F - weekends - holidays Overtime as required for patient care #J-18808-Ljbffr Direct Jobs