Summary

The Operating Room Registered Nurse is accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/invasive procedure as well as plan - direct - and coordinate the care of every patient undergoing operative and other invasive procedures - taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's wellbeing.

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/12971778
• 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 additional 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: 2-3 years of Operating Room experience
• Scrub experience
• Experience handling and dealing with implants Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The Registered Nurse (RN) must be able to perform all activities of the position without restriction
• This position involves considerable standing - walking - stooping - bending - reaching - lifting and turning
• It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers
• Mechanical devices when available are required to be used for heavy or difficult to lift patients
• The work may involve pushing or lifting in excess of 50 pounds and going up and down flights of stairs
• The position requires visual and auditory acuity at a level to provide safe and effective nursing care
• The position requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients
• The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures
• The RN may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The RN must be mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities - based on patient needs.

Duties

• https://www.youtube.com/watch?v=NpaTtyybXFQ Major Duties: Duties and responsibilities include - but are not limited to - the following: Plan - direct - and coordinate the care of every patient undergoing operative and other invasive procedures - taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's wellbeing
• Function proficiently in both the circulator and scrub role within the Operating Room and to be competent in all surgical specialties served
• Maintain knowledge of current Association of Peri-Operative Registered Nurses (AORN) standards - Veterans Health Administration (VHA) Directives - and service level Standard Operating Procedures (SOP)
• Assure the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner
• Protect the patient from injury caused by chemical - electrical - mechanical - and thermal sources - and extraneous objectives
• Perform counting procedures to protect the patient from unintended retained surgical iteams
• Participate in the Time Out process to ensure correct site - side - and level
• Follow implant and tissue/tissue-based product documentation - policy - and procedures
• Manage the patient's specimens in the appropriate manner
• Adminster medications safely and correctly
• Perform interventions to maintain the patient's wound and tissue perfusion at or above baseline levels
• Perform interventions to protect the patient from surgical site infection
• Responsible for ensuring comprehensive documentation of all care provided during the perioperative experience is timely - complete - and accurate in the electronic health record
• Responsible for knowing what reusable instruments - equipment - medical devices - or supplies are in use in the clinical area
• Obtain - read - and follow Standard Operating Procedures (SOP) for all reusable medical equipment (RME) in use in the clinical area and consult Sterile Processing and/or Infection Control as needed
• Required to be on-call during off tour hours to provide patient care for emergency procedures
• Perform scrub duties as assigned - ensuring adherence to sterile techniques and protocols
• Function in multiple capacities as a Registered Nurse in procedural areas when required
• Demonstrate flexibility and adaptability by floating to different procedural areas as needed
• Manage and oversee implant and tissue inventory - stocking - supply - and implant/tissue programs for the facility
• Ensure compliance with VA and VHA policies governing implant management
• Implement and maintain a tracking system (manual or automated) for storing and tracking biological implants from vendor/distributor to recipient
• Facilitate local staff training on implant tracking systems
• Coordinate implant management with Supply Chain Management (SCM) - Prosthetic and Sensory Aid Service (PSAS) - Sterile Processing Service (SPS) - Contracting Officer (CO) - and relevant clinical areas
• Ensure biological and non-biological implants are entered into the electronic health record (EHR) upon implantation
• Reconcile implant use with VA-owned inventory and vendor consignment stock
• ensure adequate inventory is available
• Collaborate with applicable services to ensure implant availability - consult input - replacement - and payment for used stock
• Assist clinical services in developing requirements and documents for consignment agreements
• Report issues with consigned inventory (e.g
• expired implants - inadquate stock)
• Monitor PSAS consult processing for timely implant procurement and payment/replacement
• 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 from 6:30 AM-3:00 PM (May include on-call weekends - nights - and holidays) Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized