Direct Jobs
Summary
The VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking a highly skilled and experienced Registered Nurse (RN) to join our fast-paced Operating Room (OR) within the Perioperative Nursing Department. RNs are responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses - plans - implements - and evaluates age-specific care while influencing outcomes through leadership and collaboration.
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: https://apply.usastaffing.gov/ViewQuestionnaire/12857703
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 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: Certifications: Basic Life Support (BLS) certification
Advanced Cardiovascular Life Support (ALCS) certification
Certified Nurse Operating Room (CNOR) credential is preferred
Technical Skills: 3-5 years operating room RN experience
Proficient in maintaining and ensuring a sterile field throughout surgical procedures
Understanding of aseptic practices to prevent infection
Skilled in handling and passing surgical instruments efficiently and correctly during operations - recognizing various instruments and their uses
Adept at documenting intraoperative patient data and surgical details accurately in the electronic health records (EHR) system - ensuring all records are complete and compliant with regulations
Strong communication skills - with the ability to work effectively in a team
Problem solving abilities and critical thinking High level of attention to detail and organizational skills
Knowledge or preoperative preparations - including patient positioning - site marking - and draping
Understanding of postoperative care routines and assisting with patient transfer to recovery
Compassion and empathy towards patients
Ability to stay calm and focused under pressure
Expertise in the cleaning - sterilization - and maintenance of surgical instruments to ensure they are safe for use in procedures
Flexibility to adapt to changing schedules and priorities
Competent in setting up and maintaining surgical equipment - including operating tables - lights - and suction machines
Ability to troubleshoot and rectify equipment issues during procedures
Reference: For more information on this qualification standard - please visit https://www.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: Accountable for patient outcomes related to nursing care during surgical and invasive procedures
Plans - directs - and coordinates perioperative care with respect for individual needs and team contributions
Functions proficiently in both circulator and scrub roles across all surgical specialties
Maintains knowledge and application of AORN standards - VHA Directives - and service-level SOPs
Ensures sterility and safe - efficient use of instruments and equipment throughout procedures
Protects patients from chemical - thermal - electrical - mechanical hazards - and foreign objects
Performs counting procedures to prevent retained surgical items and participates in Time Out protocols
Follows policy for documentation and handling of implants - tissue products - and patient specimens
Administers medications safely and monitors wound and tissue perfusion to prevent complications
Implements infection prevention measures - including evidence-based surgical site interventions
Documents perioperative care thoroughly - accurately - and promptly in the electronic health record
Ensures proper use and reprocessing of reusable medical equipment per SOP and consults with Sterile Processing/Infection Control when necessary
Provides on-call coverage during off-tours for emergency surgical procedures
Participates in policy development - evaluation - and revision at the unit or facility level
Demonstrates leadership by supporting peers - offering feedback - mentoring - and driving evidence-based improvements in patient care outcomes
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 - 3:00pm Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Permanent Change of Station (PCS): Not Authorized
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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: https://apply.usastaffing.gov/ViewQuestionnaire/12857703
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 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: Certifications: Basic Life Support (BLS) certification
Advanced Cardiovascular Life Support (ALCS) certification
Certified Nurse Operating Room (CNOR) credential is preferred
Technical Skills: 3-5 years operating room RN experience
Proficient in maintaining and ensuring a sterile field throughout surgical procedures
Understanding of aseptic practices to prevent infection
Skilled in handling and passing surgical instruments efficiently and correctly during operations - recognizing various instruments and their uses
Adept at documenting intraoperative patient data and surgical details accurately in the electronic health records (EHR) system - ensuring all records are complete and compliant with regulations
Strong communication skills - with the ability to work effectively in a team
Problem solving abilities and critical thinking High level of attention to detail and organizational skills
Knowledge or preoperative preparations - including patient positioning - site marking - and draping
Understanding of postoperative care routines and assisting with patient transfer to recovery
Compassion and empathy towards patients
Ability to stay calm and focused under pressure
Expertise in the cleaning - sterilization - and maintenance of surgical instruments to ensure they are safe for use in procedures
Flexibility to adapt to changing schedules and priorities
Competent in setting up and maintaining surgical equipment - including operating tables - lights - and suction machines
Ability to troubleshoot and rectify equipment issues during procedures
Reference: For more information on this qualification standard - please visit https://www.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: Accountable for patient outcomes related to nursing care during surgical and invasive procedures
Plans - directs - and coordinates perioperative care with respect for individual needs and team contributions
Functions proficiently in both circulator and scrub roles across all surgical specialties
Maintains knowledge and application of AORN standards - VHA Directives - and service-level SOPs
Ensures sterility and safe - efficient use of instruments and equipment throughout procedures
Protects patients from chemical - thermal - electrical - mechanical hazards - and foreign objects
Performs counting procedures to prevent retained surgical items and participates in Time Out protocols
Follows policy for documentation and handling of implants - tissue products - and patient specimens
Administers medications safely and monitors wound and tissue perfusion to prevent complications
Implements infection prevention measures - including evidence-based surgical site interventions
Documents perioperative care thoroughly - accurately - and promptly in the electronic health record
Ensures proper use and reprocessing of reusable medical equipment per SOP and consults with Sterile Processing/Infection Control when necessary
Provides on-call coverage during off-tours for emergency surgical procedures
Participates in policy development - evaluation - and revision at the unit or facility level
Demonstrates leadership by supporting peers - offering feedback - mentoring - and driving evidence-based improvements in patient care outcomes
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 - 3:00pm Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Permanent Change of Station (PCS): Not Authorized
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