U.S. Department of Veterans Affairs
Registered Nurse - Perioperative
U.S. Department of Veterans Affairs, Fayetteville, Arkansas, us, 72702
Job Title
Registered Nurse - Perioperative
Employer U.S. Department of Veterans Affairs
Location Fayetteville, AR
Salary Range Base Pay Range: $71,587.00 per year – $147,460.00 per year
Summary The Perioperative (Pre‑op – PACU – Endoscopy) Registered Nurse (RN) prepares patients for procedures, administers moderate sedation, monitors patients during procedures, and provides post‑procedure care. The Nurse demonstrates proficiency in practice based on conscious and deliberate planning and is self‑directed in managing complex client situations.
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 a 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/12855910
Grade/Level Scope Education Nurse I - Level I: Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
Grade/Level Scope Education Nurse I - Level I: An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
Grade/Level Scope Education Nurse I - Level II: Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
Grade/Level Scope Education Nurse I - Level II: 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
Grade/Level Scope Education Nurse I - Level III: Demonstrates proficiency in practice based on conscious and deliberate planning; Self-directed in goal setting for managing complex client situations
Grade/Level Scope Education Nurse I - Level III: An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
Grade/Level Scope Education Nurse I - Level III: Or a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
Grade/Level Scope Education Nurse I - Level III: Or a Master’s degree in nursing (MSN) and no additional professional nursing experience
Grade/Level Scope Education Nurse I - Level III: Or a Master’s degree in a related field with a BSN and no additional professional nursing experience
Grade/Level Scope Education Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
Grade/Level Scope Education Nurse II: A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
Grade/Level Scope Education Nurse II: Or an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
Grade/Level Scope Education Nurse II: 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
Grade/Level Scope Education Nurse II: Or a Doctoral degree in Nursing with no professional nursing experience
Grade/Level Scope Education Nurse II: Or a Doctoral degree in a related field with a BSN and no professional nursing experience
Grade/Level Scope Education Nurse III: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting
Grade/Level Scope Education Nurse III: MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
Grade/Level Scope Education Nurse III: Or a Master’s degree in a 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
Grade/Level Scope Education 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
Grade/Level Scope Education 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 https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience: 2-3 years of perioperative nursing experience with a focus in Pre‑op, PACU, and/or Endoscopy
Moderate Sedation administration experience recommended but not required
Duties
The Nurse - Perioperative Registered Nurse (RN) - provides specialized care throughout the peri‑anesthesia continuum to include the pre procedure - post procedure Phase I - post procedure Phase II - and administers moderate sedation for Endoscopy and other procedures
The Perioperative RN possess knowledge related to the physiology associated with various anesthesia techniques and surgical interventions
Other duties include and not limited to the following: Nursing assessment of patients for procedures - readily recognizes contraindications for anesthesia and/or surgical intervention - verifies the presence procedural consents - H&P's - administration of intravenous fluids including venipuncture - assuring all lab work and other preoperative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered
Applies the appropriate post sedation scoring and assess the patient’s postoperative status to include cardiovascular and respiratory systems - airway management - neurological system - hemodynamic stability - pain - comfort needs - and mental status - implementing appropriate interventions to maintain or return all physiological systems to baseline or above
Documents responses to interventions - findings - and reports any changes
Provides clear and concise preoperative teaching and reviews discharge instructions to patients and families with written and verbal communication
Monitors post‑operative patient's level of consciousness after the recovery of anesthesia/sedation
Closely observes signs of side effect of post residual anesthesia medications
Maintains knowledge of current American Society of Peri Anesthesia Nurses (ASPAN) standards - VHA Directive - and service level standard operating procedures
Responsible for ensuring comprehensive documentation of all phases of care and is timely - complete - and accurate in the electronic health record
Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks ensuring assigned delegated tasks are completed by team members
Establishes a therapeutic relationship - allowing the patient to achieve optimal function through assessment and treatment of their health enhancing the patient experience - satisfaction - and/or safety
Demonstrates the ability to communicate confidently with members of the healthcare team and demonstrate professional behaviors that promotes cooperation and teamwork
Seeks opportunities to participate in unit level performance improvement activities
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 - Friday - 9:00am - 5:30pm (8 hour shift 5 days a week) or 7:30am - 6:00pm (10 hour shift 4 days a week)
Telework: Not available
Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Physical Requirements This position requires heavy lifting and carrying 45 pounds and over - straight pulling and pushing 1 hour - reaching above shoulder - use of fingers - both hands required - walking 7 hours - standing 7 hours - kneeling .5 hour - repeated bending 7 hours - both legs required - ability for rapid mental and muscular coordination simultaneously - near vision correctable at 13" to 16" to Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other - ability to distinguish basic colors and shades of colors - hearing without aid - mental and emotional stability and working with detergents and antiseptic solutions.
Seniority Level Entry Level
Employment Type Full‑time
Job Function Health Care Provider (Hospital)
Industries Government Administration
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Employer U.S. Department of Veterans Affairs
Location Fayetteville, AR
Salary Range Base Pay Range: $71,587.00 per year – $147,460.00 per year
Summary The Perioperative (Pre‑op – PACU – Endoscopy) Registered Nurse (RN) prepares patients for procedures, administers moderate sedation, monitors patients during procedures, and provides post‑procedure care. The Nurse demonstrates proficiency in practice based on conscious and deliberate planning and is self‑directed in managing complex client situations.
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 a 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/12855910
Grade/Level Scope Education Nurse I - Level I: Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
Grade/Level Scope Education Nurse I - Level I: An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
Grade/Level Scope Education Nurse I - Level II: Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
Grade/Level Scope Education Nurse I - Level II: 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
Grade/Level Scope Education Nurse I - Level III: Demonstrates proficiency in practice based on conscious and deliberate planning; Self-directed in goal setting for managing complex client situations
Grade/Level Scope Education Nurse I - Level III: An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
Grade/Level Scope Education Nurse I - Level III: Or a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
Grade/Level Scope Education Nurse I - Level III: Or a Master’s degree in nursing (MSN) and no additional professional nursing experience
Grade/Level Scope Education Nurse I - Level III: Or a Master’s degree in a related field with a BSN and no additional professional nursing experience
Grade/Level Scope Education Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
Grade/Level Scope Education Nurse II: A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
Grade/Level Scope Education Nurse II: Or an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
Grade/Level Scope Education Nurse II: 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
Grade/Level Scope Education Nurse II: Or a Doctoral degree in Nursing with no professional nursing experience
Grade/Level Scope Education Nurse II: Or a Doctoral degree in a related field with a BSN and no professional nursing experience
Grade/Level Scope Education Nurse III: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting
Grade/Level Scope Education Nurse III: MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
Grade/Level Scope Education Nurse III: Or a Master’s degree in a 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
Grade/Level Scope Education 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
Grade/Level Scope Education 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 https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience: 2-3 years of perioperative nursing experience with a focus in Pre‑op, PACU, and/or Endoscopy
Moderate Sedation administration experience recommended but not required
Duties
The Nurse - Perioperative Registered Nurse (RN) - provides specialized care throughout the peri‑anesthesia continuum to include the pre procedure - post procedure Phase I - post procedure Phase II - and administers moderate sedation for Endoscopy and other procedures
The Perioperative RN possess knowledge related to the physiology associated with various anesthesia techniques and surgical interventions
Other duties include and not limited to the following: Nursing assessment of patients for procedures - readily recognizes contraindications for anesthesia and/or surgical intervention - verifies the presence procedural consents - H&P's - administration of intravenous fluids including venipuncture - assuring all lab work and other preoperative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered
Applies the appropriate post sedation scoring and assess the patient’s postoperative status to include cardiovascular and respiratory systems - airway management - neurological system - hemodynamic stability - pain - comfort needs - and mental status - implementing appropriate interventions to maintain or return all physiological systems to baseline or above
Documents responses to interventions - findings - and reports any changes
Provides clear and concise preoperative teaching and reviews discharge instructions to patients and families with written and verbal communication
Monitors post‑operative patient's level of consciousness after the recovery of anesthesia/sedation
Closely observes signs of side effect of post residual anesthesia medications
Maintains knowledge of current American Society of Peri Anesthesia Nurses (ASPAN) standards - VHA Directive - and service level standard operating procedures
Responsible for ensuring comprehensive documentation of all phases of care and is timely - complete - and accurate in the electronic health record
Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks ensuring assigned delegated tasks are completed by team members
Establishes a therapeutic relationship - allowing the patient to achieve optimal function through assessment and treatment of their health enhancing the patient experience - satisfaction - and/or safety
Demonstrates the ability to communicate confidently with members of the healthcare team and demonstrate professional behaviors that promotes cooperation and teamwork
Seeks opportunities to participate in unit level performance improvement activities
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 - Friday - 9:00am - 5:30pm (8 hour shift 5 days a week) or 7:30am - 6:00pm (10 hour shift 4 days a week)
Telework: Not available
Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Physical Requirements This position requires heavy lifting and carrying 45 pounds and over - straight pulling and pushing 1 hour - reaching above shoulder - use of fingers - both hands required - walking 7 hours - standing 7 hours - kneeling .5 hour - repeated bending 7 hours - both legs required - ability for rapid mental and muscular coordination simultaneously - near vision correctable at 13" to 16" to Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other - ability to distinguish basic colors and shades of colors - hearing without aid - mental and emotional stability and working with detergents and antiseptic solutions.
Seniority Level Entry Level
Employment Type Full‑time
Job Function Health Care Provider (Hospital)
Industries Government Administration
#J-18808-Ljbffr