Home Health Virtual Care RN

The VA Texas Valley Coastal Bend Health Care System (VCBHCS), Harlingen, TX is seeking a Registered Nurse (Peroperative Section) to demonstrate advanced clinical knowledge in assessing, planning, implementing, documentating, and evaluating care for designated patients.
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The Perioperative Registered Nurse will maintain effective working relationships with patients, visitors, professionals, and support personnel within or outside of the perioperative area and accountable for patient outcomes resulting from the nursing care undergoing a surgical/invasive procedures.
Adheres to Standard Operating Procedures and Policies related to RMD.

• Participates and assists with quality improvement process and SOP development
• Maintains current knowledge of multidisciplinary resources/programs/services, and refers patients for community resources as appropriate
• Conducts pre-appointment telephone reminder calls and provides preoperative instructions specific to the procedures.
• Evaluates needs and assesses the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care
• - Screens patients for social service, home care, and other community care needs; Provides nursing support to PASS (Pre-Anesthesia Surgical Screening) clinic, and completes documentation appropriately.
• Conducts pre-surgical/procedure patient assessments using face-to-face, telephone, or video modality for pre-anesthesia surgical screening clinic appointments.
• Provides patient/family education prior to the surgery regarding expectations, preparation, and plan of care on the day of surgery and post-surgery.
• Collaborates with the interdisciplinary team including surgeons, anesthesiologists, and other members of the surgical team to ensure quality patient care.
• In the Pre-Operative Department verify the correct procedure/surgical site with the patient, physician's orders, and consent.
• Provides IV access and therapy/ treatment according to policy and procedure
• Participates in the pre-procedural team huddle, and assists with the surgical site marking process.
• Facilitates proper warm handoff to and from the surgical team.
• Provides care to patients under moderate sedation ensuring patient safety and takes appropriate action when adverse events occur.
• Manages care of post-operative patients including airway management, hemodynamic stabilization, tube and line patency, neurological assessment, assessment and management of pain, provision of physical and emotional maintenance, and discharge safety including documentation and communication of patient status.
• Assesses patients requiring continuous hemodynamic monitoring and vasoactive medications.
• Monitors for adverse reaction to anesthesia agents /surgical and medical complications, and intervene appropriately
• Keeps the surgeon, anesthesiologist, and surgical team aware of patient progress, issues, and/or problems.
• Perform fall risk assessment and assists patients (using the restroom, changing in and out of hospital gown, etc.) Completes discharge instructions and plan of care for all patients at the time of disposition.
• Completes post-procedure follow-up calls and documents in a timely manner
• Completes nursing documentation in CPRS, Vista, and Innovian as applicable, in a timely manner. Work Schedule: Monday - Friday (7:00 a.m. - VA Nurse Total Rewards

Telework: This position is eligible for Telework (Ad-Hoc)
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
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
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non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Selective Service Registration is required for males born after 12/31/1959.
Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
You may be required to serve a probationary period.
Complete all application requirements detailed in the "Required Documents" section of this announcement.
English Language Proficiency. 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. (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., 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.)
Pre-OP and 2+ years Ambulatory Surgery

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:
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. 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.
* The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE). If your school has changed names, or is no longer in existence, you must provide this information in your application.
If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.