Registered Nurse Pre-Op/PACU and Moderate Sedation Unit
Veterans Affairs, Veterans Health Administration
Location: San Antonio, Texas
Internal Number: 712201600
This position is for an RN position for same day surgery Pre-Op/PACU and Moderate sedation unit at the Northwest Health Care Center. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements. Provide details in the narrative sections of the assessment. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: -3-5 years of experience in same day surgery, Pre-Op, PACU, ER, ICU Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The position requires light to moderate lifting and carrying (up to 44 pounds), straight pulling (1 hour), pulling hand over hand (1-2 hours), pushing (1-3 hours), reaching above shoulder, use of fingers, both hands required, walking (4 hours), standing (2-7 hours), crawling (1 hour or less), kneeling (2 hours), repeated bending (2 hours), climbing (use of arms and legs), both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, specific visual requirement (20/40 DVA; corrected), both eyes required, depth perception, ability to distinguish basic colors, hearing (aid permitted), sitting (8 hours), simple grasping (2-4 hours), fine manipulation (including keyboarding 4-6 hours), twisting (2 hours), and mental and emotional stability. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards You will utilize the nursing process to provide quality patient care according to established standards of VA care which includes planning, implementing, evaluating, and adjusting plan of care. Acquire knowledge and skills to maintain expertise in your area of practice and participate in educational activities to improve clinical knowledge and enhance role performance. Collaborate and communicate effectively with Physicians and other team members in providing care to pre-operative, post operative and moderate sedation patients. You will intervene when altered states of consciousness occur in postanesthetized patients. Demonstrate grade-appropriate and consistent critical thinking skills consistent with a High Reliability and Just Culture environment. Recognize subtle abnormal signs and symptoms and/or changes in patient's condition and respond appropriately in providing nursing interventions in the management of anesthesia, surgical and medical complications. Initiate nursing actions to prevent and/or intervene in life threatening emergencies. Manage the care of any level of sedated patients to include airway management, provision of physical and emotional maintenance, recovery and discharge safety including documentation and communication of patient's status. Perform routine pre-op/pre-procedural and post-op/post-procedural nursing care and assessments, patient education and moderate sedation recovery to include side effects and what to expect. Cross -coverage, flexibility and adaptability to the work environment are necessary to perform the RN duties in the Pre-op/Post-op and Moderate Sedation Units at NWHCC. Participate in performance improvement activities which include collecting, analyzing data to identify quantifiable measures to maintain quality and the promotion of desired outcomes. Participation in development of patient care delivery systems, standards, policy and procedures, and problem-solving. Able to work independently, meet established deadlines and make sound reasonable decisions 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: Full-time; Rotating day shift; 6:00am-5:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.