Direct Jobs
Summary
The Perianesthesia Registered Nurse (RN) provides pre-operative/procedural care - including (but not limited to) the nursing assessment of patients - consent - and H&P validations - the starting of intravenous fluids including venipuncture - assisting with peripheral nerve blocks - assuring all lab work and other pre-operative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered.
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/12860799
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 and 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
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience: Evidence of two years successful clinical experience in medical/surgical nursing - surgical patient nursing
Evidence of at least 2 year of experience in critical care nursing or surgical recovery nursing
Evidence of ability to function autonomously as well as an active member of interdisciplinary team
Excellent interpersonal and communication skills with interdisciplinary teams required
Evidence of dependability in work related environment
Ability to lift and push weights up to 60 lbs
required
BSN CPAN and/or CAPA certification Current BLS and ACLS certification
Physical Requirements: Heavy lifting - 45 pounds and over
Moderate lifting - 15-44 pounds
Light lifting - under 15 pounds
Light carrying - under 15 pounds
Straight pulling ( Pulling hand over hand ( Pushing ( Reaching above shoulder
Use of fingers
Both hands required
Walking (8 hours)
Standing (8 hours)
Kneeling (1 hours)
Repeated bending (8 hours)
Both legs required
Ability for rapid mental and muscular coordination simultaneously
Ability to use and desirability of using firearms
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
Both eyes required
Depth perception
Ability to distinguish basic colors
Ability to distinguish shades of colors
Hearing (aid may be permitted)
Mental and emotional instability
Environmental Factors: Outside and inside
Dry atmospheric conditions
Constant noise
Fumes - smoke - or gases
Solvents (degreasing agents)
Electrical energy
Slippery or uneven walking surfaces
Working around machinery with moving parts
Working with hands in water
Working closely with others
Working alone
Protracted or irregular hours of work
Duties
The Perianesthesia Registered Nurse (RN) duties include - but not limited to Provides pre-operative/procedural care - including (but not limited to) the nursing assessment of patients - consent - and H&P validations - the starting of intravenous fluids including venipuncture - assisting with peripheral nerve blocks - assuring all lab work and other pre-operative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered
Provides clear and concise preoperative teaching and reviews discharge instructions to patients and families with written and verbal communication
Assesses and prepare patients for procedures appropriately
Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention
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
Provides specialized care in the assessment - planning - implementing and evaluation of care throughout the peri anesthesia continuum to include the Pre anesthesia Phase - Post anesthesia Phase I - Post anesthesia Phase II - and extended care from sedation/analgesia and/or anesthesia for surgical - diagnostic - or therapeutic procedures
Possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions
Applies the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs - neurological system - hemodynamic stability - pain - and comfort needs and mental status - implementing appropriate interventions to maintain or return all physiological system to baseline or above
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
Will be required to perform on-call duties 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: Variable work schedule - Monday- Friday - 9am- 5:30pm MST Compressed/Flexible: Subject to supervisor discretion Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
#J-18808-Ljbffr
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/12860799
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 and 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
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience: Evidence of two years successful clinical experience in medical/surgical nursing - surgical patient nursing
Evidence of at least 2 year of experience in critical care nursing or surgical recovery nursing
Evidence of ability to function autonomously as well as an active member of interdisciplinary team
Excellent interpersonal and communication skills with interdisciplinary teams required
Evidence of dependability in work related environment
Ability to lift and push weights up to 60 lbs
required
BSN CPAN and/or CAPA certification Current BLS and ACLS certification
Physical Requirements: Heavy lifting - 45 pounds and over
Moderate lifting - 15-44 pounds
Light lifting - under 15 pounds
Light carrying - under 15 pounds
Straight pulling ( Pulling hand over hand ( Pushing ( Reaching above shoulder
Use of fingers
Both hands required
Walking (8 hours)
Standing (8 hours)
Kneeling (1 hours)
Repeated bending (8 hours)
Both legs required
Ability for rapid mental and muscular coordination simultaneously
Ability to use and desirability of using firearms
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
Both eyes required
Depth perception
Ability to distinguish basic colors
Ability to distinguish shades of colors
Hearing (aid may be permitted)
Mental and emotional instability
Environmental Factors: Outside and inside
Dry atmospheric conditions
Constant noise
Fumes - smoke - or gases
Solvents (degreasing agents)
Electrical energy
Slippery or uneven walking surfaces
Working around machinery with moving parts
Working with hands in water
Working closely with others
Working alone
Protracted or irregular hours of work
Duties
The Perianesthesia Registered Nurse (RN) duties include - but not limited to Provides pre-operative/procedural care - including (but not limited to) the nursing assessment of patients - consent - and H&P validations - the starting of intravenous fluids including venipuncture - assisting with peripheral nerve blocks - assuring all lab work and other pre-operative/procedural testing is completed and communicated to team members - confirms surgical sites are prepared and marked - and the administration of medications as ordered
Provides clear and concise preoperative teaching and reviews discharge instructions to patients and families with written and verbal communication
Assesses and prepare patients for procedures appropriately
Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention
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
Provides specialized care in the assessment - planning - implementing and evaluation of care throughout the peri anesthesia continuum to include the Pre anesthesia Phase - Post anesthesia Phase I - Post anesthesia Phase II - and extended care from sedation/analgesia and/or anesthesia for surgical - diagnostic - or therapeutic procedures
Possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions
Applies the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs - neurological system - hemodynamic stability - pain - and comfort needs and mental status - implementing appropriate interventions to maintain or return all physiological system to baseline or above
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
Will be required to perform on-call duties 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: Variable work schedule - Monday- Friday - 9am- 5:30pm MST Compressed/Flexible: Subject to supervisor discretion Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
#J-18808-Ljbffr