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Summary

Accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/invasive procedure. Plans - directs - and coordinates care of patients undergoing operative and other invasive procedures.. Expected to function proficiently in both the circulator and scrub role within the OR and to be competent in all surgical specialties. Maintains knowledge of current Association of peri-operative RN standards - directives and SOPS. Assures sterility of surgical field.

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/12937496
• 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 years Operating Room Experience preferred
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Registered Nurse in this position must demonstrate competence in conducting the preoperative anesthesia
• This position will require heavy lifting (>45lbs) - heavy carrying (>45lbs) - straight pulling (1-2 hours) - pushing (1-2 hours) - reaching above the shoulder - and required use of fingers and both hands
• This position may require long periods of walking (4-6 hours) - Standing (4-6 hours) - kneeling (1-2 hours) - and repeated bending (1-2 hours)
• Both legs are required for use in this position
• This position requires the ability for rapid mental and muscular coordination simultaneously
• Vision requirement for this position are: Both eyes - depth perception - distinguishing of basic colors and shades of colors - Near vision correctable at 13" to 16" to Jaeger 1 to 4 and Far vision correctable in one eye to 20/20 and to 20/40 in the other
• Hear aides are permitted
• It may be required to wear protective clothing and equipment to include radiation safety - PPE (apron - goggles - thyroid shield) etc
• Environmental Factors: Include outside - inside - radiant energy - electrical energy - slippery or uneven walking surfaces - working around machinery with moving parts - working closely with others and working alone.

Duties

• The Operating Room RN is responsible for but not limited to: Leads and organizes delivery of care
• Applies advanced clinical knowledge/judgement to lead staff involvement in planning - decision-making - and evaluating outcomes Applies nursing expertise to lead improvement - with demonstrated outcomes Leads initiatives to improve the Veteran experience Demonstrates leadership in patient advocacy Leads staff to identify - analyze and address ethical issues Models' high reliability principles and I CARE values Demonstrates positive - effective communication skills - professional behaviors and leadership Makes sustained contribution to healthcare by actively participating in healthcare facility or service-level committees or councils Leads with emotional and social intelligence
• Demonstrates resilience in coping with challenging and stressful situations Excels in making appropriate judgements
• Demonstrates integrity in the workplace a facilitates formal and informal mentoring opportunities Initiates and leads interdisciplinary teams Leads educational initiatives that expand knowledge Accountable for personal and professional career goals Guides the professional growth of others Advances nursing practice through contributions to knowledge development or education Demonstrates expertise in evidence-based practice/research Demonstrates expertise in managing resources that contribute to efficient - cost effective care Demonstrates expertise in performance improvement by leading initiatives and sharing outcomes Demonstrates expertise by integrating patient preferences into care delivery decisions and sharing knowledge and 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 - Friday
• 6:00am - 2:30pm OR 2:30pm - 11:00pm
• on call varies: Subject to change based on the need of the facility Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized