This is a Staff Nurse (Operating Room) (OR) position located in Patient Care Services. Provides specialized direct and indirect care to patients within all surgical specialties and/or designated specialty. 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. 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: Current or recent (within the last 2 years) OR experience Recent/Prior Scrub RN or Scrub tech experience 3-5 years of successful OR experience 5 years RN experience Scrub, Circulating, and PeriOperative experience preferred Open Heart experience preferred CNOR certification preferred BSN preferred but not required 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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: 1. Lifting up to 45 lbs. (intermittently)2. Carrying up to 45 lbs. (intermittently)3. Repeated bending4. Straight Pulling up to 45 lbs.(intermittently)5. Straight Pushing up to 45 lbs. (intermittently)6. Stooping (intermittently)7. Squatting (intermittently)8. Kneeling (occasionally)9. Use of both arms10. Use of both hands11. Use of fingers12. Overhead work; both arms (intermittently)13. Prolonged walking (up to 4 hrs./day)14. Prolonged standing (up to 4 hrs./day)15. Sitting (up to 2 hrs./day)16. Far Vision - correctable in one eye to 20/20 and to 20/40 in the other17. Near Vision - correctable to read newsprint at 13 - 16 inches18. Ability to distinguish shades of colors19. Hearing - ability to hear and understand the spoken voice from a distance of 8 feet. Ability to effectively utilize a stethoscope and distinguish breath and heart, and bowel sounds20. Emotional and mental stability - ability to effectively perform the essential functions of the position and respond appropriately in emergency situations. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards This RN will primarily serve in a Scrub role with the following duties; Functions as a primary scrub person responsible for handling surgical instruments, supplies, and equipment during all surgical procedures. Prepares, organizes, and maintains highly complex sterile surgical set-ups. Observes and responds promptly to each stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time. Sets up sterile field; identifies, assembles, handles, manages, and operates specialized complex medical equipment such as microscopes, lasers, urologic equipment, recording devices and other operating room supplies and equipment; recognizes potentially hazardous situations and takes corrective actions. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies and equipment. Collaborates with other RNs and other staff members to perform sponge and instrument counts to for the accountability. Responsible for surgical team to develop and implement a surgical procedure plan of care to assure all necessary surgical supplies, instruments and equipment are available prior to the surgical procedure. Inspects and performs all recommended tests to assure that equipment meets operational, sterilization and/or cleanliness requirements. Assumes responsibility for the accountability of all surgical instruments and equipment during the surgical procedure; functions as a second circulator for complex surgical procedures. Assists in training residents, medical students, nursing students, operating room technology students, and new OR staff in the operation of equipment, sterile technique, handling of instruments, and OR procedures to include the scrub role in surgical procedures. Performs other duties as directed/assigned by supervisor. Other duties may include but are not limited to; Observe, interview, and assess patients to identify care needs. Monitor or evaluate medical conditions of patients in collaboration with other health care professionals. Develop, implement, or evaluate standards of nursing practice in specialty areas. Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records. Documents nursing interventions, therapeutic measure administered, patient's reactions, patient teaching and understanding. Administers therapeutic measures as prescribed by the physician to include, but not limited to, medication administration, intravenous fluids, treatments and maintains those measures taken which are ongoing in nature. Participates in the development, updating and evaluation of standards of care and quality improvement monitoring. Collaborate with other health care professionals and service providers to ensure optimal patient care in the Operating Room or designated area. Completes required documentation in a timely manner. Adheres to VHA directives and AORN Practice Guidelines. Pay: Competitive salary, annual performance bonus, regular salary increases 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, 6:30am-3:00pm with on-call coverage including weekends and holidays. Financial Disclosure Report: Not required"]
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.