Registered Nurse - Clinical Procedures Clinic

Job Summary The VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking a highly skilled and experienced Registered Nurse to join the Clinical Procedures Clinic team. This RN is responsible and accountable for all elements of the nursing process - including assessing - planning - implementing - and evaluating care based on age-specific needs. The RN coordinates care with a focus on education - self-management - and satisfaction - administering treatments and collaborating to improve patient outcomes.

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

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: https://apply.usastaffing.gov/ViewQuestionnaire/12855816

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: GI Procedures: Direct experience in gastrointestinal procedures - such as endoscopies and colonoscopies

Endoscopy Suite Nursing: Familiarity with the specific equipment - setup - and patient care protocols in an endoscopy suite

Pulmonary Procedures: Experience in assisting with respiratory and bronchoscopy suite

Intake and Assessment: Proficiency in patient intake - including medical history collection - vital signs - and preliminary assessments

Recovery Phase 2: Managing patients in the post-anesthesia recovery phase - especially for outpatient procedures

This includes monitoring for complications and ensuring patient's readiness for discharge

Sedation and Anesthesia Experience: Knowledge of procedural sedation and anesthesia protocols relevant to both GI and pulmonary procedures

Reference: For more information on this qualification standard - please visit https://.va.gov/ohrm/QualificationStandards/

Physical Requirements: Heavy lifting (45 lbs and over)

Heavy carrying (45 lbs and over)

Straight pulling and pushing

reaching above shoulder

use of fingers

both hands required

walking and standing up to 8 hours

repeated bending

Ability for rapid mental and muscular coordination simultaneously

hearing aid permitted.

Duties

Duties include - but are not limited to: Demonstrates leadership and expertise in managing complex procedural care within a dynamic clinical setting

Coordinates patient care across the continuum - emphasizing smooth transitions - discharge planning - and self-management

Delivers and manages care for inpatients and outpatients undergoing diagnostic and therapeutic endoscopy procedures

Performs comprehensive pre-procedure assessments - educates patients and families - and ensures post-procedural care compliance

Documents interventions - patient responses - and communicates clinical findings to the healthcare team

Collaborates with interdisciplinary teams to align patient care with the Veteran's goals and overall treatment plan

Develops - implements - evaluates - and revises clinical policies - procedures - and guidelines based on evidence-based practice

Provides peer feedback and fosters a professional environment that supports continuous learning and development

Evaluates and documents program or service-level outcomes that reflect broad - complex contributions to the organization

Assumes multiple roles including procedure assistance - pre-op and post-op patient care - and emergency response

Maintains proficiency in cleaning - maintenance - and preparation of endoscopy-specific equipment

Adapts to shifting priorities - including participating in the on-call schedule and responding per facility protocols

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: Monday through Friday - 7:00am - 3:30pm - 7:30am - 4:30om - 9:30am - 6:00pn - 10 hour compressed tours available Compressed Tour: Available Telework: Not Available Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Permanent Change of Station (PCS): Not Authorized

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