RN-Ambulatory Surgery/OR/Post Anesthesia Care Unit - Erie, United States - Veterans Affairs, Veterans Health Administration

Description

Summary This is an Operating Room RN job opportunity in the Surgical service line at the Erie.

The Operating Room RN specializes in caring for adult and geriatric Veterans during the perioperative experience and assumes responsibility for the coordination of care focused on patient transition through the continuum of care in surgery from admission to the outpatient surgical unit and post operatively.

Responsibilities The Operating Room nurse must demonstrate and maintain competencies required for all processes, procedures, and equipment used in the Operating Room.

The incumbent must have the technical and operational expertise and clinical skills to function as both a circulating and scrub nurse in all the above services.

She/he must demonstrate a variety of specialized diagnostic and treatment procedure and will be accountable for promoting patient safety, continuity of care and the general well being of the patient.

She/he will collaborate with physicians and ancillary services to provide the highest level of care; will analyze and upgrade patient care through quality improvement activities; and will monitor all clinical activities when acting in charge nurse capacity.

She/he must strive to maintain all clinical competencies through continuous study, in-services, and participation in continuing education units. Based on level of education and experience, the incumbent may also be assigned preceptor/mentor responsibilities.

The incumbent's clinical responsibilities include but are not limited to:

• The Perioperative nurse is responsible for patient outcomes resulting from nursing care provided during the perioperative experience.

A perioperative registered nurse functioning in the circulating role must plan and direct the nursing care of every patient undergoing surgical and/or other invasive procedures, thus requiring a 1:1 perioperative nurse:
patient ratio. - The Circulating nurse is responsible for completing all Operative Documentation, i.e. Vista intraoperative record, DSS Live Data Time, Surgical Time Out and safety checks. She/he also ensures proper documentation and accountability of surgical specimens.

- The Operating Room nurse must demonstrate expertise, in both the circulating and scrub nurse capacity, in a minimum of one surgical specialty, and demonstrate minimal competency in all other surgical specialties performed at the Erie
VAMedical Center by the following: Demonstrating competency in pre-op assessment of the surgical patient, which includes actively acting as the patient's advocate when it comes to assessing the patient's understanding of surgical consent and procedures they are about to undergo; assessing that the patient has followed all pre-operative instructions, such as NPO status, halting of anticoagulation medication, etc.

Ensuring all instruments, supplies, and equipment are present and functional before the surgical procedure; ensuring sterility of all surgical instruments; ensuring count of surgical instruments and specialty equipment occurs prior to and following the procedure to ensure all instruments are accounted for prior to the patient leaving the Operating Room Suite; performing proper surgical Time Out prior to incision for all procedures; and when pertinent, performs fire safety time out prior to start of procedure.

Maintaining cleanliness and order in the Operating Room; protecting the sterile field by monitoring for breaches in sterile technique; limiting traffic in the Operating Room Suite and around the surgical field; assisting the Surgeons during procedures and coordinating with Surgical Technicians; ensuring post-operative pre-cleaning of instruments and safe transport to Sterile Processing.

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
VAInsurance: 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: 7:00am-3:30pm Compressed/Flexible:

Not Available Telework:

Not Available Virtual:
This is not a virtual position


Financial Disclosure Report:
Not required 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
VAPolicy.

All applicants tentatively selected for
VAemployment 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
VAHandbook 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
VAsuch 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:

VARegulations, specifically
VAHandbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.


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, kneeling, 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 during patient procedures and care.

The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

Use of fingers, both hands, and near and far vision is required Education A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

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 accreditation status at the following link:
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:
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.
VAencourages persons with disabilities to apply. The health-related positions in
VAare 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. 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.