Registered Nurse - Miami, United States - Department of Veterans Affairs

Description

Registered Nurse - Operating Room

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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Overview

• Accepting applications
• Open & closing dates

03/18/2024 to 06/17/2024

• Salary

$94,627 - $172,022 per year

• Pay scale & grade

VN 00

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Location

• Miami, FL
• Remote job

No

• Telework eligible

No

• Travel Required

Not required

• Relocation expenses reimbursed

No

• Appointment type

Permanent -* Work schedule

Full-time -* Service

Excepted

• Promotion potential

00

• Job family (Series)

0610 Nurse

• Supervisory status

No

• Security clearance

Other

• Drug test

Yes

• Position sensitivity and risk

Non-sensitive (NS)/Low Risk

• Trust determination process

Credentialing

Suitability/Fitness

• Announcement number

CBTC LW

• Control number

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This job is open to

• The public

U.S. Citizens, Nationals or those who owe allegiance to the U.S.

• Internal to an agency

Current federal employees of this agency.

Clarification from the agency

Open to the Public- First Area of Consideration - Current, Permanent, Bruce W Carter Department of Veterans Affairs Medical Center employees including employees of the Veterans Canteen Service (VCS) and Community Based Outpatient Clinics.

Second Area of Consideration- Current, Permanent, VA Nationwide employees.

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Duties

This is an OPEN CONTINUOUS ANNOUNCEMENT for Bruce W Carter Department of Veteran Affairs Medical Center looking for Registered Nurse(s) to work in the Nursing Service Operating Room (OR).

It will remain open until June 4, 2024. The initial cut-off date for referral of eligible applications will be March 28, 2024.

Eligible applications received after this date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.

An Operating Room (OR) Nurse is responsible for the planning, execution, delivering, and evaluating both direct and indirect patient care of surgical patients.

Duties range from preoperative to postoperative interventions and other tasks necessary to meet patient's needs throughout surgical procedures, thus ensuring patient safety and continuity of care during the surgical experience.

The OR RN in the circulating role coordinates the care of the patients, serves as the patient's advocate throughout the intraoperative experience, and has responsibility for managing and implementing activities outside the sterile field.

Activities are directed toward assuring patient safety and achieving desired patient outcomes. The nursing process is used as a framework for these activities.

Other duties include but are not limited to:

• Providing emotional support to the patients prior to the induction of anesthesia
• Performing ongoing assessment
• Formulating nursing diagnosis
• Developing and implementing a plan of care
• Documenting patient care to accurately reflect patient status and patient care activities
• Evaluating patient outcomes
• Teaching patient and family
• Obtaining appropriate surgical instruments, supplies, and equipment
• Creating and maintaining safe environment
• Assisting a surgeon with surgical positioning
• Administering medications
• Implementing and enforcing policies and procedures that contribute to patient safety, such as surgical checklists, "time- out" protocols, surgical counts for instruments, sharps, and soft goods, and performing equipment checks
• Preparing and disposing of specimens
• Communicating relevant information to other team members and to patients' family
• Entering and maintaining data related to implants and medical devices used during a surgical procedure
• Handling and maintaining Reusable Medical Equipment (RME)
• Providing instructions, guidance, and supervision to surgical technicians and nursing assistants
• Role models safe and effective practices
• Appropriate use of safe patient handling equipment
• Adheres to infection control practices while using equipment and providing patient care
• Follows established SOP's and checklists in the set-up, cleaning, transporting, and storing reusable medical equipment (RME)
• Safely utilizes and maintains VA property and equipment

The OR RN in the scrub role is responsible for the following duties:

• Obtaining instruments, equipment, and supplies appropriate for the surgery
• Preparing the sterile field and setting up the sterile table(s)
• Maintaining the integrity and sterility of the sterile field throughout the procedure
• Having knowledge of the procedure and anticipating surgeon's needs throughout the procedure
• Providing instruments, sutures, and supplies to surgeon in appropriate and timely manner
• Preparing sterile dressings
• Implementing procedures that contribute to patient safety, such as surgical counts
• Cleaning and preparing instruments for transport to decontamination area

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: 12 Hour Shifts, including weekends.

Multiple Tours-based on the needs of the service; Flexibility in the schedule is required to ensure adequate coverage for the service.

Telework:
Not Available


Virtual:
This is not a virtual position.


Relocation/Recruitment Incentives:
Not Authorized


EDRP Authorized:
Contact, VISN 8 Compensation Center of Excellence at for questions. See "Additional Information" section below for more details Learn more

Permanent Change of Station (PCS): Not Authorized


Financial Disclosure Report:
Not required

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Requirements

Conditions of Employment

• U.S. Citizenship; 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. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

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.


Preferred Experience:

• 2 years recent OR experience for complex procedures (General Laparoscopy, vascular, urology, ENT, Ophthalmology, Neurosurgery, Orthopedics, Robotic)
• BSN
• CNOR

Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements:

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.

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/ invasive procedures.

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, 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 environment's pace can vary from steady to a sometimes fast paced, requiring handling of multiple priorities, frequent, sometimes intense customer interactions, and the ability to adapt to frequent changes in a noisy environment.

Education


IMPORTANT:

A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note:
Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment.

You can verify your education here:
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education


For further information, visit:

Note:

If your school has changed names, or is no longer in existence, you must provide this information in your application.

Note:

If your school was accredited at the time of graduation, but is no longer listed on the ACEN, CCNE, or DAPIP website, you must provide documentation of accreditation with your application packet.

(Please verify, failure to do so can result in an ineligible rating.)

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

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.

Pursuant to VHA Directive , VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy).

VHA HCPs do not include remote workers who only infrequently enter VHA locations.

If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date.

The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

Education Debt Reduction Program (EDRP): Authorized; may be eligible for the Education Debt Reduction Program (EDRP), a student loan reimbursement program within VHA, pending funding and approval.

If selected for this position you must meet specific individual eligibility criteria in accordance with VHA policy 1021 and apply for EDRP within four (4) months of appointment.

Final award amount and program start date is determined after review of a complete EDRP application and supporting documentation by the VHA Education Loan Repayment Services office.

If you have any questions or concerns, please contact the VISN 8 Compensation Center of Excellence at

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.

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• Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package.

As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

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Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.

Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.


NOTE:

Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected.

The recommended salary may be at any point in the range listed for this vacancy.

Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research.

Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members:

Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.